Evidence map›Paper›PMID 26192915›Full record

ArticleNature genetics2015

Whole-genome sequencing provides new insights into the clonal architecture of Barrett's esophagus and esophageal adenocarcinoma.

Caryn S Ross-Innes, Jennifer Becq, Andrew Warren, R Keira Cheetham, Helen Northen, Maria O'Donovan, Shalini Malhotra, Massimiliano di Pietro, Sergii Ivakhno, Miao He and 7 more

Abstract read
In one paragraph

Article in Nature genetics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 188 papers.

0numbers the graph read from it
0cells of the map it votes in
188citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

188 citing papers in PubMed.

  1. Trial
  2. Biomarker Use in Barrett's Esophagus Surveillance.The American journal of gastroenterology · 2026
    Review
  3. Article
  4. Review
  5. Article
  6. Esophageal cancer: from pathogenesis to precision therapies.Signal transduction and targeted therapy · 2026
    Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Current Concepts for Diagnosing Non-Dysplastic and Dysplastic Barrett's Esophagus.Gastrointestinal endoscopy clinics of North America · 2026
    Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Carcinoma of Esophagus.Journal of gastroenterology and hepatology · 2025
    Review
  18. Article
  19. Article
  20. Review

128 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors.

Caryn S Ross-Innes *Medical Research Council Cancer Unit, Hutchison/Medical Research Council Research Centre, University of Cambridge, Cambridge, UK.
Jennifer Becq *Illumina, Chesterford Research Park, Little Chesterford, UK.
Andrew WarrenIllumina, Chesterford Research Park, Little Chesterford, UK.
R Keira CheethamIllumina, Chesterford Research Park, Little Chesterford, UK.
Helen NorthenIllumina, Chesterford Research Park, Little Chesterford, UK.
Maria O'DonovanDepartment of Histopathology, Addenbrooke's Hospital, Cambridge, UK.
Shalini MalhotraDepartment of Histopathology, Addenbrooke's Hospital, Cambridge, UK.
Massimiliano di PietroMedical Research Council Cancer Unit, Hutchison/Medical Research Council Research Centre, University of Cambridge, Cambridge, UK.
Sergii IvakhnoIllumina, Chesterford Research Park, Little Chesterford, UK.
Miao HeIllumina, Chesterford Research Park, Little Chesterford, UK.
Jamie M J WeaverMedical Research Council Cancer Unit, Hutchison/Medical Research Council Research Centre, University of Cambridge, Cambridge, UK.
Andy G LynchCancer Research UK Cambridge Institute, University of Cambridge, Cambridge, UK.
Zoya KingsburyIllumina, Chesterford Research Park, Little Chesterford, UK.
Mark RossIllumina, Chesterford Research Park, Little Chesterford, UK.
Sean HumphrayIllumina, Chesterford Research Park, Little Chesterford, UK.
David BentleyIllumina, Chesterford Research Park, Little Chesterford, UK.
Rebecca C FitzgeraldMedical Research Council Cancer Unit, Hutchison/Medical Research Council Research Centre, University of Cambridge, Cambridge, UK.

Funding

Cancer Research UK 15874Cancer Research UK 20406Cancer Research UK A15874Department of Health 05/12/01Medical Research Council G1002565
6 · The paper itself

Abstract

The molecular genetic relationship between esophageal adenocarcinoma (EAC) and its precursor lesion, Barrett's esophagus, is poorly understood. Using whole-genome sequencing on 23 paired Barrett's esophagus and EAC samples, together with one in-depth Barrett's esophagus case study sampled over time and space, we have provided the following new insights: (i) Barrett's esophagus is polyclonal and highly mutated even in the absence of dysplasia; (ii) when cancer develops, copy number increases and heterogeneity persists such that the spectrum of mutations often shows surprisingly little overlap between EAC and adjacent Barrett's esophagus; and (iii) despite differences in specific coding mutations, the mutational context suggests a common causative insult underlying these two conditions. From a clinical perspective, the histopathological assessment of dysplasia appears to be a poor reflection of the molecular disarray within the Barrett's epithelium, and a molecular Cytosponge technique overcomes sampling bias and has the capacity to reflect the entire clonal architecture.

Indexed as

AdenocarcinomaAgedBarrett EsophagusDisease ProgressionDNA Copy Number VariationsDNA Mutational AnalysisEsophageal NeoplasmsFemaleGenome, HumanGenome-Wide Association StudyHumansMaleMiddle AgedPolymorphism, Single Nucleotide

Identifiers

PMID26192915
PMCPMC4556068

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