Evidence map›Paper›PMID 31609466›Full record

ArticleInternational journal of cancer2020

Molecular changes during progression from nonmuscle invasive to advanced urothelial carcinoma.

Gottfrid Sjödahl, Pontus Eriksson, Oliver Patschan, Nour-Al-Dain Marzouka, Lovisa Jakobsson, Carina Bernardo, Kristina Lövgren, Gunilla Chebil, Ellen Zwarthoff, Fredrik Liedberg and 1 more

Open access · hybridAbstract read
In one paragraph

Article in International journal of cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 1 pooled it
6.6field-weighted citation impact, top 3% 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

49 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.

  1. Pooled it
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  16. Molecular therapy. Oncology · 2024
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  19. Unveiling the mechanisms and challenges of cancer drug resistance.Cell communication and signaling : CCS · 2024
    Review
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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

11 authors at 2 institutions in 2 countries.

Gottfrid SjödahlDepartment of Translational Medicine, Division of Urological Research, Lund University, Lund, Sweden.ORCID 0000-0002-7869-0473
Pontus ErikssonDivision of Oncology and Pathology, Clinical Sciences, Lund University, Lund, Sweden.
Oliver PatschanDepartment of Translational Medicine, Division of Urological Research, Lund University, Lund, Sweden.
Nour-Al-Dain MarzoukaDivision of Oncology and Pathology, Clinical Sciences, Lund University, Lund, Sweden.
Lovisa JakobssonDivision of Oncology and Pathology, Clinical Sciences, Lund University, Lund, Sweden.
Carina BernardoDivision of Oncology and Pathology, Clinical Sciences, Lund University, Lund, Sweden.
Kristina LövgrenDivision of Oncology and Pathology, Clinical Sciences, Lund University, Lund, Sweden.
Gunilla ChebilDivision of Oncology and Pathology, Clinical Sciences, Lund University, Lund, Sweden.
Ellen ZwarthoffDepartment of Pathology, Erasmus MC Cancer Institute, Erasmus Medical Center, Rotterdam, The Netherlands.
Fredrik LiedbergDepartment of Translational Medicine, Division of Urological Research, Lund University, Lund, Sweden.
Mattias HöglundDivision of Oncology and Pathology, Clinical Sciences, Lund University, Lund, Sweden.
Lund University · SEErasmus MC Cancer Institute · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Molecular changes occurring during invasion and clinical progression of cancer are difficult to study longitudinally in patient-derived material. A unique feature of urothelial bladder cancer (UBC) is that patients frequently develop multiple nonmuscle invasive tumors, some of which may eventually progress to invade the muscle of the bladder wall. Here, we use a cohort of 73 patients that experienced a total of 357 UBC diagnoses to study the stability or change in detected molecular alterations during cancer progression. The tumors were subtyped by gene expression profiling and analyzed for hotspot mutations in FGFR3, PIK3CA and TERT, the most frequent early driver mutations in this tumor type. TP53 alterations, frequent in advanced UBC, were inferred from p53 staining pattern, and potential genomic alterations were inferred by gene expression patterns at regions harboring frequent copy number alterations. We show that early driver mutations were largely preserved in UBC recurrences. Changes in FGFR3, PIK3CA or TERT mutation status were not linked to changes in molecular subtype and aggressive behavior. Instead, changes into a more aggressive molecular subtype seem to be associated with p53 alterations. We analyze changes in gene expression from primary tumors, to recurrences and progression tumors, and identify two modes of progression: Patients for whom progression is preceded by or coincides with a radical subtype shift, and patients who progress without any systematic molecular changes. For the latter group of patients, progression may be either stochastic or depending on factors already present at primary tumor initiation.

Indexed as

Gene Expression ProfilingMutationBiomarkers, TumorCarcinoma, Transitional CellDisease ProgressionDNA Copy Number VariationsFollow-Up StudiesGenomicsHumansLongitudinal StudiesLymphatic MetastasisNeoplasm InvasivenessNeoplasm Recurrence, LocalPrognosisUrinary Bladder NeoplasmsBiomarkers, Tumorbladder cancermolecular subtypesmutationprogressionurothelial carcinoma

Identifiers

PMID31609466
PMCPMC7079000
OpenAlexW2981018914

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.