Evidence map›Paper›PMID 31416912›Full record

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

Addressing cellular heterogeneity in tumor and circulation for refined prognostication.

Su Bin Lim, Trifanny Yeo, Wen Di Lee, Ali Asgar S Bhagat, Swee Jin Tan, Daniel Shao Weng Tan, Wan-Teck Lim, Chwee Teck Lim

Abstract 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 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
–field-weighted citation impact
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

41 citing papers in PubMed.

  1. Trial
  2. Review
  3. Genetic and phenotypic profiling of single living circulating tumor cells from patients with microfluidics.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  4. Article
  5. Article
  6. Exploring circular MET RNA as a potential biomarker in tumors exhibiting high MET activity.Journal of experimental & clinical cancer research : CR · 2023
    Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Application of Microfluidics in Detection of Circulating Tumor Cells.Frontiers in bioengineering and biotechnology · 2022
    Review
  18. Article
  19. Article
  20. 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

8 authors.

Su Bin LimNUS Graduate School for Integrative Sciences & Engineering, National University of Singapore, 117456 Singapore, Singapore.ORCID 0000-0003-1752-7039
Trifanny YeoDepartment of Biomedical Engineering, National University of Singapore, 117583 Singapore, Singapore.
Wen Di LeeDepartment of Biomedical Engineering, National University of Singapore, 117583 Singapore, Singapore.
Ali Asgar S BhagatDepartment of Biomedical Engineering, National University of Singapore, 117583 Singapore, Singapore.
Swee Jin TanRegional Scientific Affairs, Sysmex Asia Pacific, 528735 Singapore, Singapore.
Daniel Shao Weng TanDivision of Medical Oncology, National Cancer Centre Singapore, 169610 Singapore, Singapore.
Wan-Teck LimDivision of Medical Oncology, National Cancer Centre Singapore, 169610 Singapore, Singapore.
Chwee Teck LimNUS Graduate School for Integrative Sciences & Engineering, National University of Singapore, 117456 Singapore, Singapore; ctlim@nus.edu.sg.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite pronounced genomic and transcriptomic heterogeneity in non-small-cell lung cancer (NSCLC) not only between tumors, but also within a tumor, validation of clinically relevant gene signatures for prognostication has relied upon single-tissue samples, including 2 commercially available multigene tests (MGTs). Here we report an unanticipated impact of intratumor heterogeneity (ITH) on risk prediction of recurrence in NSCLC, underscoring the need for a better genomic strategy to refine prognostication. By leveraging label-free, inertial-focusing microfluidic approaches in retrieving circulating tumor cells (CTCs) at single-cell resolution, we further identified specific gene signatures with distinct expression profiles in CTCs from patients with differing metastatic potential. Notably, a refined prognostic risk model that reconciles the level of ITH and CTC-derived gene expression data outperformed the initial classifier in predicting recurrence-free survival (RFS). We propose tailored approaches to providing reliable risk estimates while accounting for ITH-driven variance in NSCLC.

Indexed as

Tumor MicroenvironmentBiomarkers, TumorCarcinoma, Non-Small-Cell LungFemaleHumansImmunohistochemistryLung NeoplasmsMaleMicrofluidic Analytical TechniquesNeoplasm MetastasisNeoplasmsNeoplasm StagingNeoplastic Cells, CirculatingPrognosisBiomarkers, Tumorcirculating biomarkersmicrofluidicstumor heterogeneity

Identifiers

PMID31416912
PMCPMC6731691

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Registered trials

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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.