Evidence map›Paper›PMID 39753721›Full record

ArticleNature cancer2025

Context-dependent effects of CDKN2A and other 9p21 gene losses during the evolution of esophageal cancer.

Piyali Ganguli, Celia C Basanta, Amelia Acha-Sagredo, Hrvoje Misetic, Maria Armero, Akram Mendez, Aeman Zahra, Ginny Devonshire, Gavin Kelly, Adam Freeman and 9 more

Abstract read
In one paragraph

Article in Nature cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

17 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Esophageal cancer: from pathogenesis to precision therapies.Signal transduction and targeted therapy · 2026
    Review
  5. Review
  6. Current Concepts for Diagnosing Non-Dysplastic and Dysplastic Barrett's Esophagus.Gastrointestinal endoscopy clinics of North America · 2026
    Review
  7. Review
  8. Epigenomic landscape of nasopharyngeal carcinoma.Medical oncology (Northwood, London, England) · 2025
    Review
  9. Review
  10. Article
  11. Interferon Epsilon Loss Is Elusive 9p21 Link to Immune-Cold Tumors, Resistant to Immune Checkpoint Therapy, and Endogenous CXCL9/10 Induction.Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer · 2025
    Review
  12. The Potential Role ofMicroorganisms · 2025
    Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. 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

19 authors.

Piyali GanguliCancer Systems Biology Laboratory, The Francis Crick Institute, London, UK.
Celia C Basanta *Cancer Systems Biology Laboratory, The Francis Crick Institute, London, UK.
Amelia Acha-Sagredo *Cancer Systems Biology Laboratory, The Francis Crick Institute, London, UK.ORCID 0000-0001-8265-8604
Hrvoje Misetic *Cancer Systems Biology Laboratory, The Francis Crick Institute, London, UK.
Maria ArmeroCancer Systems Biology Laboratory, The Francis Crick Institute, London, UK.
Akram MendezCancer Systems Biology Laboratory, The Francis Crick Institute, London, UK.
Aeman ZahraCancer Systems Biology Laboratory, The Francis Crick Institute, London, UK.
Ginny DevonshireEarly Cancer Institute, Hutchison Research Centre, University of Cambridge, Cambridge, UK.ORCID 0000-0002-1408-8176
Gavin KellyBioinformatics & Biostatistics STP, The Francis Crick Institute, London, UK.ORCID 0000-0001-7219-560X
Adam FreemanEarly Cancer Institute, Hutchison Research Centre, University of Cambridge, Cambridge, UK.ORCID 0000-0002-8376-7498
Mary GreenExperimental Histopathology STP, The Francis Crick Institute, London, UK.
Emma NyeExperimental Histopathology STP, The Francis Crick Institute, London, UK.
Anita BichisecchiEpithelial Stem Cell Biology & Regenerative Medicine Laboratory, The Francis Crick Institute, London, UK.
Paola BonfantiEpithelial Stem Cell Biology & Regenerative Medicine Laboratory, The Francis Crick Institute, London, UK.ORCID 0000-0001-9655-3766
Oesophageal Cancer Clinical and Molecular Stratification (OCCAMS) Consortium
Manuel Rodriguez-JustoDepartment of Pathology, UCL Cancer Institute, London, UK.ORCID 0000-0001-5007-1761
Jo SpencerSchool of Immunology and Microbial Sciences, King's College London, London, UK.
Rebecca C FitzgeraldEarly Cancer Institute, Hutchison Research Centre, University of Cambridge, Cambridge, UK.ORCID 0000-0002-3434-3568
Francesca D CiccarelliCancer Systems Biology Laboratory, The Francis Crick Institute, London, UK. f.ciccarelli@qmul.ac.uk.ORCID 0000-0002-9325-0900

Funding

Cancer Research UK (CRUK) C43634/A25487Cancer Research UK (CRUK) C7893/A26233Cancer Research UK (CRUK) EDDPJT-Nov21\100010Wellcome Trust FC001002
6 · The paper itself

Abstract

CDKN2A is a tumor suppressor located in chromosome 9p21 and frequently lost in Barrett's esophagus (BE) and esophageal adenocarcinoma (EAC). How CDKN2A and other 9p21 gene co-deletions affect EAC evolution remains understudied. We explored the effects of 9p21 loss in EACs and cancer progressor and non-progressor BEs with matched genomic, transcriptomic and clinical data. Despite its cancer driver role, CDKN2A loss in BE prevents EAC initiation by counterselecting subsequent TP53 alterations. 9p21 gene co-deletions predict poor patient survival in EAC but not BE through context-dependent effects on cell cycle, oxidative phosphorylation and interferon response. Immune quantifications using bulk transcriptome, RNAscope and high-dimensional tissue imaging showed that IFNE loss reduces immune infiltration in BE, but not EAC. Mechanistically, CDKN2A loss suppresses the maintenance of squamous epithelium, contributing to a more aggressive phenotype. Our study demonstrates context-dependent roles of cancer genes during disease evolution, with consequences for cancer detection and patient management.

Indexed as

AdenocarcinomaBarrett EsophagusChromosomes, Human, Pair 9Cyclin-Dependent Kinase Inhibitor p16Esophageal NeoplasmsFemaleGene DeletionGene Expression Regulation, NeoplasticHumansMaleTumor Suppressor Protein p53CDKN2A protein, humanCyclin-Dependent Kinase Inhibitor p16Tumor Suppressor Protein p53

Identifiers

PMID39753721
PMCPMC11779637

What OpenQuestion holds

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Registered trials

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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.