Evidence map›Paper›PMID 36658434›Full record

ArticleNature genetics2023

Notch1 mutations drive clonal expansion in normal esophageal epithelium but impair tumor growth.

Emilie Abby, Stefan C Dentro, Michael W J Hall, Joanna C Fowler, Swee Hoe Ong, Roshan Sood, Albert Herms, Gabriel Piedrafita, Irina Abnizova, Christian W Siebel and 3 more

Open access · hybridAbstract read
In one paragraph

Article in Nature genetics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 81 papers.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed
17.4field-weighted citation impact, top 1% 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

81 citing papers in PubMed, 110 citations in OpenAlex.

  1. Article
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  10. Review
  11. Esophageal cancer: from pathogenesis to precision therapies.Signal transduction and targeted therapy · 2026
    Review
  12. Review
  13. Article
  14. Review
  15. Article
  16. Review
  17. Review
  18. How somatic evolution affects health.Nature ecology & evolution · 2026
    Article
  19. Article
  20. Review

21 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

13 authors at 5 institutions in 3 countries.

Emilie AbbyWellcome Sanger Institute, Hinxton, UK.
Stefan C DentroWellcome Sanger Institute, Hinxton, UK.ORCID http://orcid.org/0000-0002-0478-9729
Michael W J HallWellcome Sanger Institute, Hinxton, UK.ORCID http://orcid.org/0000-0003-2904-6902
Joanna C FowlerWellcome Sanger Institute, Hinxton, UK.
Swee Hoe OngWellcome Sanger Institute, Hinxton, UK.ORCID http://orcid.org/0000-0002-3629-5387
Roshan SoodWellcome Sanger Institute, Hinxton, UK.ORCID http://orcid.org/0000-0002-1318-7025
Albert HermsWellcome Sanger Institute, Hinxton, UK.ORCID http://orcid.org/0000-0003-2999-8196
Gabriel PiedrafitaDepartment of Biochemistry and Molecular Biology, Complutense University, Madrid, Spain.ORCID http://orcid.org/0000-0001-8701-1084
Irina AbnizovaWellcome Sanger Institute, Hinxton, UK.
Christian W SiebelDepartment of Discovery Oncology, Genentech, South San Francisco, CA, USA.
Moritz GerstungEuropean Molecular Biology Laboratory, European Bioinformatics Institute, Cambridge, UK.ORCID http://orcid.org/0000-0001-6709-963X
Benjamin A HallDepartment of Medical Physics and Biomedical Engineering, University College London, London, UK.ORCID http://orcid.org/0000-0003-0355-2946
Philip H JonesWellcome Sanger Institute, Hinxton, UK. pj3@sanger.ac.uk.ORCID http://orcid.org/0000-0002-5904-795X
Wellcome Sanger Institute · GBEuropean Bioinformatics Institute · GBUniversity of Cambridge · GBUniversidad Complutense de Madrid · ESUniversity College London · GB

Funding

Cancer Research UK A17257Cancer Research UK A27326Cancer Research UK C609/A17257Cancer Research UK C609/A27326Medical Research Council MC_UU_12022/9Medical Research Council MR/S000216/1Medical Research Council MR/S000216/2Wellcome Trust 098051Wellcome Trust 296194
6 · The paper itself

Abstract

NOTCH1 mutant clones occupy the majority of normal human esophagus by middle age but are comparatively rare in esophageal cancers, suggesting NOTCH1 mutations drive clonal expansion but impede carcinogenesis. Here we test this hypothesis. Sequencing NOTCH1 mutant clones in aging human esophagus reveals frequent biallelic mutations that block NOTCH1 signaling. In mouse esophagus, heterozygous Notch1 mutation confers a competitive advantage over wild-type cells, an effect enhanced by loss of the second allele. Widespread Notch1 loss alters transcription but has minimal effects on the epithelial structure and cell dynamics. In a carcinogenesis model, Notch1 mutations were less prevalent in tumors than normal epithelium. Deletion of Notch1 reduced tumor growth, an effect recapitulated by anti-NOTCH1 antibody treatment. Notch1 null tumors showed reduced proliferation. We conclude that Notch1 mutations in normal epithelium are beneficial as wild-type Notch1 favors tumor expansion. NOTCH1 blockade may have therapeutic potential in preventing esophageal squamous cancer.

Indexed as

Esophageal NeoplasmsAnimalsCarcinogenesisEpitheliumHumansMiceMiddle AgedMutationReceptor, Notch1NOTCH1 protein, humanNotch1 protein, mouseReceptor, Notch1

Identifiers

PMID36658434
PMCPMC9925379
OpenAlexW4317502646

What OpenQuestion holds

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LicenceCC BY
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.