Evidence map›Paper›PMID 36737737›Full record

ArticleBMC cancer2023

Multi-region sampling with paired sample sequencing analyses reveals sub-groups of patients with novel patient-specific dysregulation in Hepatocellular Carcinoma.

Ah-Jung Jeon, Yue-Yang Teo, Karthik Sekar, Shay Lee Chong, Lingyan Wu, Sin-Chi Chew, Jianbin Chen, Raden Indah Kendarsari, Hannah Lai, Wen Huan Ling and 30 more

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

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

4 citing papers in PubMed, 6 citations in OpenAlex.

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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

40 authors at 11 institutions in 4 countries.

Ah-Jung Jeon *Department of Hepatopancreatobiliary and Transplant Surgery, Division of Surgery and Surgical Oncology, Singapore General Hospital and National Cancer Centre Singapore, Singapore, Singapore.
Yue-Yang Teo *Department of Hepatopancreatobiliary and Transplant Surgery, Division of Surgery and Surgical Oncology, Singapore General Hospital and National Cancer Centre Singapore, Singapore, Singapore.
Karthik SekarDepartment of Hepatopancreatobiliary and Transplant Surgery, Division of Surgery and Surgical Oncology, Singapore General Hospital and National Cancer Centre Singapore, Singapore, Singapore.
Shay Lee ChongDepartment of Hepatopancreatobiliary and Transplant Surgery, Division of Surgery and Surgical Oncology, Singapore General Hospital and National Cancer Centre Singapore, Singapore, Singapore.
Lingyan WuDepartment of Hepatopancreatobiliary and Transplant Surgery, Division of Surgery and Surgical Oncology, Singapore General Hospital and National Cancer Centre Singapore, Singapore, Singapore.
Sin-Chi ChewDepartment of Hepatopancreatobiliary and Transplant Surgery, Division of Surgery and Surgical Oncology, Singapore General Hospital and National Cancer Centre Singapore, Singapore, Singapore.
Jianbin ChenGenome Institute of Singapore, Agency for Science, Technology and Research (A*STAR), Singapore, Singapore.
Raden Indah KendarsariGenome Institute of Singapore, Agency for Science, Technology and Research (A*STAR), Singapore, Singapore.
Hannah LaiGenome Institute of Singapore, Agency for Science, Technology and Research (A*STAR), Singapore, Singapore.
Wen Huan LingDepartment of Hepatopancreatobiliary and Transplant Surgery, Division of Surgery and Surgical Oncology, Singapore General Hospital and National Cancer Centre Singapore, Singapore, Singapore.
Neslihan Arife KayaGenome Institute of Singapore, Agency for Science, Technology and Research (A*STAR), Singapore, Singapore.
Jia Qi LimGenome Institute of Singapore, Agency for Science, Technology and Research (A*STAR), Singapore, Singapore.
Adaikalavan RamasamyGenome Institute of Singapore, Agency for Science, Technology and Research (A*STAR), Singapore, Singapore.
Gokce OguzGenome Institute of Singapore, Agency for Science, Technology and Research (A*STAR), Singapore, Singapore.
Alexander Yaw-Fui ChungDepartment of Hepatopancreatobiliary and Transplant Surgery, Division of Surgery and Surgical Oncology, Singapore General Hospital and National Cancer Centre Singapore, Singapore, Singapore.
Chung Yip ChanDepartment of Hepatopancreatobiliary and Transplant Surgery, Division of Surgery and Surgical Oncology, Singapore General Hospital and National Cancer Centre Singapore, Singapore, Singapore.
Peng-Chung CheowDepartment of Hepatopancreatobiliary and Transplant Surgery, Division of Surgery and Surgical Oncology, Singapore General Hospital and National Cancer Centre Singapore, Singapore, Singapore.
Juinn Huar KamDepartment of Hepatopancreatobiliary and Transplant Surgery, Division of Surgery and Surgical Oncology, Singapore General Hospital and National Cancer Centre Singapore, Singapore, Singapore.
Krishnakumar MadhavanDivision of Hepatobiliary & Pancreatic Surgery, Department of Surgery, University Surgical Cluster, National University Health System, Singapore, Singapore.
Alfred KowDivision of Hepatobiliary & Pancreatic Surgery, Department of Surgery, University Surgical Cluster, National University Health System, Singapore, Singapore.
Iyer Shridhar GanpathiDivision of Hepatobiliary & Pancreatic Surgery, Department of Surgery, University Surgical Cluster, National University Health System, Singapore, Singapore.
Tony Kiat Hon LimDepartment of Anatomical Pathology, Singapore General Hospital, Singapore, 169608, Singapore.
Wei-Qiang LeowDepartment of Anatomical Pathology, Singapore General Hospital, Singapore, 169608, Singapore.
Shihleone LoongDepartment of Anatomical Pathology, Singapore General Hospital, Singapore, 169608, Singapore.
Tracy Jiezhen LohDepartment of Anatomical Pathology, Singapore General Hospital, Singapore, 169608, Singapore.
Wei Keat WanDepartment of Anatomical Pathology, Singapore General Hospital, Singapore, 169608, Singapore.
Gwyneth Shook Ting SoonDepartment of Pathology, National University Hospital, Singapore, 119074, Singapore.
Yin Huei PangDepartment of Pathology, National University Hospital, Singapore, 119074, Singapore.
Boon Koon YoongDepartment of Surgery, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Diana Bee-Lan OngDepartment of Surgery, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Jasmine LimDepartment of Surgery, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Vanessa H de VillaDepartment of Surgery and Center for Liver Health and Transplantation, The Medical City, Pasig City, Metro Manila, Philippines.
Rouchelle D Dela CruzDepartment of Laboratory Medicine and Pathology, The Medical City, Pasig City, Metro Manila, Philippines.
Rawisak ChanwatHepato-Pancreato-Biliary Surgery Unit, Department of Surgery, National Cancer Institute, Bangkok, Thailand.
Jidapa ThammasiriDivision of Pathology, National Cancer Institute, Bangkok, Thailand.
Glenn K BonneyDivision of Hepatobiliary & Pancreatic Surgery, Department of Surgery, University Surgical Cluster, National University Health System, Singapore, Singapore.
Brian K P GohDepartment of Hepatopancreatobiliary and Transplant Surgery, Division of Surgery and Surgical Oncology, Singapore General Hospital and National Cancer Centre Singapore, Singapore, Singapore.
Greg Tucker-KelloggDepartment of Biological Sciences, National University of Singapore, Singapore, Singapore.
Roger Sik Yin FooGenome Institute of Singapore, Agency for Science, Technology and Research (A*STAR), Singapore, Singapore.
Pierce K H ChowDepartment of Hepatopancreatobiliary and Transplant Surgery, Division of Surgery and Surgical Oncology, Singapore General Hospital and National Cancer Centre Singapore, Singapore, Singapore. pierce.chow@duke-nus.edu.sg.
Singapore General Hospital · SGNational Cancer Centre Singapore · SGGenome Institute of Singapore · SGNational University Health System · SGUniversity of Malaya · MYAgency for Science, Technology and Research · SGDuke-NUS Medical School · SGNational Cancer Institute of Thailand · THNational University Hospital · SGNational University of Singapore · SGUniversity of Asia and the Pacific · PH

Funding

Singapore National Medical Research Council TCR/015-NCC/2016
6 · The paper itself

Abstract

backgroundConventional differential expression (DE) testing compares the grouped mean value of tumour samples to the grouped mean value of the normal samples, and may miss out dysregulated genes in small subgroup of patients. This is especially so for highly heterogeneous cancer like Hepatocellular Carcinoma (HCC).

methodsUsing multi-region sampled RNA-seq data of 90 patients, we performed patient-specific differential expression testing, together with the patients' matched adjacent normal samples.

resultsComparing the results from conventional DE analysis and patient-specific DE analyses, we show that the conventional DE analysis omits some genes due to high inter-individual variability present in both tumour and normal tissues. Dysregulated genes shared in small subgroup of patients were useful in stratifying patients, and presented differential prognosis. We also showed that the target genes of some of the current targeted agents used in HCC exhibited highly individualistic dysregulation pattern, which may explain the poor response rate. DISCUSSION/

conclusionOur results highlight the importance of identifying patient-specific DE genes, with its potential to provide clinically valuable insights into patient subgroups for applications in precision medicine.

Indexed as

Carcinoma, HepatocellularLiver NeoplasmsBiomarkers, TumorGene Expression Regulation, NeoplasticHumansPrognosisBiomarkers, TumorMulti-region samplingPatient subgroupsPersonalized medicine

Identifiers

PMID36737737
PMCPMC9896715
OpenAlexW4319080314

What OpenQuestion holds

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LicenceCC BY
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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.