Evidence map›Paper›PMID 34526362›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2021

Single-Cell Analyses Reveal Mechanisms of Cancer Stem Cell Maintenance and Epithelial-Mesenchymal Transition in Recurrent Bladder Cancer.

Huanjun Wang, Yan Mei, Cheng Luo, Qun Huang, Zifeng Wang, Guan-Ming Lu, Lili Qin, Zhun Sun, Chao-Wen Huang, Zhi-Wen Yang and 8 more

Abstract read
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In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 72 papers.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed
5.1field-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

72 citing papers in PubMed, 99 citations in OpenAlex.

  1. Article
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  4. International journal of surgery (London, England) · 2026
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  7. Article
  8. Review
  9. Apigenin Suppresses Bladder Cancer via the SIRT6-NCOA2-PPARα Axis.International journal of biological sciences · 2026
    Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. EMT and cancer stem cells: Drivers of therapy resistance and promising therapeutic targets.Drug resistance updates : reviews and commentaries in antimicrobial and anticancer chemotherapy · 2025
    Review
  15. Review
  16. Article
  17. Article
  18. Review
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  20. Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 5 institutions in 2 countries.

Huanjun Wang *Department of Radiology, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.
Yan Mei *Department of Pathology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.
Cheng Luo *Department of Urology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Qun Huang *Department of Urology, Youjiang Medical University for Nationalities Affiliated Hospital, Baise, China.
Zifeng Wang *State Key Laboratory of Oncology in South China, Sun Yat-Sen University Cancer Center, Collaborative Innovation Center for Cancer Medicine, Guangzhou, China.ORCID 0000-0001-7400-5224
Guan-Ming LuDepartment of Breast and Thyroid Surgery, Youjiang Medical University for Nationalities Affiliated Hospital, Baise, China.
Lili QinAffiliated Cancer Hospital & Institute of Guangzhou Medical University, State Key Laboratory of Respiratory Disease, Guangzhou, China.
Zhun SunAffiliated Cancer Hospital & Institute of Guangzhou Medical University, State Key Laboratory of Respiratory Disease, Guangzhou, China.
Chao-Wen HuangDepartment of Urology, Sun Yat-Sen University Cancer Center, Guangzhou, China.
Zhi-Wen YangDepartment of Anesthesiology, Sun Yat-Sen University Cancer Center, Guangzhou, China.
Junxing ChenDepartment of Urology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Weiguo YinThe Sixth Affiliated Hospital of Guangzhou Medical University, Qingyuan People's Hospital, Guangzhou, China.
Chao-Nan QianState Key Laboratory of Oncology in South China, Sun Yat-Sen University Cancer Center, Collaborative Innovation Center for Cancer Medicine, Guangzhou, China.
Jianming ZengFaculty of Health Sciences, University of Macau, Taipa, Macau, China.
Lingwu ChenDepartment of Urology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China. chenlingwu@hotmail.com gyan@mail.sysu.edu.cn qbleng@gzhmu.edu.cn guangshuai.jia@gzhmu.edu.cn.
Qibin LengAffiliated Cancer Hospital & Institute of Guangzhou Medical University, State Key Laboratory of Respiratory Disease, Guangzhou, China. chenlingwu@hotmail.com gyan@mail.sysu.edu.cn qbleng@gzhmu.edu.cn guangshuai.jia@gzhmu.edu.cn.ORCID 0000-0002-4768-1312
Yan GuoDepartment of Radiology, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China. chenlingwu@hotmail.com gyan@mail.sysu.edu.cn qbleng@gzhmu.edu.cn guangshuai.jia@gzhmu.edu.cn.
Guangshuai JiaAffiliated Cancer Hospital & Institute of Guangzhou Medical University, State Key Laboratory of Respiratory Disease, Guangzhou, China. chenlingwu@hotmail.com gyan@mail.sysu.edu.cn qbleng@gzhmu.edu.cn guangshuai.jia@gzhmu.edu.cn.ORCID 0000-0002-1096-8424
Sun Yat-sen University · CNAffiliated Hospital of Youjiang Medical University for Nationalities · CNState Key Laboratory of Respiratory Disease · CNGuangdong Academy of Medical Sciences · CNUniversity of Macau · MO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeBladder cancer treatment remains a major clinical challenge due to therapy resistance and a high recurrence rate. Profiling intratumor heterogeneity can reveal the molecular mechanism of bladder cancer recurrence. EXPERIMENTAL

designHere, we performed single-cell RNA sequencing and Assay for Transposase-Accessible Chromatin using sequencing (ATAC-seq) on tumors from 13 patients with low recurrence risk, high recurrence risk, and recurrent bladder cancer.

resultsOur study generated a comprehensive cancer-cell atlas consisting of 54,971 single cells and identified distinct cell subpopulations. We found that the cancer stem-cell subpopulation is enriched during bladder cancer recurrence with elevated expression of EZH2. We further defined a subpopulation-specific molecular mechanism whereby EZH2 maintains H3K27me3-mediated repression of the NCAM1 gene, thereby inactivating the cell invasive and stemness transcriptional program. Furthermore, taking advantage of this large single-cell dataset, we elucidated the spectrum of epithelial-mesenchymal transition (EMT) in clinical samples and revealed distinct EMT features associated with bladder cancer subtypes. We identified that TCF7 promotes EMT in corroboration with single-cell ATAC with high-throughput sequencing (scATAC-seq) analysis. Additionally, we constructed regulatory networks specific to recurrent bladder cancer.

conclusionsOur study and analytic approaches herein provide a rich resource for the further study of cancer stem cells and EMT in the bladder cancer research field.

Indexed as

Epithelial-Mesenchymal TransitionUrinary Bladder NeoplasmsCell Line, TumorHumansNeoplasm Recurrence, LocalNeoplastic Stem CellsSingle-Cell Analysis

Identifiers

PMID34526362
OpenAlexW3200806335

What OpenQuestion holds

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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.