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Eurasian Journal of Medicine
                                                                                        and Oncology





                                        ORIGINAL RESEARCH ARTICLE
                                        Research on hypoxia and the extracellular matrix

                                        in cancer: A visualization analysis



                                        Xin Jiang 1]  , Lilan Ou 1,2  , Xue Fan 1  , Jiaxin Yang 1  , Chun Zhang * ,
                                                                                                 1,2
                                        and Qiuyu Liu *
                                                    1
                                        1 School of Pharmacy, Southwest Medical University, Luzhou, Sichuan, China
                                        2 Department of Oncology, the Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan,
                                        China




                                        Abstract

                                        Hypoxia and the extracellular matrix (ECM) are critical drivers of metastasis.  To
                                        comprehensively analyze the development of hypoxia and ECM in cancer and identify
                                        potential collaborative relationships, this study employs bibliometric methods to
                                        analyze and predict emerging hotspots and potential research directions. This study
                                        collected relevant research literature (published in English; 2007 – 2024) from the Web
                                        of Science Core Collection using bibliometrics. The research status, hotspots, frontiers,
                                        and trends in the field of “hypoxia and ECM and cancer” were analyzed using the R
                                        package (bibliometrix). CiteSpace and VOSviewer were employed for visualizing the
            *Corresponding authors:     analysis of authors, countries, institutions, keywords, and co-cited references. A total of
            Chun Zhang                  2199 authors from 39 countries contributed to 351 articles published in 201 journals in
            (zhangchun@swmu.edu.cn)
            Qiuyu Liu                   the research domain. From 2007 to 2024, there was an overall increasing trend, with an
            (q.liu@swmu.edu.cn)         average annual growth rate of 13.54%. Developed countries, especially the United States
            Citation: Jiang X, Ou L, Fan X,   of America (USA) made major contributions, while China, despite its high publication
            Yang J, Zhang C, Liu Q. Research   volume, lagged in quality compared to the USA. Notably, Johns Hopkins University
            on hypoxia and the extracellular   demonstrated strong international collaboration. Cancer-associated fibroblast (CAF),
            matrix in cancer: A visualization
            analysis. Eurasian J Med Oncol.   tumor microenvironment, and cancer metabolism are current major research areas,
            2025;9(1):168-192.          with future directions in clinical therapy. The analysis of hypoxia and ECM in cancer
            doi: 10.36922/ejmo.7116     using bibliometrics reveals a rapid development from 2007 to 2016. International
            Received: December 9, 2024  collaboration has intensified through partnerships with developed countries,
                                        resulting in more in-depth research contributions from some developing countries.
            Revised: December 26, 2024
                                        These research efforts mainly focus on pancreatic cancer, lung cancer, glioblastoma
            Accepted: January 6, 2025   multiforme, and breast cancer. CAF and glucose metabolic reprogramming associated
            Published online: January 31,   with hypoxia and ECM in cancer have garnered widespread attention. Research in these
            2025                        areas, particularly the challenges of clinical therapy resistance in triple-negative breast
            Copyright: © 2025 Author(s).   cancer closely associated with ECM, is expected to be key focal points in the future.
            This is an Open-Access article
            distributed under the terms of the
            Creative Commons Attribution   Keywords: Hypoxia; Extracellular matrix; Cancer; Bibliometric analysis; CiteSpace;
            License, permitting distribution,   VOSviewer
            and reproduction in any medium,
            provided the original work is
            properly cited.
            Publisher’s Note: AccScience
            Publishing remains neutral with   1. Introduction
            regard to jurisdictional claims in
            published maps and institutional   Hypoxia is the feature of solid malignant tumors caused by abnormal vascular structure
            affiliations                and microcirculation disorders, resulting in decreased oxygen percentage and adversely



            Volume 9 Issue 1 (2025)                        168                              doi: 10.36922/ejmo.7116
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