Evidence map›Paper›PMID 31094703›Full record

ArticleJCI insight2019

Genomic analysis of benign prostatic hyperplasia implicates cellular re-landscaping in disease pathogenesis.

Lance W Middleton, Zhewei Shen, Sushama Varma, Anna S Pollack, Xue Gong, Shirley Zhu, Chunfang Zhu, Joseph W Foley, Sujay Vennam, Robert T Sweeney and 8 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JCI insight, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04873427 (In Situ Clonal Heterogeneity in Prostatic Diagnostic Biopsies), which is not on this map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
3.0field-weighted citation impact, top 8% 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.

NCT04873427 terminatednot on this mapstarted 2021, after this paper: background citation

In Situ Clonal Heterogeneity in Prostatic Diagnostic Biopsies: Impact on Prostate Cancer Evolution and Clinical Outcome. A Retrospective, Proof of Concept Study

TypeobservationalSponsorClinica Luganese MoncuccoRan2021 to 2023Enrolled40ConditionsProstate Cancer, Genetic PredispositionArmsclonal heterogeneity evaluation
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 57 citations in OpenAlex.

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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 1 institution in 1 country.

Lance W MiddletonDepartment of Pathology.
Zhewei ShenDepartment of Pathology.
Sushama VarmaDepartment of Pathology.
Anna S PollackDepartment of Pathology.
Xue GongDepartment of Pathology.
Shirley ZhuDepartment of Pathology.
Chunfang ZhuDepartment of Pathology.
Joseph W FoleyDepartment of Pathology.
Sujay VennamDepartment of Pathology.
Robert T SweeneyDepartment of Pathology.
Karen TuDepartment of Pathology.
Jewison BiscochoDepartment of Pathology.
Okyaz EminagaDepartment of Urology.
Rosalie NolleyDepartment of Urology.
Robert TibshiraniDepartment of Biomedical Data Science, and.
James D BrooksDepartment of Urology.
Robert B WestDepartment of Pathology.
Jonathan R PollackDepartment of Pathology.
Stanford University · US

Funding

Scientific Research ProjectP20DK103093 · NIDDK · STANFORD UNIVERSITY · PI BROOKS, JAMES D. · 2014 to 2015
$638k
NIDDK NIH HHS P20 DK103093
6 · The paper itself

Abstract

Benign prostatic hyperplasia (BPH) is the most common cause of lower urinary tract symptoms in men. Current treatments target prostate physiology rather than BPH pathophysiology and are only partially effective. Here, we applied next-generation sequencing to gain new insight into BPH. By RNAseq, we uncovered transcriptional heterogeneity among BPH cases, where a 65-gene BPH stromal signature correlated with symptom severity. Stromal signaling molecules BMP5 and CXCL13 were enriched in BPH while estrogen regulated pathways were depleted. Notably, BMP5 addition to cultured prostatic myofibroblasts altered their expression profile towards a BPH profile that included the BPH stromal signature. RNAseq also suggested an altered cellular milieu in BPH, which we verified by immunohistochemistry and single-cell RNAseq. In particular, BPH tissues exhibited enrichment of myofibroblast subsets, whilst depletion of neuroendocrine cells and an estrogen receptor (ESR1)-positive fibroblast cell type residing near epithelium. By whole-exome sequencing, we uncovered somatic single-nucleotide variants (SNVs) in BPH, of uncertain pathogenic significance but indicative of clonal cell expansions. Thus, genomic characterization of BPH has identified a clinically-relevant stromal signature and new candidate disease pathways (including a likely role for BMP5 signaling), and reveals BPH to be not merely a hyperplasia, but rather a fundamental re-landscaping of cell types.

Indexed as

Bone Morphogenetic Protein 5ExomeGenetic Predisposition to DiseaseHumansMaleMyofibroblastsNeuroendocrine CellsProstateProstatic HyperplasiaProstatic NeoplasmsReceptors, EstrogenSeverity of Illness IndexTranscriptomeBMP5 protein, humanBone Morphogenetic Protein 5Receptors, EstrogenCell BiologyExpression profilingMolecular pathologyOncologyProstate cancer

Identifiers

PMID31094703
PMCPMC6629137
OpenAlexW2946686871

What OpenQuestion holds

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Registered trials

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.