Evidence map›Paper›PMID 34625644›Full record

ArticleNPJ precision oncology2021

Comprehensive RNA analysis of CSF reveals a role for CEACAM6 in lung cancer leptomeningeal metastases.

Yingmei Li, Dina Polyak, Layton Lamsam, Ian David Connolly, Eli Johnson, Lina Khav Khoeur, Stephanie Andersen, Monica Granucci, Geoff Stanley, Boxiang Liu and 2 more

Open access · goldAbstract read
In one paragraph

Article in NPJ precision oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. A Novel Theranostic Strategy for Malignant Pulmonary Nodules by Targeted CECAM6 withAdvanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Article
  8. Article
  9. Review
  10. Review
  11. Review
  12. Review
  13. The anatomic basis of leptomeningeal metastasis.The Journal of experimental medicine · 2024
    Review
  14. The emerging roles of CEACAM6 in human cancer (Review).International journal of oncology · 2024
    Review
  15. Review
  16. Review
  17. Article
  18. Single-cell sequencing: promises and challenges for human genetics.Medizinische Genetik : Mitteilungsblatt des Berufsverbandes Medizinische Genetik e.V · 2022
    Article
  19. Review
  20. Review
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

12 authors at 2 institutions in 1 country.

Yingmei Li *Department of Neurosurgery, Stanford University School of Medicine, Stanford, CA, USA.ORCID http://orcid.org/0000-0002-2333-595X
Dina Polyak *Department of Neurosurgery, Stanford University School of Medicine, Stanford, CA, USA.
Layton LamsamDepartment of Neurosurgery, Stanford University School of Medicine, Stanford, CA, USA.
Ian David ConnollyDepartment of Neurosurgery, Stanford University School of Medicine, Stanford, CA, USA.
Eli JohnsonDepartment of Neurosurgery, Stanford University School of Medicine, Stanford, CA, USA.
Lina Khav KhoeurDepartment of Neurosurgery, Stanford University School of Medicine, Stanford, CA, USA.
Stephanie AndersenDepartment of Neurosurgery, Stanford University School of Medicine, Stanford, CA, USA.ORCID http://orcid.org/0000-0003-4759-0848
Monica GranucciDepartment of Neurosurgery, Stanford University School of Medicine, Stanford, CA, USA.ORCID http://orcid.org/0000-0002-6003-8727
Geoff StanleyDepartment of Biophysics, Stanford University School of Medicine, Stanford, CA, USA.ORCID http://orcid.org/0000-0003-4911-3279
Boxiang LiuDepartment of Biology, Stanford University School of Humanities & Sciences, Stanford, CA, USA.ORCID http://orcid.org/0000-0002-2595-4463
Seema NagpalDepartment of Neurology & Neurological Sciences, Stanford University School of Medicine, Stanford, CA, USA.ORCID http://orcid.org/0000-0002-0289-2319
Melanie Hayden GephartDepartment of Neurosurgery, Stanford University School of Medicine, Stanford, CA, USA. mghayden@stanford.edu.ORCID http://orcid.org/0000-0003-2965-9231
Stanford University · USStanford Medicine · US

Funding

(PQ1) Identifying and targeting human glioblastoma migrating in the peritumoral nicheR01CA216054 · NCI · STANFORD UNIVERSITY · PI HAYDEN GEPHART, MELANIE · 2017 to 2021
$1.7M
Cell-free tumor DNA in cerebral spinal fluid decodes tumors of the central nervous systemR21CA193046 · NCI · STANFORD UNIVERSITY · PI HAYDEN GEPHART, MELANIE, QUAKE, STEPHEN R · 2015 to 2017
$666k
NCI NIH HHS R01 CA216054NCI NIH HHS R21 CA193046
6 · The paper itself

Abstract

Non-small cell lung cancer (NSCLC) metastatic to the brain leptomeninges is rapidly fatal, cannot be biopsied, and cancer cells in the cerebrospinal fluid (CSF) are few; therefore, available tissue samples to develop effective treatments are severely limited. This study aimed to converge single-cell RNA-seq and cell-free RNA (cfRNA) analyses to both diagnose NSCLC leptomeningeal metastases (LM), and to use gene expression profiles to understand progression mechanisms of NSCLC in the brain leptomeninges. NSCLC patients with suspected LM underwent withdrawal of CSF via lumbar puncture. Four cytology-positive CSF samples underwent single-cell capture (n = 197 cells) by microfluidic chip. Using robust principal component analyses, NSCLC LM cell gene expression was compared to immune cells. Massively parallel qPCR (9216 simultaneous reactions) on human CSF cfRNA samples compared the relative gene expression of patients with NSCLC LM (n = 14) to non-tumor controls (n = 7). The NSCLC-associated gene, CEACAM6, underwent in vitro validation in NSCLC cell lines for involvement in pathologic behaviors characteristic of LM. NSCLC LM gene expression revealed by single-cell RNA-seq was also reflected in CSF cfRNA of cytology-positive patients. Tumor-associated cfRNA (e.g., CEACAM6, MUC1) was present in NSCLC LM patients' CSF, but not in controls (CEACAM6 detection sensitivity 88.24% and specificity 100%). Cell migration in NSCLC cell lines was directly proportional to CEACAM6 expression, suggesting a role in disease progression. NSCLC-associated cfRNA is detectable in the CSF of patients with LM, and corresponds to the gene expression profile of NSCLC LM cells. CEACAM6 contributes significantly to NSCLC migration, a hallmark of LM pathophysiology.

Identifiers

PMID34625644
PMCPMC8501028
OpenAlexW3202546946

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.