Evidence map›Paper›PMID 30718927›Full record

ArticleNature genetics2019

The landscape of selection in 551 esophageal adenocarcinomas defines genomic biomarkers for the clinic.

Alexander M Frankell, SriGanesh Jammula, Xiaodun Li, Gianmarco Contino, Sarah Killcoyne, Sujath Abbas, Juliane Perner, Lawrence Bower, Ginny Devonshire, Emma Ococks and 8 more

Open access · greenAbstract read
In one paragraph

Article in Nature genetics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 139 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
139citing papers in PubMed, 1 pooled it
10.5field-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

139 citing papers in PubMed, 1 synthesis or guideline pooled it, 231 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Esophageal cancer: from pathogenesis to precision therapies.Signal transduction and targeted therapy · 2026
    Review
  11. Emerging Biomarkers for Managing Barrett's Esophagus.Gastrointestinal endoscopy clinics of North America · 2026
    Review
  12. Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Metabolic Profiling of DistinctInternational journal of molecular sciences · 2025
    Article
  18. Article
  19. Article
  20. Article

79 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

18 authors at 3 institutions in 1 country.

Alexander M FrankellMRC cancer unit, Hutchison/MRC research Centre, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0002-0341-7878
SriGanesh JammulaCancer Research UK Cambridge Institute, University of Cambridge, Cambridge, UK.
Xiaodun LiMRC cancer unit, Hutchison/MRC research Centre, University of Cambridge, Cambridge, UK.
Gianmarco ContinoMRC cancer unit, Hutchison/MRC research Centre, University of Cambridge, Cambridge, UK.
Sarah KillcoyneMRC cancer unit, Hutchison/MRC research Centre, University of Cambridge, Cambridge, UK.
Sujath AbbasMRC cancer unit, Hutchison/MRC research Centre, University of Cambridge, Cambridge, UK.
Juliane PernerCancer Research UK Cambridge Institute, University of Cambridge, Cambridge, UK.
Lawrence BowerCancer Research UK Cambridge Institute, University of Cambridge, Cambridge, UK.
Ginny DevonshireCancer Research UK Cambridge Institute, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0002-1408-8176
Emma OcocksMRC cancer unit, Hutchison/MRC research Centre, University of Cambridge, Cambridge, UK.
Nicola GrehanMRC cancer unit, Hutchison/MRC research Centre, University of Cambridge, Cambridge, UK.
James MokMRC cancer unit, Hutchison/MRC research Centre, University of Cambridge, Cambridge, UK.
Maria O'Donovan
Shona MacRaeMRC cancer unit, Hutchison/MRC research Centre, University of Cambridge, Cambridge, UK.
Matthew D EldridgeCancer Research UK Cambridge Institute, University of Cambridge, Cambridge, UK.
Simon TavaréCancer Research UK Cambridge Institute, University of Cambridge, Cambridge, UK.
Oesophageal Cancer Clinical and Molecular Stratification (OCCAMS) Consortium
Rebecca C FitzgeraldMRC cancer unit, Hutchison/MRC research Centre, University of Cambridge, Cambridge, UK. rcf29@mrc-cu.cam.ac.uk.ORCID http://orcid.org/0000-0002-3434-3568
University of Cambridge · GBCambridge University Hospitals NHS Foundation Trust · GBEuropean Bioinformatics Institute · GB

Funding

Cancer Research UK 16463Cancer Research UK 20406Cancer Research UK 22131Cancer Research UK 22720Cancer Research UK 23924Cancer Research UK 24430Cancer Research UK 25487Medical Research Council MC_UU_12022/2Medical Research Council MR/M009157/1
6 · The paper itself

Abstract

Esophageal adenocarcinoma (EAC) is a poor-prognosis cancer type with rapidly rising incidence. Understanding of the genetic events driving EAC development is limited, and there are few molecular biomarkers for prognostication or therapeutics. Using a cohort of 551 genomically characterized EACs with matched RNA sequencing data, we discovered 77 EAC driver genes and 21 noncoding driver elements. We identified a mean of 4.4 driver events per tumor, which were derived more commonly from mutations than copy number alterations, and compared the prevelence of these mutations to the exome-wide mutational excess calculated using non-synonymous to synonymous mutation ratios (dN/dS). We observed mutual exclusivity or co-occurrence of events within and between several dysregulated EAC pathways, a result suggestive of strong functional relationships. Indicators of poor prognosis (SMAD4 and GATA4) were verified in independent cohorts with significant predictive value. Over 50% of EACs contained sensitizing events for CDK4 and CDK6 inhibitors, which were highly correlated with clinically relevant sensitivity in a panel of EAC cell lines and organoids.

Indexed as

AdenocarcinomaBiomarkers, TumorCohort StudiesDNA Copy Number VariationsEsophageal NeoplasmsExomeFemaleGene Expression ProfilingGene Expression Regulation, NeoplasticGenomicsHumansMaleMutationBiomarkers, Tumor

Identifiers

PMID30718927
PMCPMC6420087
OpenAlexW2951144513

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.