Evidence map›Paper›PMID 37471463›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2023

Cancer-Associated Fibroblast-Like Tumor Cells Remodel the Ewing Sarcoma Tumor Microenvironment.

Emma D Wrenn, April A Apfelbaum, Erin R Rudzinski, Xuemei Deng, Wei Jiang, Sudha Sud, Raelene A Van Noord, Erika A Newman, Nicolas M Garcia, Aya Miyaki and 6 more

Open access · greenAbstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
8.0field-weighted citation impact, top 2% 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

25 citing papers in PubMed, 31 citations in OpenAlex.

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  7. A Pan-Cancer Ex Vivo Drug Screen Atlas for Functional Precision Oncology.bioRxiv : the preprint server for biology · 2026
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  10. Spatial Profiling Identifies Tumor-Associated Stroma Enrichment and MIF as Potential Immunotherapy Targets in Primary Ewing Sarcomas.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 5 institutions in 1 country.

Emma D Wrenn *Ben Towne Center for Childhood Cancer Research, Seattle Children's Research Institute, Seattle, Washington.ORCID 0000-0002-9643-457X
April A Apfelbaum *Ben Towne Center for Childhood Cancer Research, Seattle Children's Research Institute, Seattle, Washington.ORCID 0000-0002-3551-4429
Erin R RudzinskiPathology Department, Seattle Children's Hospital, Seattle, Washington.ORCID 0000-0002-7591-956X
Xuemei DengPathology Department, Seattle Children's Hospital, Seattle, Washington.ORCID 0009-0004-8983-5334
Wei JiangRogel Cancer Center, University of Michigan, Ann Arbor, Michigan.ORCID 0000-0002-2737-4913
Sudha SudRogel Cancer Center, University of Michigan, Ann Arbor, Michigan.ORCID 0009-0005-9465-6936
Raelene A Van NoordRogel Cancer Center, University of Michigan, Ann Arbor, Michigan.ORCID 0009-0006-5128-798X
Erika A NewmanRogel Cancer Center, University of Michigan, Ann Arbor, Michigan.ORCID 0000-0003-3999-0323
Nicolas M GarciaBen Towne Center for Childhood Cancer Research, Seattle Children's Research Institute, Seattle, Washington.ORCID 0000-0002-3717-5520
Aya MiyakiBen Towne Center for Childhood Cancer Research, Seattle Children's Research Institute, Seattle, Washington.ORCID 0009-0008-6748-4595
Virginia J HoglundBen Towne Center for Childhood Cancer Research, Seattle Children's Research Institute, Seattle, Washington.ORCID 0000-0003-1175-5006
Shruti S BhiseClinical Research Division, Fred Hutchinson Cancer Center, Seattle, Washington.ORCID 0009-0002-7826-8704
Sami B KanaanClinical Research Division, Fred Hutchinson Cancer Center, Seattle, Washington.ORCID 0000-0002-4608-0953
Olivia G WaltnerClinical Research Division, Fred Hutchinson Cancer Center, Seattle, Washington.ORCID 0000-0001-7021-0431
Scott N FurlanClinical Research Division, Fred Hutchinson Cancer Center, Seattle, Washington.ORCID 0000-0003-3007-9840
Elizabeth R LawlorBen Towne Center for Childhood Cancer Research, Seattle Children's Research Institute, Seattle, Washington.ORCID 0000-0002-2350-1540
Seattle Children's Hospital · USMichigan Center for Translational Pathology · USFred Hutch Cancer Center · USUniversity of Washington · USUniversity of Michigan · US

Funding

Translational Bioimaging Core Shared ResourceP30CA015704 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Eric Collisson · 1985 to 2026
$296.4M
Regulation and function of HOX genes in Ewing sarcoma pathogenesisR01CA215981 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LAWLOR, ELIZABETH R · 2018 to 2022
$2.0M
The role of HOXD13 in controlling Ewing sarcoma cell plasticity and metastasisF31CA247104 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI APFELBAUM, APRIL · 2021 to 2022
$66k
NCI NIH HHS F31 CA247104NCI NIH HHS L40 CA264534NCI NIH HHS P30 CA015704NCI NIH HHS R01 CA215981
6 · The paper itself

Abstract

purposeDespite limited genetic and histologic heterogeneity, Ewing sarcoma (EwS) tumor cells are transcriptionally heterogeneous and display varying degrees of mesenchymal lineage specification in vitro. In this study, we investigated if and how transcriptional heterogeneity of EwS cells contributes to heterogeneity of tumor phenotypes in vivo. EXPERIMENTAL

designSingle-cell proteogenomic-sequencing of EwS cell lines was performed and integrated with patient tumor transcriptomic data. Cell subpopulations were isolated by FACS for assessment of gene expression and phenotype. Digital spatial profiling and human whole transcriptome analysis interrogated transcriptomic heterogeneity in EwS xenografts. Tumor cell subpopulations and matrix protein deposition were evaluated in xenografts and patient tumors using multiplex immunofluorescence staining.

resultsWe identified CD73 as a biomarker of highly mesenchymal EwS cell subpopulations in tumor models and patient biopsies. CD73+ tumor cells displayed distinct transcriptional and phenotypic properties, including selective upregulation of genes that are repressed by EWS::FLI1, and increased migratory potential. CD73+ cells were distinguished in vitro and in vivo by increased expression of matrisomal genes and abundant deposition of extracellular matrix (ECM) proteins. In epithelial-derived malignancies, ECM is largely deposited by cancer-associated fibroblasts (CAF), and we thus labeled CD73+ EwS cells, CAF-like tumor cells. Marked heterogeneity of CD73+ EwS cell frequency and distribution was detected in tumors in situ, and CAF-like tumor cells and associated ECM were observed in peri-necrotic regions and invasive foci.

conclusionsEwS tumor cells can adopt CAF-like properties, and these distinct cell subpopulations contribute to tumor heterogeneity by remodeling the tumor microenvironment. See related commentary by Kuo and Amatruda, p. 5002.

Indexed as

Cancer-Associated FibroblastsSarcoma, EwingCell Line, TumorGene Expression ProfilingGene Expression Regulation, NeoplasticHumansOncogene Proteins, FusionProto-Oncogene Protein c-fli-1RNA-Binding Protein EWSTumor MicroenvironmentOncogene Proteins, FusionProto-Oncogene Protein c-fli-1RNA-Binding Protein EWS

Identifiers

PMID37471463
PMCPMC10801911
OpenAlexW4384922361

What OpenQuestion holds

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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.