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ArticleClinical epigenetics2021

Epigenetic imprinting alterations as effective diagnostic biomarkers for early-stage lung cancer and small pulmonary nodules.

Jian Zhou, Tong Cheng, Xing Li, Jie Hu, Encheng Li, Ming Ding, Rulong Shen, John P Pineda, Chun Li, Shaohua Lu and 15 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Clinical epigenetics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05707585 (A Multicenter Study for Evaluating the Benign and Malignant Pulmonary Noldules by Detecting the Epigenetic Imprinting Alterations in Bronchoalveolar Lavage), which is not on this map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.4field-weighted citation impact, top 18% 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.

NCT05707585 unknown statusnot on this mapstarted 2023, after this paper: background citation

A Multicenter Study for Evaluating the Benign and Malignant Pulmonary Noldules by Detecting the Epigenetic Imprinting Alterations in Bronchoalveolar Lavage

TypeobservationalSponsorThe Second Affiliated Hospital of Dalian Medical UniversityRan2023 to 2024Enrolled2,064ConditionsLung CancerArmsQuantitative Chromogenic Imprinted Gene in situ Hybridization (QCIGISH)
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 21 citations in OpenAlex.

  1. Review
  2. Article
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  6. [Advances in Multi-omics Analysis of Cervical Cancer].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2025
    Review
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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

25 authors at 10 institutions in 3 countries.

Jian Zhou *Department of Pulmonary Medicine, Shanghai Respiratory Research Institute, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Tong Cheng *Epigenetics Lab, Chinese Alliance Against Lung Cancer, 6th Floor, Building 5, No.66, Jinghuidongdao Road, Wuxi, 214135, Jiangsu, China.
Xing Li *Epigenetics Lab, Chinese Alliance Against Lung Cancer, 6th Floor, Building 5, No.66, Jinghuidongdao Road, Wuxi, 214135, Jiangsu, China.
Jie Hu *Department of Pulmonary Medicine, Shanghai Respiratory Research Institute, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Encheng Li *Department of Respiratory Medicine, The Second Hospital Affiliated to Dalian Medical University, Dalian, 116044, Liaoning, China.
Ming Ding *Department of Respiratory Medicine, The Affiliated Zhongda Hospital of Southeast University, Nanjing, 210009, Jiangsu, China.
Rulong Shen *Department of Pathology, Ohio State University Wexner Medical Center, Columbus, OH, 43210, USA.
John P PinedaEpigenetics Lab, Chinese Alliance Against Lung Cancer, 6th Floor, Building 5, No.66, Jinghuidongdao Road, Wuxi, 214135, Jiangsu, China.
Chun LiDepartment of Pulmonary Medicine, Shanghai Respiratory Research Institute, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Shaohua LuDepartment of Pulmonary Medicine, Shanghai Respiratory Research Institute, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Hongyu YuDepartment of Pathology, Changzheng Hospital, Navy Medical University, Shanghai, 200003, China.
Jiayuan SunDepartment of Respiratory Endoscopy and Respiratory and Critical Care Medicine, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai, 200030, China.
Wenbin HuangDepartment of Pathology, Nanjing First Hospital, Nanjing, 210006, Jiangsu, China.
Xiaonan WangEpigenetics Lab, Chinese Alliance Against Lung Cancer, 6th Floor, Building 5, No.66, Jinghuidongdao Road, Wuxi, 214135, Jiangsu, China.
Han SiEpigenetics Lab, Chinese Alliance Against Lung Cancer, 6th Floor, Building 5, No.66, Jinghuidongdao Road, Wuxi, 214135, Jiangsu, China.
Panying ShiEpigenetics Lab, Chinese Alliance Against Lung Cancer, 6th Floor, Building 5, No.66, Jinghuidongdao Road, Wuxi, 214135, Jiangsu, China.
Jing LiuDepartment of Pathology, The Affiliated Yantai Yuhuangding Hospital, Qingdao University, Yantai, 264000, Shandong, China.
Meijia ChangDepartment of Pulmonary Medicine, Shanghai Respiratory Research Institute, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Maosen DouDepartment of Pulmonary Medicine, Shanghai Respiratory Research Institute, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Meng ShiDepartment of Cardiothoracic Surgery, Huashan Hospital, Fudan University, Shanghai, 200040, China.
Xiaofeng ChenDepartment of Cardiothoracic Surgery, Huashan Hospital, Fudan University, Shanghai, 200040, China.
Rex C YungDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, 21207, USA.
Qi WangDepartment of Respiratory Medicine, The Second Hospital Affiliated to Dalian Medical University, Dalian, 116044, Liaoning, China.
Ning ZhouEpigenetics Lab, Chinese Alliance Against Lung Cancer, 6th Floor, Building 5, No.66, Jinghuidongdao Road, Wuxi, 214135, Jiangsu, China. zhou.ning@lisenid.com.
Chunxue BaiDepartment of Pulmonary Medicine, Shanghai Respiratory Research Institute, Zhongshan Hospital, Fudan University, Shanghai, 200032, China. cxbai@fudan.edu.cn.ORCID 0000-0002-0119-8990
Fudan University · CNDalian Medical University · CNJohns Hopkins University · USKPMG (United Kingdom) · GBNanjing Medical University · CNQingdao University · CNShanghai Changzheng Hospital · CNShanghai Jiao Tong University · CNThe Ohio State University Wexner Medical Center · USZhongda Hospital Southeast University · CN

Funding

jiangsu science and technology development project BE2017745national major scientific and technological special project 2018ZX09201002-006national natural science foundation of china 81502702national natural science foundation of china 81570028national natural science foundation of china 81770039national natural science foundation of china 82070045science and technology commission of shanghai municipality 20DZ2254400shanghai municipal key clinical specialty shslczdzk02201zhongshan hospital clinical research foundation 2016ZSLC05zhongshan hospital clinical research foundation 2019ZSGG15
6 · The paper itself

Abstract

backgroundEarly lung cancer detection remains a clinical challenge for standard diagnostic biopsies due to insufficient tumor morphological evidence. As epigenetic alterations precede morphological changes, expression alterations of certain imprinted genes could serve as actionable diagnostic biomarkers for malignant lung lesions.

resultsUsing the previously established quantitative chromogenic imprinted gene in situ hybridization (QCIGISH) method, elevated aberrant allelic expression of imprinted genes GNAS, GRB10, SNRPN and HM13 was observed in lung cancers over benign lesions and normal controls, which were pathologically confirmed among histologically stained normal, paracancerous and malignant tissue sections. Based on the differential imprinting signatures, a diagnostic grading model was built on 246 formalin-fixed and paraffin-embedded (FFPE) surgically resected lung tissue specimens, tested against 30 lung cytology and small biopsy specimens, and blindly validated in an independent cohort of 155 patients. The QCIGISH diagnostic model demonstrated 99.1% sensitivity (95% CI 97.5-100.0%) and 92.1% specificity (95% CI 83.5-100.0%) in the blinded validation set. Of particular importance, QCIGISH achieved 97.1% sensitivity (95% CI 91.6-100.0%) for carcinoma in situ to stage IB cancers with 100% sensitivity and 91.7% specificity (95% CI 76.0-100.0%) noted for pulmonary nodules with diameters ≤ 2 cm.

conclusionsOur findings demonstrated the diagnostic value of epigenetic imprinting alterations as highly accurate translational biomarkers for a more definitive diagnosis of suspicious lung lesions.

Indexed as

AgedBiomarkers, TumorDNA MethylationEarly Detection of CancerEpigenesis, GeneticFemaleGenomic ImprintingHumansLung NeoplasmsMaleMiddle AgedMultiple Pulmonary NodulesBiomarkers, TumorCancer biomarkersEpigeneticsGenomic imprintingIn situ hybridizationLung cancer early diagnosisPulmonary nodules

Identifiers

PMID34906185
PMCPMC8672623
OpenAlexW4200332733

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.