Evidence map›Paper›PMID 37890493›Full record

ArticleCancer cell2023

Spatiotemporal genomic profiling of intestinal metaplasia reveals clonal dynamics of gastric cancer progression.

Kie Kyon Huang, Haoran Ma, Roxanne Hui Heng Chong, Tomoyuki Uchihara, Benedict Shi Xiang Lian, Feng Zhu, Taotao Sheng, Supriya Srivastava, Su Ting Tay, Raghav Sundar and 24 more

Open access · hybridAbstract read
In one paragraph

Article in Cancer cell, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 1 pooled it
19.1field-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

63 citing papers in PubMed, 1 synthesis or guideline pooled it, 76 citations in OpenAlex.

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  2. EradicatingBioactive materials · 2026
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3 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

34 authors at 14 institutions in 7 countries.

Kie Kyon HuangProgram in Cancer and Stem Cell Biology, Duke-NUS Medical School, Singapore 169857, Singapore.
Haoran MaProgram in Cancer and Stem Cell Biology, Duke-NUS Medical School, Singapore 169857, Singapore.
Roxanne Hui Heng ChongDepartment of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119228, Singapore.
Tomoyuki UchiharaProgram in Cancer and Stem Cell Biology, Duke-NUS Medical School, Singapore 169857, Singapore.
Benedict Shi Xiang LianProgram in Cancer and Stem Cell Biology, Duke-NUS Medical School, Singapore 169857, Singapore.
Feng ZhuDepartment of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119228, Singapore.
Taotao ShengGenome Institute of Singapore, Agency for Science, Technology and Research, Singapore, Singapore.
Supriya SrivastavaDepartment of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119228, Singapore.
Su Ting TayProgram in Cancer and Stem Cell Biology, Duke-NUS Medical School, Singapore 169857, Singapore.
Raghav SundarProgram in Cancer and Stem Cell Biology, Duke-NUS Medical School, Singapore 169857, Singapore; Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119228, Singapore; Department of Haematology-Oncology, National University Health System, Singapore 119074, Singapore.
Angie Lay Keng TanProgram in Cancer and Stem Cell Biology, Duke-NUS Medical School, Singapore 169857, Singapore.
Xuewen OngProgram in Cancer and Stem Cell Biology, Duke-NUS Medical School, Singapore 169857, Singapore.
Minghui LeeProgram in Cancer and Stem Cell Biology, Duke-NUS Medical School, Singapore 169857, Singapore.
Shamaine Wei Ting HoGenome Institute of Singapore, Agency for Science, Technology and Research, Singapore, Singapore.
Tom LesluyesThe Francis Crick Institute, London, UK.
Hassan AshktorabDepartment of Medicine, Howard University, Washington, DC, USA.
Duane SmootDepartment of Internal Medicine, Meharry Medical College, Nashville, TN, USA.
Peter Van LooThe Francis Crick Institute, London, UK; Department of Genetics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA; Department of Genomic Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Joy Shijia ChuaDepartment of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119228, Singapore.
Kalpana RamnarayananProgram in Cancer and Stem Cell Biology, Duke-NUS Medical School, Singapore 169857, Singapore.
Louis Ho Shing LauDepartment of Medicine and Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong.
Takuji GotodaDivision of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan.
Hyun Soo KimDepartment of Internal Medicine, Yonsei University Wonju College of Medicine, Seoul, Korea.
Tiing Leong AngDepartment of Gastroenterology & Hepatology, Changi General Hospital, Singapore 529889, Singapore.
Christopher KhorDepartment of Gastroenterology & Hepatology, Singapore General Hospital, Singapore 169854, Singapore.
Jonathan Wei Jie LeeDepartment of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119228, Singapore; iHealthtech, National University of Singapore, Singapore, Singapore; SynCTI, National University of Singapore, Singapore 117599, Singapore; Department of Gastroenterology & Hepatology, National University Hospital, Singapore 119074, Singapore.
Stephen Kin Kwok TsaoDepartment of Gastroenterology & Hepatology, Tan Tock Seng Hospital, Singapore 308433, Singapore.
Wei Lyn YangDepartment of Gastroenterology & Hepatology, Tan Tock Seng Hospital, Singapore 308433, Singapore.
Ming TehDepartment of Pathology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119228, Singapore.
Hyunsoo ChungDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea. Electronic address: h.chung@snu.ac.kr.
Jimmy Bok Yan SoDepartment of Surgery, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119228, Singapore; NUS Centre for Cancer Research, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore; Division of Surgical Oncology, National University Cancer Institute of Singapore (NCIS), Singapore, Singapore. Electronic address: jimmyso@nus.edu.sg.
Khay Guan YeohDepartment of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119228, Singapore; Department of Gastroenterology & Hepatology, National University Hospital, Singapore 119074, Singapore. Electronic address: mdcykg@nus.edu.sg.
Patrick TanProgram in Cancer and Stem Cell Biology, Duke-NUS Medical School, Singapore 169857, Singapore; Genome Institute of Singapore, Agency for Science, Technology and Research, Singapore, Singapore; Cancer Science Institute of Singapore, National University of Singapore, Singapore 117599, Singapore; Department of Physiology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117593, Singapore; Cellular and Molecular Research, National Cancer Centre, Singapore, Singapore; Singhealth/Duke-NUS Institute of Precision Medicine, National Heart Centre Singapore, Singapore 168752, Singapore. Electronic address: gmstanp@duke-nus.edu.sg.
Singapore Gastric Cancer Consortium
Duke-NUS Medical School · SGNational University of Singapore · SGAgency for Science, Technology and Research · SGTan Tock Seng Hospital · SGChangi General Hospital · SGChinese University of Hong Kong · HKHoward University · USMeharry Medical College · USNihon University · JPSeoul National University Hospital · KRSingapore General Hospital · SGThe Francis Crick Institute · GBThe University of Texas MD Anderson Cancer Center · USYonsei University · KR

Funding

Wellcome Trust CC2008
6 · The paper itself

Abstract

Intestinal metaplasia (IM) is a pre-malignant condition of the gastric mucosa associated with increased gastric cancer (GC) risk. Analyzing 1,256 gastric samples (1,152 IMs) across 692 subjects from a prospective 10-year study, we identify 26 IM driver genes in diverse pathways including chromatin regulation (ARID1A) and intestinal homeostasis (SOX9). Single-cell and spatial profiles highlight changes in tissue ecology and IM lineage heterogeneity, including an intestinal stem-cell dominant cellular compartment linked to early malignancy. Expanded transcriptome profiling reveals expression-based molecular subtypes of IM associated with incomplete histology, antral/intestinal cell types, ARID1A mutations, inflammation, and microbial communities normally associated with the healthy oral tract. We demonstrate that combined clinical-genomic models outperform clinical-only models in predicting IMs likely to transform to GC. By highlighting strategies for accurately identifying IM patients at high GC risk and a role for microbial dysbiosis in IM progression, our results raise opportunities for GC precision prevention and interception.

Indexed as

Precancerous ConditionsStomach NeoplasmsGastric MucosaGenomicsHumansMetaplasiaProspective Studiescancer screeningcell-of-origingastric cancerintestinal metaplasiapre-cancersingle-cell sequencingspatial transcriptomicstargeted DNA sequencingtranscriptome sequencing

Identifiers

PMID37890493
PMCPMC10729843
OpenAlexW4387996479

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.