Evidence map›Paper›PMID 36929873›Full record

ArticleCancer discovery2023

Single-Cell RNA Sequencing Unifies Developmental Programs of Esophageal and Gastric Intestinal Metaplasia.

Karol Nowicki-Osuch, Lizhe Zhuang, Tik Shing Cheung, Emily L Black, Neus Masqué-Soler, Ginny Devonshire, Aisling M Redmond, Adam Freeman, Massimilliano di Pietro, Nastazja Pilonis and 5 more

Open access · hybridAbstract read
In one paragraph

Article in Cancer discovery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
27.0field-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

40 citing papers in PubMed, 86 citations in OpenAlex.

  1. Article
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  5. Review
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  7. Esophageal cancer: from pathogenesis to precision therapies.Signal transduction and targeted therapy · 2026
    Review
  8. Article
  9. Article
  10. Signaling pathways and targeted interventions for precancers.Signal transduction and targeted therapy · 2026
    Review
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  12. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 6 institutions in 4 countries.

Karol Nowicki-OsuchIrving Institute for Cancer Dynamics, Columbia University, New York, New York.ORCID 0000-0003-3828-8620
Lizhe ZhuangEarly Cancer Institute, University of Cambridge, Cambridge, United Kingdom.ORCID 0000-0002-7924-8919
Tik Shing CheungSchool of Cancer and Pharmaceutical Sciences, King's College London, London, United Kingdom.ORCID 0000-0002-5316-3597
Emily L BlackEarly Cancer Institute, University of Cambridge, Cambridge, United Kingdom.ORCID 0000-0001-9929-8043
Neus Masqué-SolerEarly Cancer Institute, University of Cambridge, Cambridge, United Kingdom.ORCID 0000-0002-9369-5117
Ginny DevonshireCancer Research UK Cambridge Institute, University of Cambridge, Cambridge, United Kingdom.ORCID 0000-0002-1408-8176
Aisling M RedmondEarly Cancer Institute, University of Cambridge, Cambridge, United Kingdom.ORCID 0000-0001-9070-1780
Adam FreemanEarly Cancer Institute, University of Cambridge, Cambridge, United Kingdom.ORCID 0000-0002-8376-7498
Massimilliano di PietroEarly Cancer Institute, University of Cambridge, Cambridge, United Kingdom.ORCID 0000-0003-4866-7026
Nastazja PilonisDepartment of Gastroenterology, Hepatology and Clinical Oncology, Centre of Postgraduate Medical Education, Warsaw, Poland.ORCID 0000-0003-3806-8679
Wladyslaw JanuszewiczDepartment of Gastroenterology, Hepatology and Clinical Oncology, Centre of Postgraduate Medical Education, Warsaw, Poland.ORCID 0000-0002-8200-2661
Maria O'DonovanCambridge University Hospital NHS Trust, Cambridge, United Kingdom.ORCID 0000-0002-3043-0381
Simon TavaréIrving Institute for Cancer Dynamics, Columbia University, New York, New York.ORCID 0000-0002-3716-4952
Jacqueline D ShieldsSchool of Cancer and Pharmaceutical Sciences, King's College London, London, United Kingdom.ORCID 0000-0003-2153-9710
Rebecca C FitzgeraldEarly Cancer Institute, University of Cambridge, Cambridge, United Kingdom.ORCID 0000-0002-3434-3568
Cancer Research UK Cambridge Center · GBBridge University · SSKing's College London · GBPostgraduate School of Molecular Medicine · PLCancer Genetics (United States) · USUniversity of Cambridge · GB

Funding

Cancer Research UK G102382Department of Health BRC-1215-20014Medical Research Council MR/W014122/1Medical Research Council RG86932
6 · The paper itself

Abstract

Intestinal metaplasia in the esophagus (Barrett's esophagus IM, or BE-IM) and stomach (GIM) are considered precursors for esophageal and gastric adenocarcinoma, respectively. We hypothesize that BE-IM and GIM follow parallel developmental trajectories in response to differing inflammatory insults. Here, we construct a single-cell RNA-sequencing atlas, supported by protein expression studies, of the entire gastrointestinal tract spanning physiologically normal and pathologic states including gastric metaplasia in the esophagus (E-GM), BE-IM, atrophic gastritis, and GIM. We demonstrate that BE-IM and GIM share molecular features, and individual cells simultaneously possess transcriptional properties of gastric and intestinal epithelia, suggesting phenotypic mosaicism. Transcriptionally E-GM resembles atrophic gastritis; genetically, it is clonal and has a lower mutational burden than BE-IM. Finally, we show that GIM and BE-IM acquire a protumorigenic, activated fibroblast microenvironment. These findings suggest that BE-IM and GIM can be considered molecularly similar entities in adjacent organs, opening the path for shared detection and treatment strategies. SIGNIFICANCE: Our data capture the gradual molecular and phenotypic transition from a gastric to intestinal phenotype (IM) in the esophagus and stomach. Because BE-IM and GIM can predispose to cancer, this new understanding of a common developmental trajectory could pave the way for a more unified approach to detection and treatment. See related commentary by Stachler, p. 1291. This article is highlighted in the In This Issue feature, p. 1275.

Indexed as

Barrett EsophagusGastritis, AtrophicEsophagusHumansMetaplasiaRNASequence Analysis, RNATumor MicroenvironmentRNA

Identifiers

PMID36929873
PMCPMC10236154
OpenAlexW4327677955

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.