Evidence map›Paper›PMID 31376205›Full record

ReviewThe Prostate2019

Polyploid giant cancer cells: Unrecognized actuators of tumorigenesis, metastasis, and resistance.

Sarah R Amend, Gonzalo Torga, Ke-Chih Lin, Laurie G Kostecka, Angelo de Marzo, Robert H Austin, Kenneth J Pienta

Open access · greenAbstract readReview
In one paragraph

Review in The Prostate, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 116 papers.

0numbers the graph read from it
0cells of the map it votes in
116citing papers in PubMed
11.0field-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

116 citing papers in PubMed, 207 citations in OpenAlex.

  1. Review
  2. Article
  3. Polyploidy: A macromutational force pushing bioeconomic developments.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Implications of Heterotypic Cell Fusion in Cancer.Advances in experimental medicine and biology · 2026
    Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. Review
  19. Article
  20. Effect of PGV-1 on ApoptosisTurkish journal of pharmaceutical sciences · 2025
    Article

56 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

7 authors at 2 institutions in 1 country.

Sarah R AmendDepartment of Urology, Johns Hopkins University School of Medicine, Baltimore, Maryland.ORCID 0000-0002-5606-1262
Gonzalo TorgaDepartment of Urology, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Ke-Chih LinDepartment of Physics, Princeton University, Princeton, New Jersey.
Laurie G KosteckaDepartment of Urology, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Angelo de MarzoDepatment of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Robert H AustinDepartment of Physics, Princeton University, Princeton, New Jersey.
Kenneth J PientaDepartment of Urology, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Johns Hopkins University · USPrinceton University · US

Funding

Tumor microvesicle-mediated modulation of the bone microenvironmentP01CA093900 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KELLER, EVAN T · 2004 to 2024
$29.6M
TRANS_NETWORK PROJECTSU54CA143803 · NCI · PRINCETON UNIVERSITY · PI AUSTIN, ROBERT H. · 2009 to 2013
$14.2M
Mechanisms That Regulate Dormancy of Disseminated Tumor Cells in the Bone MarrowU54CA163124 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SHIOZAWA, YUSUKE · 2011 to 2015
$3.0M
Reactive Stroma and Tumor Associated Macrophages in Prostate Cancer ProgressionU01CA143055 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI PIENTA, KENNETH J., ROWLEY, DAVID R · 2010 to 2014
$2.7M
NCI NIH HHS CA093900NCI NIH HHS CA143055NCI NIH HHS CA163124NCI NIH HHS P01 CA093900NCI NIH HHS U01 CA143055NCI NIH HHS U54 CA143803NCI NIH HHS U54CA143803NCI NIH HHS U54 CA163124
6 · The paper itself

Abstract

Cancer led to the deaths of more than 9 million people worldwide in 2018, and most of these deaths were due to metastatic tumor burden. While in most cases, we still do not know why cancer is lethal, we know that a total tumor burden of 1 kg-equivalent to one trillion cells-is not compatible with life. While localized disease is curable through surgical removal or radiation, once cancer has spread, it is largely incurable. The inability to cure metastatic cancer lies, at least in part, to the fact that cancer is resistant to all known compounds and anticancer drugs. The source of this resistance remains undefined. In fact, the vast majority of metastatic cancers are resistant to all currently available anticancer therapies, including chemotherapy, hormone therapy, immunotherapy, and systemic radiation. Thus, despite decades-even centuries-of research, metastatic cancer remains lethal and incurable. We present historical and contemporary evidence that the key actuators of this process-of tumorigenesis, metastasis, and therapy resistance-are polyploid giant cancer cells.

Indexed as

AnimalsCarcinogenesisDrug Resistance, NeoplasmGiant CellsHumansMaleNeoplasm MetastasisPolyploidyProstatic Neoplasmscancer ecologykeystone speciesmetastasispolyploid giant cancer cellsstemnesstherapeutic resistance

Identifiers

PMID31376205
PMCPMC6706309
OpenAlexW2964452673

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.