Evidence map›Paper›PMID 33893148›Full record

ArticleCancer discovery2021

Integrated Genomic Analysis Identifies Driver Genes and Cisplatin-Resistant Progenitor Phenotype in Pediatric Liver Cancer.

Theo Z Hirsch, Jill Pilet, Guillaume Morcrette, Amélie Roehrig, Benedict J E Monteiro, Laura Molina, Quentin Bayard, Eric Trépo, Léa Meunier, Stefano Caruso and 17 more

Open access · bronzeAbstract read
In one paragraph

Article in Cancer discovery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed
4.5field-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

50 citing papers in PubMed, 84 citations in OpenAlex.

  1. Article
  2. Article
  3. Differential Wnt/β-catenin signaling via TCF7L2/LEF1 binding specificity shapes cellular and tumor phenotypes.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Trefoil Factor-3 Is a Hypoxia-Triggered Pro-Tumorigenic Factor in Hepatoblastoma.Liver international : official journal of the International Association for the Study of the Liver · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Review
  17. Article
  18. Article
  19. Review
  20. Hepatoblastoma.Nature reviews. Disease primers · 2025
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

27 authors at 10 institutions in 3 countries.

Theo Z Hirsch *Centre de Recherche des Cordeliers, Sorbonne Université, Université de Paris, INSERM, Paris, France.ORCID 0000-0003-4428-2997
Jill Pilet *Centre de Recherche des Cordeliers, Sorbonne Université, Université de Paris, INSERM, Paris, France.
Guillaume Morcrette *Centre de Recherche des Cordeliers, Sorbonne Université, Université de Paris, INSERM, Paris, France.
Amélie RoehrigCentre de Recherche des Cordeliers, Sorbonne Université, Université de Paris, INSERM, Paris, France.ORCID 0000-0002-1120-4151
Benedict J E MonteiroCentre de Recherche des Cordeliers, Sorbonne Université, Université de Paris, INSERM, Paris, France.
Laura MolinaCentre de Recherche des Cordeliers, Sorbonne Université, Université de Paris, INSERM, Paris, France.
Quentin BayardCentre de Recherche des Cordeliers, Sorbonne Université, Université de Paris, INSERM, Paris, France.ORCID 0000-0001-9270-2015
Eric TrépoCentre de Recherche des Cordeliers, Sorbonne Université, Université de Paris, INSERM, Paris, France.ORCID 0000-0003-0475-3934
Léa MeunierCentre de Recherche des Cordeliers, Sorbonne Université, Université de Paris, INSERM, Paris, France.ORCID 0000-0003-1855-7467
Stefano CarusoCentre de Recherche des Cordeliers, Sorbonne Université, Université de Paris, INSERM, Paris, France.ORCID 0000-0002-6319-3642
Victor RenaultLaboratory for Bioinformatics, Fondation Jean Dausset-CEPH, Paris, France.
Jean-François DeleuzeLaboratory for Bioinformatics, Fondation Jean Dausset-CEPH, Paris, France.
Brice FresneauGustave Roussy, Université Paris-Saclay, Department of Children and Adolescents Oncology, Villejuif, France.ORCID 0000-0001-7603-7828
Christophe ChardotUniversité de Paris, APHP, Necker Hospital, Paris, France.
Emmanuel GonzalesPediatric Hepatology and Liver Transplantation Unit, National Reference Centre for Rare Pediatric Liver Diseases, FILFOIE, ERN RARE LIVER, APHP, Bicêtre University Hospital, University of Paris-Saclay, Le Kremlin Bicêtre, and INSERM UMR_S 1193, Hepatinov, University of Paris-Saclay, Orsay, France.
Emmanuel JacqueminPediatric Hepatology and Liver Transplantation Unit, National Reference Centre for Rare Pediatric Liver Diseases, FILFOIE, ERN RARE LIVER, APHP, Bicêtre University Hospital, University of Paris-Saclay, Le Kremlin Bicêtre, and INSERM UMR_S 1193, Hepatinov, University of Paris-Saclay, Orsay, France.
Florent GuerinDepartment of Pediatric Surgery, Bicêtre Hospital, APHP, Paris-Saclay University, Orsay, France.ORCID 0000-0002-3487-3745
Monique FabreDepartment of Pathology, Hôpital Universitaire Necker-Enfants malades, AP-HP, Centre-Université de Paris, Université Paris Descartes, Paris, France.
Isabelle AertsOncology Center SIREDO, Institut Curie, PSL Research University, Paris, France.
Sophie TaqueDépartement de Pédiatrie, CHU Fontenoy, Rennes, France.
Véronique LaithierDepartment of Children Oncology, Centre Hospitalier Universitaire Besançon, Besançon, France.
Sophie BranchereauDepartment of Pediatric Surgery, Bicêtre Hospital, APHP, Paris-Saclay University, Orsay, France.
Catherine GuettierDepartment of Pathology Hôpital Bicêtre-AP-HP, INSERM U1193, Paris-Saclay University, Orsay, France.
Laurence BrugièresGustave Roussy, Université Paris-Saclay, Department of Children and Adolescents Oncology, Villejuif, France.
Sandra RebouissouCentre de Recherche des Cordeliers, Sorbonne Université, Université de Paris, INSERM, Paris, France.
Eric Letouzé *Centre de Recherche des Cordeliers, Sorbonne Université, Université de Paris, INSERM, Paris, France.ORCID 0000-0002-6369-2839
Jessica Zucman-Rossi *Centre de Recherche des Cordeliers, Sorbonne Université, Université de Paris, INSERM, Paris, France. jessica.zucman-rossi@inserm.fr.ORCID 0000-0002-5687-0334
Inserm · FRUniversité Paris-Saclay · FRCentre Hospitalier Universitaire de Besançon · FRCentre Hospitalier Universitaire de Rennes · FRCommissariat à l'Énergie Atomique et aux Énergies Alternatives · FRFondation Jean Dausset-CEPH · FRHôpital Necker-Enfants Malades · FRUniversité Libre de Bruxelles · BEUniversité Paris Sciences et Lettres · FRUniversité Sorbonne Paris Nord · FR

Funding

Cellular Approaches to Tissue Engineering/RegenerationT32EB001026 · NIBIB · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DUNCAN, ANDREW W, MONGA, SATDARSHAN SINGH · 2003 to 2024
$5.5M
NIBIB NIH HHS T32 EB001026
6 · The paper itself

Abstract

Pediatric liver cancers (PLC) comprise diverse diseases affecting infants, children, and adolescents. Despite overall good prognosis, PLCs display heterogeneous response to chemotherapy. Integrated genomic analysis of 126 pediatric liver tumors showed a continuum of driver mechanisms associated with patient age, including new targetable oncogenes. In 10% of patients with hepatoblastoma, all before three years old, we identified a mosaic premalignant clonal expansion of cells altered at the 11p15.5 locus. Analysis of spatial and longitudinal heterogeneity revealed an important plasticity between "hepatocytic," "liver progenitor," and "mesenchymal" molecular subgroups of hepatoblastoma. We showed that during chemotherapy, "liver progenitor" cells accumulated massive loads of cisplatin-induced mutations with a specific mutational signature, leading to the development of heavily mutated relapses and metastases. Drug screening in PLC cell lines identified promising targets for cisplatin-resistant progenitor cells, validated in mouse xenograft experiments. These data provide new insights into cisplatin resistance mechanisms in PLC and suggest alternative therapies. SIGNIFICANCE: PLCs are deadly when they resist chemotherapy, with limited alternative treatment options. Using a multiomics approach, we identified PLC driver genes and the cellular phenotype at the origin of cisplatin resistance. We validated new treatments targeting these molecular features in cell lines and xenografts.

Indexed as

AdolescentAntineoplastic AgentsCarcinoma, HepatocellularChildChild, PreschoolCisplatinDrug Resistance, NeoplasmFemaleGene Expression ProfilingGenomicsHepatoblastomaHumansInfantLiver NeoplasmsMaleNeoplasm Recurrence, LocalAntineoplastic AgentsCisplatin

Identifiers

PMID33893148
PMCPMC8916021
OpenAlexW3154527078

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.