Evidence map›Paper›PMID 36973454›Full record

ArticleNature genetics2023

Neuroblastoma arises in early fetal development and its evolutionary duration predicts outcome.

Verena Körber, Sabine A Stainczyk, Roma Kurilov, Kai-Oliver Henrich, Barbara Hero, Benedikt Brors, Frank Westermann, Thomas Höfer

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 62 papers.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed
16.0field-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

62 citing papers in PubMed, 80 citations in OpenAlex.

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  14. Aggressive Neuroblastomas Start Growing after Infancy.bioRxiv : the preprint server for biology · 2026
    Article
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2 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Verena KörberDivision of Theoretical Systems Biology, German Cancer Research Center, Heidelberg, Germany.
Sabine A StainczykHopp Children's Cancer Center, Heidelberg, Germany.ORCID http://orcid.org/0000-0003-3746-7010
Roma KurilovDivision of Applied Bioinformatics, German Cancer Research Center, Heidelberg, Germany.
Kai-Oliver HenrichHopp Children's Cancer Center, Heidelberg, Germany.
Barbara HeroDepartment of Pediatric Oncology and Hematology, University Children's Hospital of Cologne, Medical Faculty, Cologne, Germany.
Benedikt BrorsDivision of Applied Bioinformatics, German Cancer Research Center, Heidelberg, Germany.
Frank WestermannHopp Children's Cancer Center, Heidelberg, Germany. f.westermann@kitz-heidelberg.de.ORCID http://orcid.org/0000-0003-1584-3636
Thomas HöferDivision of Theoretical Systems Biology, German Cancer Research Center, Heidelberg, Germany. t.hoefer@dkfz-heidelberg.de.ORCID http://orcid.org/0000-0003-3560-8780
German Cancer Research Center · DEUniversity Hospital Cologne · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neuroblastoma, the most frequent solid tumor in infants, shows very diverse outcomes from spontaneous regression to fatal disease. When these different tumors originate and how they evolve are not known. Here we quantify the somatic evolution of neuroblastoma by deep whole-genome sequencing, molecular clock analysis and population-genetic modeling in a comprehensive cohort covering all subtypes. We find that tumors across the entire clinical spectrum begin to develop via aberrant mitoses as early as the first trimester of pregnancy. Neuroblastomas with favorable prognosis expand clonally after short evolution, whereas aggressive neuroblastomas show prolonged evolution during which they acquire telomere maintenance mechanisms. The initial aneuploidization events condition subsequent evolution, with aggressive neuroblastoma exhibiting early genomic instability. We find in the discovery cohort (n = 100), and validate in an independent cohort (n = 86), that the duration of evolution is an accurate predictor of outcome. Thus, insight into neuroblastoma evolution may prospectively guide treatment decisions.

Indexed as

NeuroblastomaHumansInfantPrognosisWhole Genome Sequencing

Identifiers

PMID36973454
PMCPMC10101850
OpenAlexW4360999556

What OpenQuestion holds

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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.