Evidence map›Paper›PMID 31239334›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2019

Consecutive seeding and transfer of genetic diversity in metastasis.

Alexander Heyde, Johannes G Reiter, Kamila Naxerova, Martin A Nowak

Open access · hybridAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
0.3field-weighted citation impact, top 27% 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

32 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Article
  3. Evolutionary paths towards metastasis.Nature reviews. Cancer · 2025
    Review
  4. Article
  5. Article
  6. Review
  7. Modeling tumors as species-rich ecological communities.bioRxiv : the preprint server for biology · 2024
    Article
  8. Onco-Breastomics: An Eco-Evo-Devo Holistic Approach.International journal of molecular sciences · 2024
    Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Computational and systems oncology · 2022
    Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Models of pancreatic ductal adenocarcinoma.Cancer metastasis reviews · 2021
    Review
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

4 authors at 2 institutions in 1 country.

Alexander HeydeProgram for Evolutionary Dynamics, Harvard University, Cambridge, MA 02138; aheyde@g.harvard.edu martin_nowak@harvard.edu.ORCID 0000-0003-0324-7095
Johannes G ReiterCanary Center for Cancer Early Detection, Department of Radiology, Stanford University School of Medicine, Palo Alto, CA 94304.ORCID 0000-0002-0170-7353
Kamila NaxerovaCenter for Systems Biology, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114.
Martin A NowakProgram for Evolutionary Dynamics, Harvard University, Cambridge, MA 02138; aheyde@g.harvard.edu martin_nowak@harvard.edu.ORCID 0000-0001-5489-0908
Harvard University · USPalo Alto University · US

Funding

Illuminating the evolutionary history of colorectal cancer metastasis: basic principles and clinical applicationsR37CA225655 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI NAXEROVA, KAMILA · 2018 to 2024
$3.0M
Inferring the roots of metastases and their effects on patient survivalR00CA229991 · NCI · STANFORD UNIVERSITY · PI REITER, JOHANNES G · 2019 to 2021
$743k
Inferring the roots of metastases and their effects on patient survivalK99CA229991 · NCI · STANFORD UNIVERSITY · PI REITER, JOHANNES G · 2018 to 2018
$155k
NCI NIH HHS K99 CA229991NCI NIH HHS R00 CA229991NCI NIH HHS R37 CA225655
6 · The paper itself

Abstract

During metastasis, only a fraction of genetic diversity in a primary tumor is passed on to metastases. We calculate this fraction of transferred diversity as a function of the seeding rate between tumors. At one extreme, if a metastasis is seeded by a single cell, then it inherits only the somatic mutations present in the founding cell, so that none of the diversity in the primary tumor is transmitted to the metastasis. In contrast, if a metastasis is seeded by multiple cells, then some genetic diversity in the primary tumor can be transmitted. We study a multitype branching process of metastasis growth that originates from a single cell but over time receives additional cells. We derive a surprisingly simple formula that relates the expected diversity of a metastasis to the diversity in the pool of seeding cells. We calculate the probability that a metastasis is polyclonal. We apply our framework to published datasets for which polyclonality has been previously reported, analyzing 68 ovarian cancer samples, 31 breast cancer samples, and 8 colorectal cancer samples from 15 patients. For these clonally diverse metastases, under typical metastasis growth conditions, we find that 10 to 150 cells seeded each metastasis and left surviving lineages between initial formation and clinical detection.

Indexed as

CarcinogenesisClonal EvolutionGenetic HeterogeneityGenetic VariationBreast NeoplasmsColorectal NeoplasmsComputer SimulationFemaleHumansModels, TheoreticalMutationNeoplasm MetastasisOvarian Neoplasmsbranching processclonal diversitymetastasispopulation geneticstumor heterogeneity

Identifiers

PMID31239334
PMCPMC6628640
OpenAlexW2927907787

What OpenQuestion holds

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LicenceCC BY
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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.