Evidence map›Paper›PMID 39567475›Full record

ArticleNature communications2024

Divergent WNT signaling and drug sensitivity profiles within hepatoblastoma tumors and organoids.

Thomas A Kluiver, Yuyan Lu, Stephanie A Schubert, Lianne J Kraaier, Femke Ringnalda, Philip Lijnzaad, Jeff DeMartino, Wouter L Megchelenbrink, Vicky Amo-Addae, Selma Eising and 15 more

Abstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

20 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
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  5. Differential Wnt/β-catenin signaling via TCF7L2/LEF1 binding specificity shapes cellular and tumor phenotypes.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. Organoids glimpse: the nexus for diverse tumor heterogeneity.Frontiers in cell and developmental biology · 2026
    Review
  13. Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. Article
  19. Review
  20. Organoid scaffold materials: research and application.Frontiers in bioengineering and biotechnology · 2025
    Review
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

25 authors.

Thomas A Kluiver *Princess Máxima Center for Pediatric Oncology, Heidelberglaan 25, Utrecht, the Netherlands.ORCID 0000-0003-2224-480X
Yuyan Lu *Princess Máxima Center for Pediatric Oncology, Heidelberglaan 25, Utrecht, the Netherlands.ORCID 0009-0000-6374-1357
Stephanie A SchubertPrincess Máxima Center for Pediatric Oncology, Heidelberglaan 25, Utrecht, the Netherlands.ORCID 0000-0002-8655-1350
Lianne J KraaierPrincess Máxima Center for Pediatric Oncology, Heidelberglaan 25, Utrecht, the Netherlands.
Femke RingnaldaPrincess Máxima Center for Pediatric Oncology, Heidelberglaan 25, Utrecht, the Netherlands.ORCID 0000-0002-0684-4613
Philip LijnzaadPrincess Máxima Center for Pediatric Oncology, Heidelberglaan 25, Utrecht, the Netherlands.ORCID 0000-0002-7535-583X
Jeff DeMartinoPrincess Máxima Center for Pediatric Oncology, Heidelberglaan 25, Utrecht, the Netherlands.ORCID 0000-0001-7366-4789
Wouter L MegchelenbrinkPrincess Máxima Center for Pediatric Oncology, Heidelberglaan 25, Utrecht, the Netherlands.ORCID 0000-0002-2895-3511
Vicky Amo-AddaePrincess Máxima Center for Pediatric Oncology, Heidelberglaan 25, Utrecht, the Netherlands.
Selma EisingPrincess Máxima Center for Pediatric Oncology, Heidelberglaan 25, Utrecht, the Netherlands.
Flavia W de FariaDepartment of Pediatric Hematology and Oncology, University Children's Hospital Münster, Albert-Schweitzer-Campus 1, Münster, Germany.
Daniel MünterDepartment of Pediatric Hematology and Oncology, University Children's Hospital Münster, Albert-Schweitzer-Campus 1, Münster, Germany.ORCID 0000-0001-8823-0238
Marc van de WeteringPrincess Máxima Center for Pediatric Oncology, Heidelberglaan 25, Utrecht, the Netherlands.ORCID 0000-0002-8195-9939
Kornelius KerlDepartment of Pediatric Hematology and Oncology, University Children's Hospital Münster, Albert-Schweitzer-Campus 1, Münster, Germany.ORCID 0000-0002-5676-8102
Evelien DuikerDepartment of Pathology and Medical Biology, University Medical Center Groningen, Groningen, The Netherlands.ORCID 0000-0002-9450-5282
Marius C van den HeuvelDepartment of Pathology and Medical Biology, University Medical Center Groningen, Groningen, The Netherlands.
Vincent E de MeijerDepartment of Surgery, Section of Hepatobiliary Surgery and Liver Transplantation, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.ORCID 0000-0002-7900-5917
Ruben H de KleineDepartment of Surgery, Section of Hepatobiliary Surgery and Liver Transplantation, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.ORCID 0000-0003-3975-3184
Jan J MolenaarPrincess Máxima Center for Pediatric Oncology, Heidelberglaan 25, Utrecht, the Netherlands.
Thanasis MargaritisPrincess Máxima Center for Pediatric Oncology, Heidelberglaan 25, Utrecht, the Netherlands.ORCID 0000-0003-4040-2015
Hendrik G StunnenbergPrincess Máxima Center for Pediatric Oncology, Heidelberglaan 25, Utrecht, the Netherlands.ORCID 0000-0002-0066-1576
Ronald R de KrijgerPrincess Máxima Center for Pediatric Oncology, Heidelberglaan 25, Utrecht, the Netherlands.
József ZsirosPrincess Máxima Center for Pediatric Oncology, Heidelberglaan 25, Utrecht, the Netherlands.
Hans CleversPrincess Máxima Center for Pediatric Oncology, Heidelberglaan 25, Utrecht, the Netherlands.ORCID 0000-0002-3077-5582
Weng Chuan PengPrincess Máxima Center for Pediatric Oncology, Heidelberglaan 25, Utrecht, the Netherlands. w.c.peng@prinsesmaximacentrum.nl.ORCID 0000-0001-5467-5458

Funding

Stichting Kinderen Kankervrij (KiKa) 425
6 · The paper itself

Abstract

Hepatoblastoma, the most prevalent pediatric liver cancer, almost always carries a WNT-activating CTNNB1 mutation, yet exhibits notable molecular heterogeneity. To characterize this heterogeneity and identify novel targeted therapies, we perform comprehensive analysis of hepatoblastomas and tumor-derived organoids using single-cell RNA-seq/ATAC-seq, spatial transcriptomics, and high-throughput drug profiling. We identify two distinct tumor epithelial signatures: hepatic 'fetal' and WNT-high 'embryonal', displaying divergent WNT signaling patterns. The fetal group is enriched for liver-specific WNT targets, while the embryonal group is enriched in canonical WNT target genes. Gene regulatory network analysis reveals enrichment of regulons related to hepatic functions such as bile acid, lipid and xenobiotic metabolism in the fetal subtype but not in the embryonal subtype. In addition, the dichotomous expression pattern of the transcription factors HNF4A and LEF1 allows for a clear distinction between the fetal and embryonal tumor cells. We also perform high-throughput drug screening using patient-derived tumor organoids and identify sensitivity to HDAC inhibitors. Intriguingly, embryonal and fetal tumor organoids are sensitive to FGFR and EGFR inhibitors, respectively, indicating a dependency on EGF/FGF signaling in hepatoblastoma tumorigenesis. In summary, our data uncover the molecular and drug sensitivity landscapes of hepatoblastoma and pave the way for the development of targeted therapies.

Indexed as

HepatoblastomaHepatocyte Nuclear Factor 4Liver NeoplasmsOrganoidsWnt Signaling PathwayAntineoplastic Agentsbeta CateninErbB ReceptorsGene Expression Regulation, NeoplasticGene Regulatory NetworksHumansLymphoid Enhancer-Binding Factor 1Single-Cell AnalysisAntineoplastic Agentsbeta CateninCTNNB1 protein, humanErbB ReceptorsHepatocyte Nuclear Factor 4HNF4A protein, humanLEF1 protein, humanLymphoid Enhancer-Binding Factor 1

Identifiers

PMID39567475
PMCPMC11579375

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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.