Evidence map›Paper›PMID 37012457›Full record

ArticleNature genetics2023

Cellular states are coupled to genomic and viral heterogeneity in HPV-related oropharyngeal carcinoma.

Sidharth V Puram, Michael Mints, Ananya Pal, Zongtai Qi, Ashley Reeb, Kyla Gelev, Thomas F Barrett, Sophie Gerndt, Ping Liu, Anuraag S Parikh and 17 more

Open access · greenAbstract 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 80 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 1 pooled it
24.4field-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

80 citing papers in PubMed, 1 synthesis or guideline pooled it, 102 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Genetic susceptibility, risk prediction, and druggable targets for oropharyngeal cancer: a UK Biobank study.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
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20 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

27 authors at 6 institutions in 3 countries.

Sidharth V Puram *Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St. Louis, MO, USA. sidpuram@wustl.edu.ORCID http://orcid.org/0000-0003-3543-889X
Michael Mints *Department of Molecular Cell Biology, Weizmann Institute of Science, Rehovot, Israel.ORCID http://orcid.org/0000-0001-9215-9518
Ananya PalDepartment of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St. Louis, MO, USA.
Zongtai QiDepartment of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St. Louis, MO, USA.
Ashley ReebDepartment of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St. Louis, MO, USA.
Kyla GelevDepartment of Internal Medicine, Washington University School of Medicine, St. Louis, MO, USA.ORCID http://orcid.org/0000-0003-3980-7189
Thomas F BarrettDepartment of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St. Louis, MO, USA.
Sophie GerndtDepartment of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St. Louis, MO, USA.
Ping LiuDepartment of Internal Medicine, Washington University School of Medicine, St. Louis, MO, USA.
Anuraag S ParikhDepartment of Otolaryngology-Head and Neck Surgery, Columbia University Irving Medical Center, New York, NY, USA.ORCID http://orcid.org/0000-0003-0968-1028
Salma RamadanDepartment of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St. Louis, MO, USA.
Travis LawDepartment of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St. Louis, MO, USA.ORCID http://orcid.org/0000-0002-7399-3299
Edmund A MrozDepartment of Otolaryngology-Head and Neck Surgery, Ohio State University, Columbus, OH, USA.ORCID http://orcid.org/0000-0002-1014-7853
James W RoccoDepartment of Otolaryngology-Head and Neck Surgery, Ohio State University, Columbus, OH, USA.ORCID http://orcid.org/0000-0001-5312-0303
Doug AdkinsSiteman Cancer Center, Washington University in St. Louis, St. Louis, MO, USA.
Wade L ThorstadSiteman Cancer Center, Washington University in St. Louis, St. Louis, MO, USA.
Hiram A GaySiteman Cancer Center, Washington University in St. Louis, St. Louis, MO, USA.
Li DingDepartment of Medicine, Washington University School of Medicine, St. Louis, MO, USA.
Randal C PanielloDepartment of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St. Louis, MO, USA.
Patrik PipkornDepartment of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St. Louis, MO, USA.
Ryan S JacksonDepartment of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St. Louis, MO, USA.
Xiaowei WangDepartment of Internal Medicine, Washington University School of Medicine, St. Louis, MO, USA.
Angela MazulDepartment of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St. Louis, MO, USA.
Rebecca ChernockDepartment of Pathology and Immunology, Washington University School of Medicine, St. Louis, MO, USA.ORCID http://orcid.org/0000-0001-6253-0478
Jose P ZevallosDepartment of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St. Louis, MO, USA.
Jessica Silva-FisherSiteman Cancer Center, Washington University in St. Louis, St. Louis, MO, USA.
Itay TiroshDepartment of Molecular Cell Biology, Weizmann Institute of Science, Rehovot, Israel. itay.tirosh@weizmann.ac.il.ORCID http://orcid.org/0000-0001-5477-2987
Washington University in St. Louis · USThe Ohio State University · USColumbia University Irving Medical Center · USJames S. McDonnell Foundation · USKarolinska Institutet · SEWeizmann Institute of Science · IL

Funding

DEVELOPMENT OF CLINICIAN/RESEARCHERS IN ACADEMIC ENTT32DC000022 · NIDCD · WASHINGTON UNIVERSITY · PI PICCIRILLO, JAY F. · 1989 to 2022
$5.6M
Deciphering epigenetically-regulated pathways to improve targeted therapy for invasion and metastasis in head and neck cancerR01DE032865 · NIDCR · WASHINGTON UNIVERSITY · PI Robi D Mitra, Sidharth Venkata Puram · 2023 to 2026
$2.4M
MICRORNA BIOMARKERS FOR OROPHARYNGEAL CANCERR01DE026471 · NIDCR · WASHINGTON UNIVERSITY · PI WANG, XIAOWEI · 2017 to 2021
$2.2M
Dissecting hybrid epithelial-mesenchymal states in head and neck cancerR01DE032371 · NIDCR · WASHINGTON UNIVERSITY · PI Sidharth Venkata Puram · 2023 to 2026
$1.6M
Understanding programs of invasion and metastasis in head and neck cancerK08CA237732 · NCI · WASHINGTON UNIVERSITY · PI PURAM, SIDHARTH VENKATA · 2019 to 2023
$984k
Integrating social and molecular determinants of HPV-associated cancersK01MD013897 · NIMHD · WASHINGTON UNIVERSITY · PI MAZUL, ANGELA LIU · 2020 to 2023
$519k
RNA modification and the regulation of partial EMT in head and neck cancerR21DE031072 · NIDCR · WASHINGTON UNIVERSITY · PI PURAM, SIDHARTH VENKATA · 2021 to 2022
$433k
NCI NIH HHS K08 CA237732NIDCD NIH HHS T32 DC000022NIDCR NIH HHS R01 DE026471NIDCR NIH HHS R01 DE032371NIDCR NIH HHS R01 DE032865NIDCR NIH HHS R21 DE031072NIMHD NIH HHS K01 MD013897
6 · The paper itself

Abstract

Head and neck squamous cell carcinoma (HNSCC) includes a subset of cancers driven by human papillomavirus (HPV). Here we use single-cell RNA-seq to profile both HPV-positive and HPV-negative oropharyngeal tumors, uncovering a high level of cellular diversity within and between tumors. First, we detect diverse chromosomal aberrations within individual tumors, suggesting genomic instability and enabling the identification of malignant cells even at pathologically negative margins. Second, we uncover diversity with respect to HNSCC subtypes and other cellular states such as the cell cycle, senescence and epithelial-mesenchymal transitions. Third, we find heterogeneity in viral gene expression within HPV-positive tumors. HPV expression is lost or repressed in a subset of cells, which are associated with a decrease in HPV-associated cell cycle phenotypes, decreased response to treatment, increased invasion and poor prognosis. These findings suggest that HPV expression diversity must be considered during diagnosis and treatment of HPV-positive tumors, with important prognostic ramifications.

Indexed as

Carcinoma, Squamous CellHead and Neck NeoplasmsOropharyngeal NeoplasmsPapillomavirus InfectionsGenomicsHuman Papillomavirus VirusesHumansPapillomaviridaeSquamous Cell Carcinoma of Head and Neck

Identifiers

PMID37012457
PMCPMC10191634
OpenAlexW4362523774

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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.