Evidence map›Paper›PMID 30214939›Full record

ArticleScience advances2018

Cell fusion potentiates tumor heterogeneity and reveals circulating hybrid cells that correlate with stage and survival.

Charles E Gast, Alain D Silk, Luai Zarour, Lara Riegler, Joshua G Burkhart, Kyle T Gustafson, Michael S Parappilly, Minna Roh-Johnson, James R Goodman, Brennan Olson and 18 more

Open access · goldAbstract read
In one paragraph

Article in Science advances, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 200 papers.

0numbers the graph read from it
0cells of the map it votes in
200citing papers in PubMed
12.4field-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

200 citing papers in PubMed, 326 citations in OpenAlex.

  1. Trial
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  9. Review
  10. Article
  11. The double-positive cells in the tumor microenvironment.Journal of translational internal medicine · 2026
    Article
  12. Review
  13. Cell-Cell Fusion as a Mechanism of Immune Evasion and Metastatic Progression.Advances in experimental medicine and biology · 2026
    Review
  14. How Do Cancer Cells Fuse and Why?Advances in experimental medicine and biology · 2026
    Review
  15. Review
  16. The authors respond to feedback onFrontiers in oncology · 2026
    Article
  17. Implications of Heterotypic Cell Fusion in Cancer.Advances in experimental medicine and biology · 2026
    Review
  18. Review
  19. A Brief Introduction into the Biological Phenomenon of Cell-Cell Fusion.Advances in experimental medicine and biology · 2026
    Review
  20. Article

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

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

28 authors at 2 institutions in 1 country.

Charles E GastDepartment of Cell, Developmental and Cancer Biology, Oregon Health & Science University, Portland, OR 97239, USA.ORCID 0000-0002-6682-3152
Alain D SilkDepartment of Cell, Developmental and Cancer Biology, Oregon Health & Science University, Portland, OR 97239, USA.
Luai ZarourDepartment of Surgery, Oregon Health & Science University, Portland, OR 97239, USA.
Lara RieglerDepartment of Medicine, Oregon Health & Science University, Portland, OR 97239, USA.
Joshua G BurkhartDepartment of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland, OR 97239, USA.ORCID 0000-0001-9279-1556
Kyle T GustafsonCenter for Early Detection Advanced Research, Oregon Health & Science University, Portland, OR 97239, USA.ORCID 0000-0001-5445-2019
Michael S ParappillyDepartment of Cell, Developmental and Cancer Biology, Oregon Health & Science University, Portland, OR 97239, USA.
Minna Roh-JohnsonDivision of Basic Sciences, Fred Hutchinson Cancer Research Center, 1100 Fairview Avenue North, Seattle, WA 98109, USA.
James R GoodmanDepartment of Physiology and Pharmacology, Oregon Health & Science University, Portland, OR 97239, USA.ORCID 0000-0001-9486-9898
Brennan OlsonDepartment of Cell, Developmental and Cancer Biology, Oregon Health & Science University, Portland, OR 97239, USA.
Mark SchmidtDepartment of Cell, Developmental and Cancer Biology, Oregon Health & Science University, Portland, OR 97239, USA.ORCID 0000-0003-2931-2545
John R SwainDepartment of Cell, Developmental and Cancer Biology, Oregon Health & Science University, Portland, OR 97239, USA.ORCID 0000-0002-1105-6654
Paige S DaviesDepartment of Cell, Developmental and Cancer Biology, Oregon Health & Science University, Portland, OR 97239, USA.
Vidya ShasthriDepartment of Cell, Developmental and Cancer Biology, Oregon Health & Science University, Portland, OR 97239, USA.
Shinji IizukaDepartment of Cell, Developmental and Cancer Biology, Oregon Health & Science University, Portland, OR 97239, USA.
Patrick FlynnDepartment of Cell, Developmental and Cancer Biology, Oregon Health & Science University, Portland, OR 97239, USA.ORCID 0000-0003-4174-5562
Spencer WatsonDepartment of Cell, Developmental and Cancer Biology, Oregon Health & Science University, Portland, OR 97239, USA.ORCID 0000-0002-5583-1544
James KorkolaDepartment of Medicine, Oregon Health & Science University, Portland, OR 97239, USA.ORCID 0000-0002-0030-6216
Sara A CourtneidgeDepartment of Cell, Developmental and Cancer Biology, Oregon Health & Science University, Portland, OR 97239, USA.ORCID 0000-0001-7889-265X
Jared M FischerCenter for Early Detection Advanced Research, Oregon Health & Science University, Portland, OR 97239, USA.ORCID 0000-0002-0062-0870
Jerry JaboinKnight Cancer Institute, Oregon Health & Science University, Portland, OR 97239, USA.
Kevin G BillingsleyDepartment of Surgery, Oregon Health & Science University, Portland, OR 97239, USA.ORCID 0000-0003-2217-5103
Charles D LopezDepartment of Medicine, Oregon Health & Science University, Portland, OR 97239, USA.
Julja BurchardDepartment of Computational Biology, Oregon Health & Science University, Portland, OR 97239, USA.
Joe GrayDepartment of Biomedical Engineering, Oregon Health & Science University, Portland, OR 97239, USA.ORCID 0000-0001-9225-6756
Lisa M CoussensDepartment of Cell, Developmental and Cancer Biology, Oregon Health & Science University, Portland, OR 97239, USA.ORCID 0000-0003-2389-1865
Brett C SheppardDepartment of Surgery, Oregon Health & Science University, Portland, OR 97239, USA.ORCID 0000-0002-2182-7547
Melissa H WongDepartment of Cell, Developmental and Cancer Biology, Oregon Health & Science University, Portland, OR 97239, USA.ORCID 0000-0002-5127-279X
Oregon Health & Science University · USNorth Seattle College · US

Funding

Transgenic Mouse FacilityP30CA033572 · NCI · CITY OF HOPE/BECKMAN RESEARCH INSTITUTE · PI STANLEY R. HAMILTON · 1985 to 2026
$86.3M
Understanding the origins of rapid recurrence of pancreatic cancer after resectionP30CA069533 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI Luiz Eduardo Bertassoni · 1997 to 2026
$60.5M
Systems-Based Predictions of Responses to Cancer TherapyU54CA112970 · NCI · UNIVERSITY OF CALIF-LAWRENC BERKELEY LAB · PI GRAY, JOE W. · 2004 to 2014
$27.1M
TRAINING PROGRAM IN HEALTH INFORMATICST15LM007088 · NLM · OREGON HEALTH & SCIENCE UNIVERSITY · PI WILLIAM R HERSH, Vishnu Mohan · 1992 to 2026
$23.4M
TRAINING PROGRAM IN MOLECULAR HEMATOLOGYT32HL007781 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI BAGBY, GROVER CARLTON · 1993 to 2012
$5.1M
Training in the Molecular Basis of Skin/Mucosa PathobiologyT32CA106195 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI KULESZ-MARTIN, MOLLY F. · 2004 to 2018
$3.8M
Target-specific inhibition and activation of protein tyrosine phosphatasesR15GM071388 · NIGMS · AMHERST COLLEGE · PI BISHOP, ANTHONY C · 2005 to 2021
$1.6M
Transplanted Stem Cells and Tumor ProgressionR01CA118235 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI WONG, MELISSA H. · 2006 to 2010
$1.4M
Cell Biological Mechanisms of Melanoma Cell Motility In VivoR00CA190836 · NCI · UNIVERSITY OF UTAH · PI ROH, MINNA · 2018 to 2020
$954k
Deltavision RT Image Restoration System for Established Research Core FacilityS10RR023432 · NCRR · OREGON HEALTH & SCIENCE UNIVERSITY · PI KELLER, THOMAS J · 2007 to 2007
$365k
Novel mechanisms of cancer metastasisR21CA172334 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI WONG, MELISSA H. · 2013 to 2014
$363k
Cell Biological Mechanisms of Melanoma Cell Motility in vivoK99CA190836 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI ROH, MINNA · 2015 to 2016
$229k
NCI NIH HHS K99 CA190836NCI NIH HHS P30 CA033572NCI NIH HHS P30 CA069533NCI NIH HHS R00 CA190836NCI NIH HHS R01 CA118235NCI NIH HHS R21 CA172334NCI NIH HHS T32 CA106195NCI NIH HHS U54 CA112970NCRR NIH HHS S10 RR023432NHLBI NIH HHS T32 HL007781NIGMS NIH HHS R15 GM071388NLM NIH HHS T15 LM007088
6 · The paper itself

Abstract

High lethality rates associated with metastatic cancer highlight an urgent medical need for improved understanding of biologic mechanisms driving metastatic spread and identification of biomarkers predicting late-stage progression. Numerous neoplastic cell intrinsic and extrinsic mechanisms fuel tumor progression; however, mechanisms driving heterogeneity of neoplastic cells in solid tumors remain obscure. Increased mutational rates of neoplastic cells in stressed environments are implicated but cannot explain all aspects of tumor heterogeneity. We present evidence that fusion of neoplastic cells with leukocytes (for example, macrophages) contributes to tumor heterogeneity, resulting in cells exhibiting increased metastatic behavior. Fusion hybrids (cells harboring hematopoietic and epithelial properties) are readily detectible in cell culture and tumor-bearing mice. Further, hybrids enumerated in peripheral blood of human cancer patients correlate with disease stage and predict overall survival. This unique population of neoplastic cells provides a novel biomarker for tumor staging, as well as a potential therapeutic target for intervention.

Indexed as

AnimalsBiomarkers, TumorCarcinoma, Pancreatic DuctalCell FusionCell Line, TumorCell SurvivalEpithelial CellsFemaleGreen Fluorescent ProteinsHumansHybrid CellsKaryotypingMacrophagesMaleMice, Inbred C57BLMice, TransgenicBiomarkers, TumorGreen Fluorescent Proteins

Identifiers

PMID30214939
PMCPMC6135550
OpenAlexW2891595642

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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.