Evidence map›Paper›PMID 27932399›Full record

ArticleCancer research2017

Novel Hybrid Phenotype Revealed in Small Cell Lung Cancer by a Transcription Factor Network Model That Can Explain Tumor Heterogeneity.

Akshata R Udyavar, David J Wooten, Megan Hoeksema, Mukesh Bansal, Andrea Califano, Lourdes Estrada, Santiago Schnell, Jonathan M Irish, Pierre P Massion, Vito Quaranta

Erratum issuedOpen access · bronzeAbstract read
In one paragraph

Article in Cancer research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 50 papers.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed
3.9field-weighted citation impact, top 5% of its field
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

50 citing papers in PubMed, 107 citations in OpenAlex.

  1. BioLogical: a universal analysis framework for biosystem logical dynamics.Computational and structural biotechnology journal · 2026
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  13. Minimal frustration underlies the usefulness of incomplete regulatory network models in biology.Proceedings of the National Academy of Sciences of the United States of America · 2023
    Article
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  17. Review
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  19. Journal of biosciences · 2022
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Akshata R UdyavarVanderbilt University School of Medicine, Nashville, Tennessee.
David J WootenVanderbilt University School of Medicine, Nashville, Tennessee.
Megan HoeksemaVanderbilt University School of Medicine, Nashville, Tennessee.
Mukesh BansalVanderbilt University School of Medicine, Nashville, Tennessee.
Andrea CalifanoVanderbilt University School of Medicine, Nashville, Tennessee.
Lourdes EstradaVanderbilt University School of Medicine, Nashville, Tennessee.
Santiago SchnellVanderbilt University School of Medicine, Nashville, Tennessee.
Jonathan M IrishVanderbilt University School of Medicine, Nashville, Tennessee.
Pierre P MassionVanderbilt University School of Medicine, Nashville, Tennessee.
Vito QuarantaVanderbilt University School of Medicine, Nashville, Tennessee. vito.quaranta@vanderbilt.edu.
Vanderbilt University · US

Funding

Tumor Immunology and Microenvironment Research ProgramP30CA068485 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI MATTHEW J TYSKA · 1995 to 2026
$172.8M
The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
TARGETING NOTCH 3 IN LUNG CANCERP50CA090949 · NCI · VANDERBILT UNIVERSITY · PI MASSION, PIERRE P. · 2001 to 2011
$24.1M
TrainingU54CA113007 · NCI · VANDERBILT UNIVERSITY · PI ESTRADA-RODGERS, LOURDES · 2004 to 2014
$19.2M
Systematic pharmacological targeting of the core mechanisms responsible for maintaining cancer cell stateU54CA209997 · NCI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI CALIFANO, ANDREA, HONIG, BARRY H · 2016 to 2021
$10.9M
MULTIDISCIPLINARY BASIC RESEARCH TRAINING IN CANCERT32CA009592 · NCI · VANDERBILT UNIVERSITY · PI Justin M Balko, Julie A Rhoades (Sterling) · 1987 to 2026
$10.4M
High-performance compute cluster for biomedical computingS10OD012351 · OD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI CALIFANO, ANDREA · 2012 to 2012
$2.0M
Targeting the B Cell Receptor Signaling Network in LymphomaR00CA143231 · NCI · VANDERBILT UNIVERSITY · PI IRISH, JONATHAN MICHAEL · 2012 to 2014
$715k
Storage System for High Performance ComputingS10OD021764 · OD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI CALIFANO, ANDREA · 2016 to 2016
$600k
Molecular Biomarkers of Small Cell Lung Cancer BehaviourI01CX000242 · VA · VETERANS HEALTH ADMINISTRATION · PI MASSION, PIERRE P. · 2009 to 2013
–
Phenotypic heterogeneity in small cell lung cancer.I01CX001425 · VA · VETERANS HEALTH ADMINISTRATION · PI MASSION, PIERRE P. · 2016 to 2019
–
CSRD VA I01 CX000242CSRD VA I01 CX001425NCATS NIH HHS UL1 TR000445NCI NIH HHS P30 CA068485NCI NIH HHS P50 CA090949NCI NIH HHS R00 CA143231NCI NIH HHS T32 CA009592NCI NIH HHS U54 CA113007NCI NIH HHS U54 CA209997NIH HHS S10 OD012351NIH HHS S10 OD021764
6 · The paper itself

Abstract

Small cell lung cancer (SCLC) is a devastating disease due to its propensity for early invasion and refractory relapse after initial treatment response. Although these aggressive traits have been associated with phenotypic heterogeneity, our understanding of this association remains incomplete. To fill this knowledge gap, we inferred a set of 33 transcription factors (TF) associated with gene signatures of the known neuroendocrine/epithelial (NE) and non-neuroendocrine/mesenchymal-like (ML) SCLC phenotypes. The topology of this SCLC TF network was derived from prior knowledge and was simulated using Boolean modeling. These simulations predicted that the network settles into attractors, or TF expression patterns, that correlate with NE or ML phenotypes, suggesting that TF network dynamics underlie the emergence of heterogeneous SCLC phenotypes. However, several cell lines and patient tumor specimens failed to correlate with either the NE or ML attractors. By flow cytometry, single cells within these cell lines simultaneously expressed surface markers of both NE and ML differentiation, confirming the existence of a "hybrid" phenotype. Upon exposure to standard-of-care cytotoxic drugs or epigenetic modifiers, NE and ML cell populations converged toward the hybrid state, suggesting possible escape from treatment. Our findings indicate that SCLC phenotypic heterogeneity can be specified dynamically by attractor states of a master regulatory TF network. Thus, SCLC heterogeneity may be best understood as states within an epigenetic landscape. Understanding phenotypic transitions within this landscape may provide insights to clinical applications.

Indexed as

Cell DifferentiationCell Line, TumorGene ExpressionGenetic HeterogeneityHumansLung NeoplasmsPhenotypeSmall Cell Lung CarcinomaTranscription FactorsTranscription Factors

Identifiers

PMID27932399
PMCPMC5532541
OpenAlexW2560208303

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.