Evidence map›Paper›PMID 35121863›Full record

ArticleNature cancer2021

Multi-omic profiling of peritoneal metastases in gastric cancer identifies molecular subtypes and therapeutic vulnerabilities.

Yosuke Tanaka, Fumiko Chiwaki, Shinya Kojima, Masahito Kawazu, Masayuki Komatsu, Toshihide Ueno, Satoshi Inoue, Shigeki Sekine, Keisuke Matsusaki, Hiromichi Matsushita and 5 more

Abstract read
PubMed Publisher
In one paragraph

Article in Nature cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 1 pooled it
4.8field-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

69 citing papers in PubMed, 1 synthesis or guideline pooled it, 85 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Review
  7. Advances in the molecular subtyping of gastric cancer.World journal of surgical oncology · 2026
    Review
  8. Article
  9. RNA mCell biology and toxicology · 2026
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Therapeutic strategy for scirrhous type gastric cancer.Japanese journal of clinical oncology · 2025
    Review

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

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

15 authors at 5 institutions in 2 countries.

Yosuke Tanaka *Division of Cellular Signaling, National Cancer Center Research Institute, Tokyo, Japan. yotanaka@ncc.go.jp.ORCID http://orcid.org/0000-0002-3764-0517
Fumiko Chiwaki *Department of Translational Oncology, National Cancer Center Research Institute, Tokyo, Japan.ORCID http://orcid.org/0000-0002-0914-9157
Shinya KojimaDivision of Cellular Signaling, National Cancer Center Research Institute, Tokyo, Japan.
Masahito KawazuDivision of Cellular Signaling, National Cancer Center Research Institute, Tokyo, Japan.
Masayuki KomatsuDepartment of Translational Oncology, National Cancer Center Research Institute, Tokyo, Japan.
Toshihide UenoDivision of Cellular Signaling, National Cancer Center Research Institute, Tokyo, Japan.ORCID http://orcid.org/0000-0002-7408-7298
Satoshi InoueDivision of Cellular Signaling, National Cancer Center Research Institute, Tokyo, Japan.
Shigeki SekineDepartment of Diagnostic Pathology, National Cancer Center Hospital, Tokyo, Japan.
Keisuke MatsusakiKanamecho Hospital, Tokyo, Japan.
Hiromichi MatsushitaDepartment of Laboratory Medicine, National Cancer Center Hospital, Tokyo, Japan.
Narikazu BokuDivision of Gastrointestinal Medical Oncology, National Cancer Center Hospital, Tokyo, Japan.ORCID http://orcid.org/0000-0002-1438-707X
Yae KanaiDepartment of Pathology, Keio University School of Medicine, Tokyo, Japan.
Yasushi YatabeDepartment of Diagnostic Pathology, National Cancer Center Hospital, Tokyo, Japan.
Hiroki SasakiDepartment of Translational Oncology, National Cancer Center Research Institute, Tokyo, Japan. hksasaki@ncc.go.jp.ORCID http://orcid.org/0000-0002-9443-0364
Hiroyuki ManoDivision of Cellular Signaling, National Cancer Center Research Institute, Tokyo, Japan. hmano@ncc.go.jp.ORCID http://orcid.org/0000-0003-4645-0181
Tokyo National Hospital · JPNational Cancer Research Institute · GBKeio University · JPNational Cancer Center Hospital East · JPNational Cancer Centre Japan · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Peritoneal metastasis, a hallmark of incurable advanced gastric cancer (GC), presently has no curative therapy and its molecular features have not been examined extensively. Here we present a comprehensive multi-omic analysis of malignant ascitic fluid samples and their corresponding tumor cell lines from 98 patients, including whole-genome sequencing, RNA sequencing, DNA methylation and enhancer landscape. We identify a higher frequency of receptor tyrosine kinase and mitogen-activated protein kinase pathway alterations compared to primary GC; moreover, approximately half of the gene alterations are potentially treatable with targeted therapy. Our analyses also stratify ascites-disseminated GC into two distinct molecular subtypes: one displaying active super enhancers (SEs) at the ELF3, KLF5 and EHF loci, and a second subtype bearing transforming growth factor-β (TGF-β) pathway activation through SMAD3 SE activation and high expression of transcriptional enhancer factor TEF-1 (TEAD1). In the TGF-β subtype, inhibition of the TEAD pathway circumvents therapy resistance, suggesting a potential molecular-guided therapeutic strategy for this subtype of intractable GC.

Indexed as

Peritoneal NeoplasmsStomach NeoplasmsAscitesCell Line, TumorHumansTransforming Growth Factor betaTransforming Growth Factor beta

Identifiers

PMID35121863
OpenAlexW3194691511

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.