Evidence map›Paper›PMID 33431814›Full record

Observational studyNature communications2021

Intratumoural immune heterogeneity as a hallmark of tumour evolution and progression in hepatocellular carcinoma.

Phuong H D Nguyen, Siming Ma, Cheryl Z J Phua, Neslihan A Kaya, Hannah L H Lai, Chun Jye Lim, Jia Qi Lim, Martin Wasser, Liyun Lai, Wai Leong Tam and 20 more

Erratum issuedOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 91 papers.

0numbers the graph read from it
0cells of the map it votes in
91citing papers in PubMed
17.3field-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

91 citing papers in PubMed, 135 citations in OpenAlex.

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  20. Precision models in hepatocellular carcinoma.Nature reviews. Gastroenterology & hepatology · 2025
    Review

31 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

30 authors at 7 institutions in 3 countries.

Phuong H D Nguyen *Translational Immunology Institute (TII), SingHealth-DukeNUS Academic Medical Centre, Singapore, Singapore.
Siming Ma *Genome Institute of Singapore (GIS), Agency for Science, Technology and Research (A*STAR), Singapore, Singapore.ORCID http://orcid.org/0000-0002-1810-8357
Cheryl Z J PhuaGenome Institute of Singapore (GIS), Agency for Science, Technology and Research (A*STAR), Singapore, Singapore.
Neslihan A KayaGenome Institute of Singapore (GIS), Agency for Science, Technology and Research (A*STAR), Singapore, Singapore.ORCID http://orcid.org/0000-0002-0213-3072
Hannah L H LaiGenome Institute of Singapore (GIS), Agency for Science, Technology and Research (A*STAR), Singapore, Singapore.
Chun Jye LimTranslational Immunology Institute (TII), SingHealth-DukeNUS Academic Medical Centre, Singapore, Singapore.
Jia Qi LimGenome Institute of Singapore (GIS), Agency for Science, Technology and Research (A*STAR), Singapore, Singapore.
Martin WasserTranslational Immunology Institute (TII), SingHealth-DukeNUS Academic Medical Centre, Singapore, Singapore.
Liyun LaiTranslational Immunology Institute (TII), SingHealth-DukeNUS Academic Medical Centre, Singapore, Singapore.
Wai Leong TamGenome Institute of Singapore (GIS), Agency for Science, Technology and Research (A*STAR), Singapore, Singapore.ORCID http://orcid.org/0000-0003-2365-5264
Tony K H LimDepartment of Pathology, Singapore General Hospital, Singapore, Singapore.
Wei Keat WanDepartment of Pathology, Singapore General Hospital, Singapore, Singapore.
Tracy LohDepartment of Pathology, Singapore General Hospital, Singapore, Singapore.
Wei Qiang LeowDepartment of Pathology, Singapore General Hospital, Singapore, Singapore.
Yin Huei PangDepartment of Pathology, National University Hospital Singapore, Singapore, Singapore.
Chung Yip ChanDuke-NUS Medical School, Singapore, Singapore.
Ser Yee LeeDuke-NUS Medical School, Singapore, Singapore.
Peng Chung CheowDuke-NUS Medical School, Singapore, Singapore.
Han Chong TohDuke-NUS Medical School, Singapore, Singapore.
Florent GinhouxTranslational Immunology Institute (TII), SingHealth-DukeNUS Academic Medical Centre, Singapore, Singapore.ORCID http://orcid.org/0000-0002-2857-7755
Shridhar IyerDivision of Hepatobiliary & Pancreatic Surgery, Department of Surgery, University Surgical Cluster, National University Health System, Singapore, Singapore.
Alfred W C KowDivision of Hepatobiliary & Pancreatic Surgery, Department of Surgery, University Surgical Cluster, National University Health System, Singapore, Singapore.
Yock Young DanDepartment of Medicine, Yong Loo Lin School of Medicine, National University Hospital Singapore, Singapore, Singapore.
Alexander ChungDuke-NUS Medical School, Singapore, Singapore.
Glen K BonneyDivision of Hepatobiliary & Pancreatic Surgery, Department of Surgery, University Surgical Cluster, National University Health System, Singapore, Singapore.
Brian K P GohDuke-NUS Medical School, Singapore, Singapore.
Salvatore Albani *Translational Immunology Institute (TII), SingHealth-DukeNUS Academic Medical Centre, Singapore, Singapore.ORCID http://orcid.org/0000-0002-5602-6256
Pierce K H Chow *Duke-NUS Medical School, Singapore, Singapore. pierce.chow.k.h@singhealth.com.sg.ORCID http://orcid.org/0000-0003-0584-2584
Weiwei Zhai *Genome Institute of Singapore (GIS), Agency for Science, Technology and Research (A*STAR), Singapore, Singapore. zhaiww1@gis.a-star.edu.sg.
Valerie Chew *Translational Immunology Institute (TII), SingHealth-DukeNUS Academic Medical Centre, Singapore, Singapore. valerie.chew.s.p@singhealth.com.sg.ORCID http://orcid.org/0000-0002-5617-0936
Singapore General Hospital · SGAgency for Science, Technology and Research · SGSingHealth Duke-NUS Academic Medical Centre · SGNational University Health System · SGNational University Hospital · SGSingHealth · SGDuke-NUS Medical School · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The clinical relevance of immune landscape intratumoural heterogeneity (immune-ITH) and its role in tumour evolution remain largely unexplored. Here, we uncover significant spatial and phenotypic immune-ITH from multiple tumour sectors and decipher its relationship with tumour evolution and disease progression in hepatocellular carcinomas (HCC). Immune-ITH is associated with tumour transcriptomic-ITH, mutational burden and distinct immune microenvironments. Tumours with low immune-ITH experience higher immunoselective pressure and escape via loss of heterozygosity in human leukocyte antigens and immunoediting. Instead, the tumours with high immune-ITH evolve to a more immunosuppressive/exhausted microenvironment. This gradient of immune pressure along with immune-ITH represents a hallmark of tumour evolution, which is closely linked to the transcriptome-immune networks contributing to disease progression and immune inactivation. Remarkably, high immune-ITH and its transcriptomic signature are predictive for worse clinical outcome in HCC patients. This in-depth investigation of ITH provides evidence on tumour-immune co-evolution along HCC progression.

Indexed as

Disease ProgressionCarcinoma, HepatocellularDNAGene EditingGene Regulatory NetworksHumansLeukocytes, MononuclearLiver NeoplasmsPhylogenyPrognosisRNASurvival AnalysisTranscriptomeTreatment OutcomeTumor MicroenvironmentDNARNA

Identifiers

PMID33431814
PMCPMC7801667
OpenAlexW3120226075

What OpenQuestion holds

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LicenceCC BY
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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.