Evidence map›Paper›PMID 36355400›Full record

ArticleBiochemical Society transactions2022

Extrachromosomal DNA (ecDNA): an origin of tumor heterogeneity, genomic remodeling, and drug resistance.

Lauren T Pecorino, Roel G W Verhaak, Anton Henssen, Paul S Mischel

Open access · hybridAbstract read
In one paragraph

Article in Biochemical Society transactions, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.5field-weighted citation impact, top 9% 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

21 citing papers in PubMed, 29 citations in OpenAlex.

  1. Review
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  7. Extrachromosomal DNA and cancer: function, formation, and clinical implications.Journal of experimental & clinical cancer research : CR · 2026
    Review
  8. Review
  9. Personalizing DNA Cancer Vaccines.Journal of personalized medicine · 2025
    Review
  10. Review
  11. Hepatitis B virus integration and hepatocarcinogenesis.Liver research (Beijing, China) · 2025
    Review
  12. Review
  13. Article
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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

4 authors at 4 institutions in 3 countries.

Lauren T PecorinoSchool of Science, University of Greenwich, Chatham Maritime, Kent, U.K.
Roel G W VerhaakThe Jackson Laboratory for Genomic Medicine, Farmington, CT, U.S.A.
Anton HenssenDepartment of Pediatric Hematology and Oncology, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Paul S MischelDepartment of Pathology, Stanford University School of Medicine, Stanford University, Stanford, CA, U.S.A.ORCID 0000-0002-4560-2211
Charité - Universitätsmedizin Berlin · DEJackson Laboratory · USStanford University · USUniversity of Greenwich · GB

Funding

Cancer Research UK CGCATF-2021/100012
6 · The paper itself

Abstract

The genome of cancer cells contains circular extrachromosomal DNA (ecDNA) elements not found in normal cells. Analysis of clinical samples reveal they are common in most cancers and their presence indicates poor prognosis. They often contain enhancers and driver oncogenes that are highly expressed. The circular ecDNA topology leads to an open chromatin conformation and generates new gene regulatory interactions, including with distal enhancers. The absence of centromeres leads to random distribution of ecDNAs during cell division and genes encoded on them are transmitted in a non-mendelian manner. ecDNA can integrate into and exit from chromosomal DNA. The numbers of specific ecDNAs can change in response to treatment. This dynamic ability to remodel the cancer genome challenges long-standing fundamentals, providing new insights into tumor heterogeneity, cancer genome remodeling, and drug resistance.

Indexed as

NeoplasmsOncogenesDNADNA, CircularDrug ResistanceGenomicsHumansDNADNA, Circularcancer genomedrug resistanceextrachromosomal DNAgenomic remodellingoncogenestumor heterogeneity

Identifiers

PMID36355400
PMCPMC9788557
OpenAlexW4308685343

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.