Evidence map›Paper›PMID 33033260›Full record

ArticleNature communications2020

Prostate cancer evolution from multilineage primary to single lineage metastases with implications for liquid biopsy.

D J Woodcock, E Riabchenko, S Taavitsainen, M Kankainen, G Gundem, D S Brewer, P Ellonen, M Lepistö, Y A Golubeva, A C Warner and 8 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
3.8field-weighted citation impact, top 5% 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

43 citing papers in PubMed, 76 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Chromatin regulatorsChinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2026
    Article
  5. Review
  6. Review
  7. Article
  8. 3D pathology-guided microdissection.bioRxiv : the preprint server for biology · 2025
    Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Review
  14. Article
  15. Triplet therapy for metastatic castration-sensitive prostate cancer: Rationale and clinical evidence.International journal of urology : official journal of the Japanese Urological Association · 2025
    Review
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article
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

18 authors at 10 institutions in 3 countries.

D J WoodcockBig Data Institute, University of Oxford, Old Road Campus, Headington, Oxford, UK.ORCID http://orcid.org/0000-0003-0576-044X
E RiabchenkoFaculty of Medicine and Health Technology, Tampere University and Tays Cancer Center, Tampere, FI, 33014, Finland.
S TaavitsainenFaculty of Medicine and Health Technology, Tampere University and Tays Cancer Center, Tampere, FI, 33014, Finland.
M KankainenMedical and Clinical Genetics and Hematology Research Unit Helsinki, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.ORCID http://orcid.org/0000-0002-4714-9481
G GundemDepartment of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0002-0070-9859
D S BrewerNorwich Medical School, University of East Anglia, Norwich, UK.ORCID http://orcid.org/0000-0003-4753-9794
P EllonenInstitute for Molecular Medicine Finland, University of Helsinki, Tukholmankatu 8, FIN-00290, Helsinki, Finland.
M LepistöInstitute for Molecular Medicine Finland, University of Helsinki, Tukholmankatu 8, FIN-00290, Helsinki, Finland.
Y A GolubevaCancer Genomic Research Laboratory (CGR), Division of Cancer Epidemiology and Genetics, NCI, FNLCR, Leidos Biomedical Research, Inc, Gaithersburg, MD, USA.
A C WarnerMolecular Histopathology Laboratory, Frederick National Laboratory for Cancer Research, Frederick, MD, 21702, USA.ORCID http://orcid.org/0000-0001-6023-1423
T TolonenFaculty of Medicine and Health Technology, Tampere University and Tays Cancer Center, Tampere, FI, 33014, Finland.
J JasuFaculty of Medicine and Health Technology, Tampere University and Tays Cancer Center, Tampere, FI, 33014, Finland.ORCID http://orcid.org/0000-0002-4991-5741
W B IsaacsBrady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, MD, 21287, USA.
M R Emmert-BuckLaboratory of Pathology, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA.
M NykterFaculty of Medicine and Health Technology, Tampere University and Tays Cancer Center, Tampere, FI, 33014, Finland.
T VisakorpiFaculty of Medicine and Health Technology, Tampere University and Tays Cancer Center, Tampere, FI, 33014, Finland.ORCID http://orcid.org/0000-0002-5004-0364
G S Bova *Faculty of Medicine and Health Technology, Tampere University and Tays Cancer Center, Tampere, FI, 33014, Finland. steve.bova@tuni.fi.ORCID http://orcid.org/0000-0003-1639-3104
D C Wedge *Big Data Institute, University of Oxford, Old Road Campus, Headington, Oxford, UK. david.wedge@manchester.ac.uk.ORCID http://orcid.org/0000-0002-7572-3196
Tampere University · FIUniversity of Helsinki · FIOpen Data Institute · GBFrederick National Laboratory for Cancer Research · USJohns Hopkins University · USLeidos (United States) · USMemorial Sloan Kettering Cancer Center · USNational Institutes of Health · USTampere University of Applied Sciences · FIUniversity of East Anglia · GB

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Modes of Prostate Ca Progression--role of p53 PathwayR01CA092234 · NCI · JOHNS HOPKINS UNIVERSITY · PI BOVA, GEORGE STEVEN · 2001 to 2005
$1.2M
Cancer Research UKCCR NIH HHS HHSN261200800001CDepartment of HealthNCI NIH HHS HHSN261200800001ENCI NIH HHS P30 CA008748NCI NIH HHS R01 CA092234Wellcome Trust
6 · The paper itself

Abstract

The evolutionary progression from primary to metastatic prostate cancer is largely uncharted, and the implications for liquid biopsy are unexplored. We infer detailed reconstructions of tumor phylogenies in ten prostate cancer patients with fatal disease, and investigate them in conjunction with histopathology and tumor DNA extracted from blood and cerebrospinal fluid. Substantial evolution occurs within the prostate, resulting in branching into multiple spatially intermixed lineages. One dominant lineage emerges that initiates and drives systemic metastasis, where polyclonal seeding between sites is common. Routes to metastasis differ between patients, and likely genetic drivers of metastasis distinguish the metastatic lineage from the lineage that remains confined to the prostate within each patient. Body fluids capture features of the dominant lineage, and subclonal expansions that occur in the metastatic phase are non-uniformly represented. Cerebrospinal fluid analysis reveals lineages not detected in blood-borne DNA, suggesting possible clinical utility.

Indexed as

Cell LineageLiquid BiopsyBody FluidsChromosomes, Human, Pair 8Clone CellsDNA Copy Number VariationsDNA, NeoplasmGenetic LociHumansMaleMiddle AgedNeoplasm MetastasisPhylogenyProstatic NeoplasmsDNA, Neoplasm

Identifiers

PMID33033260
PMCPMC7545111
OpenAlexW3091811222

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.