Evidence map›Paper›PMID 34385456›Full record

ArticleNature communications2021

An N-Cadherin 2 expressing epithelial cell subpopulation predicts response to surgery, chemotherapy and immunotherapy in bladder cancer.

Kenneth H Gouin, Nathan Ing, Jasmine T Plummer, Charles J Rosser, Bassem Ben Cheikh, Catherine Oh, Stephanie S Chen, Keith Syson Chan, Hideki Furuya, Warren G Tourtellotte and 2 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 114 papers.

0numbers the graph read from it
0cells of the map it votes in
114citing papers in PubMed
30.3field-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

114 citing papers in PubMed, 172 citations in OpenAlex.

  1. Article
  2. GLG1 in cancer-associated fibroblasts promotes bladder cancer growth while limiting tumor apoptosis.Apoptosis : an international journal on programmed cell death · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. International journal of surgery (London, England) · 2026
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54 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 1 institution in 1 country.

Kenneth H Gouin *Department of Biomedical Sciences, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Nathan Ing *Department of Biomedical Sciences, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Jasmine T PlummerDepartment of Biomedical Sciences, Cedars-Sinai Medical Center, Los Angeles, CA, USA.ORCID 0000-0001-7263-350X
Charles J RosserDepartment of Surgery (Urology), Cedars-Sinai Medical Center, Los Angeles, CA, USA.ORCID 0000-0002-6052-4223
Bassem Ben CheikhDepartment of Biomedical Sciences, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Catherine OhDepartment of Biomedical Sciences, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Stephanie S ChenDepartment of Biomedical Sciences, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Keith Syson ChanCedars-Sinai Samuel Oschin Comprehensive Cancer Institute, Los Angeles, CA, USA.
Hideki FuruyaDepartment of Surgery (Urology), Cedars-Sinai Medical Center, Los Angeles, CA, USA.ORCID 0000-0002-9536-8662
Warren G TourtellotteDepartment of Biomedical Sciences, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Simon R V KnottDepartment of Biomedical Sciences, Cedars-Sinai Medical Center, Los Angeles, CA, USA. simon.knott@cshs.org.
Dan TheodorescuDepartment of Surgery (Urology), Cedars-Sinai Medical Center, Los Angeles, CA, USA. dan.theodorescu@cshs.org.ORCID 0000-0002-8708-8206
Cedars-Sinai Medical Center · US

Funding

Regulation and Targeting of CD24 in Bladder CancerR01CA075115 · NCI · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI THEODORESCU, DAN · 2003 to 2024
$7.0M
VALIDATION OF A MULTIPLEXED ASSAY FOR BLADDER CANCER DIAGNOSISR01CA198887 · NCI · UNIVERSITY OF HAWAII AT MANOA · PI ROSSER, CHARLES J · 2016 to 2025
$6.8M
Targeting tumor repopulation and the immune microenvironment to overcome chemoresistanceR01CA255609 · NCI · METHODIST HOSPITAL RESEARCH INSTITUTE · PI CHAN, KEITH SYSON · 2021 to 2025
$2.2M
Elp1 function in Familial DysautonomiaR01NS095894 · NINDS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI TOURTELLOTTE, WARREN G · 2016 to 2019
$1.6M
Mentoring and Research in Mouse PathobiologyK26OD010945 · OD · NORTHWESTERN UNIVERSITY AT CHICAGO · PI TOURTELLOTTE, WARREN G · 2012 to 2014
$471k
Mentoring and Research in Mouse PathobiologyK26RR026099 · NCRR · NORTHWESTERN UNIVERSITY AT CHICAGO · PI TOURTELLOTTE, WARREN G · 2010 to 2011
$317k
MECHANISMS OF BLADDER CANCER INVANSIONR29CA075115 · NCI · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI THEODORESCU, DAN · 1997 to 2001
$217k
NCI NIH HHS R01 CA075115NCI NIH HHS R01 CA198887NCI NIH HHS R01 CA255609NCI NIH HHS R29 CA075115NCRR NIH HHS K26 RR026099NIH HHS K26 OD010945NINDS NIH HHS R01 NS095894
6 · The paper itself

Abstract

Neoadjuvant chemotherapy (NAC) prior to surgery and immune checkpoint therapy (ICT) have revolutionized bladder cancer management. However, stratification of patients that would benefit most from these modalities remains a major clinical challenge. Here, we combine single nuclei RNA sequencing with spatial transcriptomics and single-cell resolution spatial proteomic analysis of human bladder cancer to identify an epithelial subpopulation with therapeutic response prediction ability. These cells express Cadherin 12 (CDH12, N-Cadherin 2), catenins, and other epithelial markers. CDH12-enriched tumors define patients with poor outcome following surgery with or without NAC. In contrast, CDH12-enriched tumors exhibit superior response to ICT. In all settings, patient stratification by tumor CDH12 enrichment offers better prediction of outcome than currently established bladder cancer subtypes. Molecularly, the CDH12 population resembles an undifferentiated state with inherently aggressive biology including chemoresistance, likely mediated through progenitor-like gene expression and fibroblast activation. CDH12-enriched cells express PD-L1 and PD-L2 and co-localize with exhausted T-cells, possibly mediated through CD49a (ITGA1), providing one explanation for ICT efficacy in these tumors. Altogether, this study describes a cancer cell population with an intriguing diametric response to major bladder cancer therapeutics. Importantly, it also provides a compelling framework for designing biomarker-guided clinical trials.

Indexed as

Gene Expression Regulation, NeoplasticBiomarkers, TumorCadherin Related ProteinsCadherinsCateninsEpithelial CellsGene Expression ProfilingHumansImmunotherapyKaplan-Meier EstimateNeoadjuvant TherapyOutcome Assessment, Health CareProteomicsRNA-SeqT-LymphocytesUrinary BladderBiomarkers, TumorCadherin Related ProteinsCadherinsCateninsCDH23 protein, human

Identifiers

PMID34385456
PMCPMC8361097
OpenAlexW3193032675

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.