Evidence map›Paper›PMID 38750007›Full record

ArticleMolecular oncology2024

Exploring the molecular landscape of cancer of unknown primary: A comparative analysis with other metastatic cancers.

Laura Andersen, Ditte S Christensen, Asbjørn Kjær, Michael Knudsen, Andreas K Andersen, Maria B Laursen, Johanne Ahrenfeldt, Britt E Laursen, Nicolai J Birkbak

Abstract readComparative Study
In one paragraph

Article in Molecular oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Laura AndersenDepartment of Molecular Medicine, Aarhus University Hospital, Denmark.ORCID 0009-0001-0223-3401
Ditte S ChristensenDepartment of Molecular Medicine, Aarhus University Hospital, Denmark.
Asbjørn KjærDepartment of Molecular Medicine, Aarhus University Hospital, Denmark.ORCID 0009-0006-3307-0031
Michael KnudsenDepartment of Molecular Medicine, Aarhus University Hospital, Denmark.
Andreas K AndersenDepartment of Oncology, Aarhus University Hospital, Denmark.
Maria B LaursenDepartment of Molecular Medicine, Aarhus University Hospital, Denmark.
Johanne AhrenfeldtDepartment of Molecular Medicine, Aarhus University Hospital, Denmark.ORCID 0000-0001-9175-0373
Britt E LaursenDepartment of Molecular Medicine, Aarhus University Hospital, Denmark.ORCID 0000-0001-5059-962X
Nicolai J BirkbakDepartment of Molecular Medicine, Aarhus University Hospital, Denmark.ORCID 0000-0003-1613-9587

Funding

Aarhus Universitets Forskningsfond AUFF-E-2018-7-14Lundbeck Foundation R272-2017-4040Novo Nordisk Fonden NNF21OC0071483
6 · The paper itself

Abstract

Cancer of unknown primary (CUP) tumors are biologically very heterogeneous, which complicates stratification of patients for treatment. Consequently, these patients face limited treatment options and a poor prognosis. With this study, we aim to expand on the current knowledge of CUP biology by analyzing two cohorts: a well-characterized cohort of 44 CUP patients, and 213 metastatic patients with known primary. These cohorts were treated at the same institution and characterized by identical molecular assessments. Through comparative analysis of genomic and transcriptomic data, we found that CUP tumors were characterized by high expression of immune-related genes and pathways compared to other metastatic tumors. Moreover, CUP tumors uniformly demonstrated high levels of tumor-infiltrating leukocytes and circulating T cells, indicating a strong immune response. Finally, the genetic landscape of CUP tumors resembled that of other metastatic cancers and demonstrated mutations in established cancer genes. In conclusion, CUP tumors possess a distinct immunophenotype that distinguishes them from other metastatic cancers. These results may suggest an immune response in CUP that facilitates metastatic tumor growth while limiting growth of the primary tumor.

Indexed as

Neoplasm MetastasisNeoplasms, Unknown PrimaryAdultAgedAged, 80 and overCohort StudiesFemaleGene Expression ProfilingGene Expression Regulation, NeoplasticHumansLymphocytes, Tumor-InfiltratingMaleMiddle AgedMutationTranscriptomecancer of unknown primarygenomic profileimmune response to cancertranscriptomic profile

Identifiers

PMID38750007
PMCPMC11459033

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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.