Evidence map›Paper›PMID 34949820›Full record

ArticleNature ecology & evolution2022

Spatial patterns of tumour growth impact clonal diversification in a computational model and the TRACERx Renal study.

Xiao Fu, Yue Zhao, Jose I Lopez, Andrew Rowan, Lewis Au, Annika Fendler, Steve Hazell, Hang Xu, Stuart Horswell, Scott T C Shepherd and 25 more

Open access · hybridAbstract read
In one paragraph

Article in Nature ecology & evolution, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
3.9field-weighted citation impact, top 4% 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

37 citing papers in PubMed, 72 citations in OpenAlex.

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  7. Beyond Rodents: Alternative Animal Models in Colorectal Cancer Research.International journal of molecular sciences · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

35 authors at 11 institutions in 4 countries.

Xiao Fu *Biomolecular Modelling Laboratory, The Francis Crick Institute, London, UK.ORCID http://orcid.org/0000-0002-8611-891X
Yue Zhao *Cancer Evolution and Genome Instability Laboratory, The Francis Crick Institute, London, UK.ORCID http://orcid.org/0000-0003-3645-2634
Jose I LopezDepartment of Pathology, Cruces University Hospital, Biocruces-Bizkaia Institute, Barakaldo, Spain.
Andrew RowanCancer Evolution and Genome Instability Laboratory, The Francis Crick Institute, London, UK.
Lewis AuCancer Dynamics Laboratory, The Francis Crick Institute, London, UK.
Annika FendlerCancer Dynamics Laboratory, The Francis Crick Institute, London, UK.ORCID http://orcid.org/0000-0002-7267-0981
Steve HazellDepartment of Pathology, the Royal Marsden NHS Foundation Trust, London, UK.
Hang XuCancer Evolution and Genome Instability Laboratory, The Francis Crick Institute, London, UK.ORCID http://orcid.org/0000-0002-5847-655X
Stuart HorswellDepartment of Bioinformatics and Biostatistics, The Francis Crick Institute, London, UK.
Scott T C ShepherdCancer Dynamics Laboratory, The Francis Crick Institute, London, UK.ORCID http://orcid.org/0000-0001-6208-173X
Charlotte E SpencerCancer Dynamics Laboratory, The Francis Crick Institute, London, UK.
Lavinia SpainCancer Dynamics Laboratory, The Francis Crick Institute, London, UK.
Fiona ByrneCancer Dynamics Laboratory, The Francis Crick Institute, London, UK.ORCID http://orcid.org/0000-0003-3800-0500
Gordon StampExperimental Histopathology Laboratory, The Francis Crick Institute, London, UK.ORCID http://orcid.org/0000-0003-2888-4314
Tim O'BrienUrology Centre, Guy's and St. Thomas' NHS Foundation Trust, London, UK.
David NicolDepartment of Urology, the Royal Marsden NHS Foundation Trust, London, UK.
Marcellus AugustineCancer Evolution and Genome Instability Laboratory, The Francis Crick Institute, London, UK.
Ashish ChandraDepartment of Pathology, Guy's and St. Thomas NHS Foundation Trust, London, UK.
Sarah RudmanDepartment of Medical Oncology, Guy's and St. Thomas' NHS Foundation Trust, London, UK.
Antonia TonchevaBiobank, Guy's and St. Thomas' NHS Foundation Trust, London, UK.
Andrew J S FurnessCancer Dynamics Laboratory, The Francis Crick Institute, London, UK.
Lisa PickeringRenal and Skin Units, The Royal Marsden Hospital, London, UK.ORCID http://orcid.org/0000-0002-7579-340X
Santosh KumarDivision of Radiotherapy and Imaging, Institute of Cancer Research, Sutton, UK.ORCID http://orcid.org/0000-0002-6362-0616
Dow-Mu KohDivision of Radiotherapy and Imaging, Institute of Cancer Research, Sutton, UK.
Christina MessiouDivision of Radiotherapy and Imaging, Institute of Cancer Research, Sutton, UK.ORCID http://orcid.org/0000-0002-0557-9379
Derfel Ap DafyddDepartment of Radiology, Royal Marsden Hospital, London, UK.
Matthew R OrtonArtificial Intelligence Imaging Hub, Royal Marsden NHS Foundation Trust, Sutton, UK.
Simon J DoranDivision of Radiotherapy and Imaging, Institute of Cancer Research, Sutton, UK.ORCID http://orcid.org/0000-0001-8569-9188
James LarkinRenal and Skin Units, The Royal Marsden Hospital, London, UK.
Charles SwantonCancer Evolution and Genome Instability Laboratory, The Francis Crick Institute, London, UK.ORCID http://orcid.org/0000-0002-4299-3018
Erik SahaiTumour Cell Biology Laboratory, The Francis Crick Institute, London, UK. erik.sahai@crick.ac.uk.ORCID http://orcid.org/0000-0002-3932-5086
Kevin LitchfieldCancer Evolution and Genome Instability Laboratory, The Francis Crick Institute, London, UK. k.litchfield@ucl.ac.uk.ORCID http://orcid.org/0000-0002-3725-0914
Samra TurajlicCancer Dynamics Laboratory, The Francis Crick Institute, London, UK. samra.turajlic@crick.ac.uk.ORCID http://orcid.org/0000-0001-8846-136X
TRACERx Renal Consortium
Paul A BatesBiomolecular Modelling Laboratory, The Francis Crick Institute, London, UK. paul.bates@crick.ac.uk.ORCID http://orcid.org/0000-0003-0621-0925
The Francis Crick Institute · GBGuy's and St Thomas' NHS Foundation Trust · GBInstitute of Cancer Research · GBRoyal Marsden NHS Foundation Trust · GBRoyal Marsden Hospital · GBLondon Cancer · GBBioCruces Health research Institute · ESImperial College Healthcare NHS Trust · GBRoyal London Hospital · GBShanghai Medical College of Fudan University · CNSt Bartholomew's Hospital · GB

Funding

Deciphering Clonal Evolution in Hereditary Renal Cell CarcinomasU01CA247439 · NCI · FRANCIS CRICK INSTITUTE, LTD · PI TURAJLIC, SAMRA · 2020 to 2024
$1.1M
Cancer Research UK 10748Cancer Research UK 29911Cancer Research UK A10748Cancer Research UK A17786Cancer Research UK A18176Cancer Research UK A20270Cancer Research UK A3574Cancer Research UK A5317Cancer Research UK FC001169Medical Research Council FC001144Medical Research Council FC001988Medical Research Council MR/P014712/1Medical Research Council MR/P014712/2Medical Research Council MR/V033077/1NCI NIH HHS U01 CA247439Wellcome Trust FC001003Wellcome Trust FC001144Wellcome Trust FC001169Wellcome Trust FC001988
6 · The paper itself

Abstract

Genetic intra-tumour heterogeneity fuels clonal evolution, but our understanding of clinically relevant clonal dynamics remain limited. We investigated spatial and temporal features of clonal diversification in clear cell renal cell carcinoma through a combination of modelling and real tumour analysis. We observe that the mode of tumour growth, surface or volume, impacts the extent of subclonal diversification, enabling interpretation of clonal diversity in patient tumours. Specific patterns of proliferation and necrosis explain clonal expansion and emergence of parallel evolution and microdiversity in tumours. In silico time-course studies reveal the appearance of budding structures before detectable subclonal diversification. Intriguingly, we observe radiological evidence of budding structures in early-stage clear cell renal cell carcinoma, indicating that future clonal evolution may be predictable from imaging. Our findings offer a window into the temporal and spatial features of clinically relevant clonal evolution.

Indexed as

NeoplasmsClonal EvolutionHumans

Identifiers

PMID34949820
PMCPMC8752443
OpenAlexW4200318664

What OpenQuestion holds

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Read underepoch 390

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.