Evidence map›Paper›PMID 32325086›Full record

Observational studyGastroenterology2020

Notch Signaling Mediates Differentiation in Barrett's Esophagus and Promotes Progression to Adenocarcinoma.

Bettina Kunze, Frederik Wein, Hsin-Yu Fang, Akanksha Anand, Theresa Baumeister, Julia Strangmann, Sophie Gerland, Jonas Ingermann, Natasha Stephens Münch, Maria Wiethaler and 22 more

Open access · greenAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Gastroenterology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed
9.6field-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

60 citing papers in PubMed, 97 citations in OpenAlex.

  1. Randomized Controlled Trial of the Gastrin/CCKCancer prevention research (Philadelphia, Pa.) · 2021
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  14. Biomedical applications of organoids derived from the digestive system.Frontiers in cell and developmental biology · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

32 authors at 7 institutions in 2 countries.

Bettina KunzeII. Medizinische Klinik, Technische Universitat München, Munich, Germany.
Frederik WeinII. Medizinische Klinik, Technische Universitat München, Munich, Germany.
Hsin-Yu FangII. Medizinische Klinik, Technische Universitat München, Munich, Germany.
Akanksha AnandII. Medizinische Klinik, Technische Universitat München, Munich, Germany.
Theresa BaumeisterII. Medizinische Klinik, Technische Universitat München, Munich, Germany.
Julia StrangmannII. Medizinische Klinik, Technische Universitat München, Munich, Germany.
Sophie GerlandII. Medizinische Klinik, Technische Universitat München, Munich, Germany.
Jonas IngermannII. Medizinische Klinik, Technische Universitat München, Munich, Germany.
Natasha Stephens MünchII. Medizinische Klinik, Technische Universitat München, Munich, Germany.
Maria WiethalerII. Medizinische Klinik, Technische Universitat München, Munich, Germany.
Vincenz SahmII. Medizinische Klinik, Technische Universitat München, Munich, Germany.
Ana Hidalgo-SastreII. Medizinische Klinik, Technische Universitat München, Munich, Germany.
Sebastian LangeII. Medizinische Klinik, Technische Universitat München, Munich, Germany.
Charles J LightdaleDepartment of Medicine, Columbia University Irving Medical Center, New York, New York.
Aqiba BokhariYosemite Pathology Medical Group, Modesto, California.
Gary W FalkDepartment of Medicine, Division of Gastroenterology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Richard A FriedmanDepartment of Biomedical Informatics, Columbia University Irving Medical Center, New York, New York; Herbert Irving Comprehensive Cancer Center, Columbia University, New York, New York.
Gregory G GinsbergDepartment of Medicine, Division of Gastroenterology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Prasad G IyerDepartment of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota.
Zhezhen JinDepartment of Biostatistics, Columbia University Mailman School of Public Health, New York, New York.
Hiroshi NakagawaDepartment of Medicine, Columbia University Irving Medical Center, New York, New York; Herbert Irving Comprehensive Cancer Center, Columbia University, New York, New York.
Carrie J ShawberDepartment of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York, New York.
TheAnh NguyenOregon Health and Science University, Portland, Oregon.
William J RaabDepartment of Pathology and Cell Biology, Columbia University Irving Medical Center, New York, New York.
Piero DalerbaDepartment of Medicine, Columbia University Irving Medical Center, New York, New York; Herbert Irving Comprehensive Cancer Center, Columbia University, New York, New York; Department of Pathology and Cell Biology, Columbia University Irving Medical Center, New York, New York; Columbia Stem Cell Initiative, Columbia University Irving Medical Center, New York, New York.
Anil K RustgiDepartment of Medicine, Columbia University Irving Medical Center, New York, New York; Herbert Irving Comprehensive Cancer Center, Columbia University, New York, New York.
Antonia R SepulvedaDepartment of Pathology and Cell Biology, Columbia University Irving Medical Center, New York, New York.
Kenneth K WangDepartment of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota.
Roland M SchmidII. Medizinische Klinik, Technische Universitat München, Munich, Germany.
Timothy C WangDepartment of Medicine, Columbia University Irving Medical Center, New York, New York; Herbert Irving Comprehensive Cancer Center, Columbia University, New York, New York.
Julian A AbramsDepartment of Medicine, Columbia University Irving Medical Center, New York, New York; Herbert Irving Comprehensive Cancer Center, Columbia University, New York, New York. Electronic address: ja660@cumc.columbia.edu.
Michael QuanteII. Medizinische Klinik, Technische Universitat München, Munich, Germany. Electronic address: michael.quante@tum.de.
Technical University of Munich · DEColumbia University Irving Medical Center · USMayo Clinic · USUniversity of Pennsylvania · USColumbia University · USMünchen Klinik · DEOregon Health & Science University · US

Funding

Tumor Biology and Microenvironment ProgramP30CA013696 · NCI · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI Parisa Tehranifar · 1985 to 2026
$115.3M
Transformed Esophageal Epithelial Cells and the Tumor MicroenvironmentP01CA098101 · NCI · UNIVERSITY OF PENNSYLVANIA · PI NAKAGAWA, HIROSHI · 2003 to 2023
$31.7M
Weight loss-induced Microbiome and Adipokine Changes in Barrett's EsophagusU54CA163004 · NCI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ABRAMS, JULIAN, RUSTGI, ANIL K · 2011 to 2022
$12.5M
Mechanisms and Genomics of Esophageal CarcinogenesisR01CA208711 · NCI · GEORGE WASHINGTON UNIVERSITY · PI SEPULVEDA, ANTONIA ROGADO · 2016 to 2020
$1.8M
NCI NIH HHS P01 CA098101NCI NIH HHS P30 CA013696NCI NIH HHS R01 CA208711NCI NIH HHS U54 CA163004
6 · The paper itself

Abstract

BACKGROUND &

aimsStudies are needed to determine the mechanism by which Barrett's esophagus (BE) progresses to esophageal adenocarcinoma (EAC). Notch signaling maintains stem cells in the gastrointestinal tract and is dysregulated during carcinogenesis. We explored the relationship between Notch signaling and goblet cell maturation, a feature of BE, during EAC pathogenesis.

methodsWe measured goblet cell density and levels of Notch messenger RNAs in BE tissues from 164 patients, with and without dysplasia or EAC, enrolled in a multicenter study. We analyzed the effects of conditional expression of an activated form of NOTCH2 (pL2.Lgr5.N2IC), conditional deletion of NOTCH2 (pL2.Lgr5.N2fl/fl), or loss of nuclear factor κB (NF-κB) (pL2.Lgr5.p65fl/fl), in Lgr5

resultsProgression of BE to EAC was associated with a significant reduction in goblet cell density comparing nondysplastic regions of tissues from patients; there was an inverse correlation between goblet cell density and levels of NOTCH3 and JAG2 messenger RNA. In mice, expression of the activated intracellular form of NOTCH2 in Lgr5

conclusionsNotch signaling contributes to activation of NF-κB and regulates differentiation of gastric cardia progenitor cells in a mouse model of BE. In human esophageal tissues, progression of BE to EAC was associated with reduced goblet cell density and increased levels of Notch expression. Strategies to block this pathway might be developed to prevent EAC in patients with BE.

Indexed as

AdenocarcinomaAgedAnimalsBarrett EsophagusBiopsyCarcinogenesisCell DifferentiationCross-Sectional StudiesDisease Models, AnimalDisease ProgressionEsophageal MucosaEsophageal NeoplasmsEsophagoscopyFemaleGastric MucosaGoblet CellsNF-kappa BReceptors, NotchRNA, MessengerBarrett’s EsophagusCarcinogenesisEsophageal AdenocarcinomaGoblet Cells

Identifiers

PMID32325086
PMCPMC7484392
OpenAlexW3017105597

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.