Evidence map›Paper›PMID 29278425›Full record

ArticleHepatology (Baltimore, Md.)2018

Genomic perturbations reveal distinct regulatory networks in intrahepatic cholangiocarcinoma.

Chirag Nepal, Colm J O'Rourke, Douglas V N P Oliveira, Andrzej Taranta, Steven Shema, Prson Gautam, Julien Calderaro, Andrew Barbour, Chiara Raggi, Krister Wennerberg and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in Hepatology (Baltimore, Md.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 1 pooled it
9.2field-weighted citation impact, top 1% 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

64 citing papers in PubMed, 1 synthesis or guideline pooled it, 135 citations in OpenAlex.

  1. Guideline
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  6. Cholangiocarcinoma 2026: status quo, unmet needs and priorities.Nature reviews. Gastroenterology & hepatology · 2026
    Review
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  20. Human Metastatic Cholangiocarcinoma Patient-Derived Xenografts and Tumoroids for Preclinical Drug Evaluation.Clinical cancer research : an official journal of the American Association for Cancer Research · 2023
    Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 7 institutions in 8 countries.

Chirag NepalBiotech Research and Innovation Centre, Department of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Colm J O'RourkeBiotech Research and Innovation Centre, Department of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Douglas V N P OliveiraBiotech Research and Innovation Centre, Department of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Andrzej TarantaBiotech Research and Innovation Centre, Department of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Steven ShemaCenter for Cancer Research Genomics Core, National Cancer Institute, National Institutes of Health, Bethesda, MD.
Prson GautamInstitute for Molecular Medicine Finland, University of Helsinki, Helsinki, Finland.
Julien CalderaroAssistance Publique-Hôpitaux de Paris, Department of Pathology, CHU Henri Mondor, Créteil, France.ORCID 0000-0002-5370-0807
Andrew BarbourUniversity of Queensland, Brisbane, Australia.
Chiara RaggiCenter for Autoimmune Liver Diseases, IRCCS Istituto Clinico Humanitas, Rozzano (MI), Italy.
Krister WennerbergBiotech Research and Innovation Centre, Department of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Xin W WangLaboratory of Human Carcinogenesis, Center for Cancer Research, National Cancer Institute, Bethesda, MD.
Anja LautemDepartment of General, Visceral and Transplantation Surgery, University Medical Center Mainz, Mainz, Germany.
Lewis R RobertsDivision of Gastroenterology and Hepatology, Mayo Clinic College of Medicine, Rochester, MN.ORCID 0000-0001-7885-8574
Jesper B AndersenBiotech Research and Innovation Centre, Department of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0003-1760-5244
University of Copenhagen · DKInserm · FRIstituti di Ricovero e Cura a Carattere Scientifico · ITNational Cancer Institute · USNational Institutes of Health · USThe University of Queensland · AUUniversity of Helsinki · FI

Funding

Strategies for improving early detection, diagnosis and treatment of liver cancerZIABC010313 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI WANG, XIN WEI · 2009 to 2025
$18.1M
Intramural NIH HHS Z99 CA999999
6 · The paper itself

Abstract

Intrahepatic cholangiocarcinoma remains a highly heterogeneous malignancy that has eluded effective patient stratification to date. The extent to which such heterogeneity can be influenced by individual driver mutations remains to be evaluated. Here, we analyzed genomic (whole-exome sequencing, targeted exome sequencing) and epigenomic data from 496 patients and used the three most recurrently mutated genes to stratify patients (IDH, KRAS, TP53, "undetermined"). Using this molecular dissection approach, each subgroup was determined to possess unique mutational signature preferences, comutation profiles, and enriched pathways. High-throughput drug repositioning in seven patient-matched cell lines, chosen to reflect the genetic alterations specific for each patient group, confirmed in silico predictions of subgroup-specific vulnerabilities linked to enriched pathways. Intriguingly, patients lacking all three mutations ("undetermined") harbored the most extensive structural alterations, while isocitrate dehydrogenase mutant tumors displayed the most extensive DNA methylome dysregulation, consistent with previous findings.

conclusionStratification of intrahepatic cholangiocarcinoma patients based on occurrence of mutations in three classifier genes (IDH, KRAS, TP53) revealed unique oncogenic programs (mutational, structural, epimutational) that influence pharmacologic response in drug repositioning protocols; this genome dissection approach highlights the potential of individual mutations to induce extensive molecular heterogeneity and could facilitate advancement of therapeutic response in this dismal disease. (Hepatology 2018).

Indexed as

Antineoplastic AgentsBile Duct NeoplasmsCell Line, TumorCholangiocarcinomaDNA Mutational AnalysisEpigenesis, GeneticExome SequencingHumansIsocitrate DehydrogenaseProto-Oncogene Proteins p21(ras)Tumor Suppressor Protein p53Antineoplastic AgentsIDH1 protein, humanIsocitrate DehydrogenaseKRAS protein, humanProto-Oncogene Proteins p21(ras)TP53 protein, humanTumor Suppressor Protein p53

Identifiers

PMID29278425
PMCPMC6599967
OpenAlexW2776661494

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.