Evidence map›Paper›PMID 39779996›Full record

ArticleCommunications medicine2025

Gene signatures derived from transcriptomic-causal networks stratify colorectal cancer patients for effective targeted therapy.

Akram Yazdani, Heinz-Josef Lenz, Gianluigi Pillonetto, Raul Mendez-Giraldez, Azam Yazdani, Hanna Sanoff, Reza Hadi, Esmat Samiei, Alan P Venook, Mark J Ratain and 13 more

Abstract read
In one paragraph

Article in Communications medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

23 authors.

Akram YazdaniEshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. akramyazdani16@gmail.com.ORCID http://orcid.org/0000-0003-4783-518X
Heinz-Josef LenzUSC Norris Comprehensive Cancer Center, Los Angeles, CA, USA.
Gianluigi PillonettoDepartment of Information Engineering, University of Padova, Padova, Italy.
Raul Mendez-GiraldezBiostatistics and Computational Biology Branch, National Institute of Environmental Health Sciences, Durham, NC, USA.
Azam YazdaniCenter of Perioperative Genetics and Genomics, Perioperative and Pain Medicine, Brigham & Women's Hospital, Harvard Medical School, Boston, MA, USA.
Hanna SanoffDivision of Oncology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Reza HadiSchool of Mathematics, University of Science and Technology of Iran, Tehran, Iran.
Esmat SamieiGamelectronic, Tehran, Iran.
Alan P VenookUniversity of California at San Francisco, San Francisco, CA, USA.
Mark J RatainDivision of the Biological Sciences, University of Chicago, Chicago, IL, USA.
Naim RashidDepartment of Biostatistics, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, US.
Benjamin G VincentDepartment of Microbiology and Immunology, University of North Carolina at Chapel Hill, Chapel Hill, USA.ORCID http://orcid.org/0000-0002-1762-2282
Xueping QuGenentech, South San Francisco, San Francisco, CA, USA.ORCID http://orcid.org/0000-0002-4295-086X
Yujia WenAlliance for Clinical Trials in Oncology, Chicago, IL, USA.
Michael KosorokDepartment of Biostatistics, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, US.ORCID http://orcid.org/0000-0002-6070-9738
William F SymmansDepartment of Pathology, University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID http://orcid.org/0000-0002-1526-184X
John Paul Y C ShenDepartments of Gastrointestinal Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID http://orcid.org/0000-0003-4588-2775
Michael S LeeDepartments of Gastrointestinal Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Scott KopetzDepartments of Gastrointestinal Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID http://orcid.org/0000-0001-9647-3416
Andrew B NixonDuke Center for Cancer Immunotherapy, Duke University, Durham, NC, USA.
Monica M BertagnolliDana-Farber/ Partners Cancer Care, Harvard Medical School, Boston, MA, USA.
Charles M PerouLineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.ORCID http://orcid.org/0000-0001-9827-2247
Federico InnocentiEshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

Funding

Member Site CoreU10CA180821 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI Evanthia Galanis · 2014 to 2026
$177.3M
Statistics CoreU10CA180882 · NCI · MAYO CLINIC ROCHESTER · PI Sumithra Jay Mandrekar · 2014 to 2026
$115.0M
UNC-CH CENTER FOR ENVIRONMENTAL HEALTH &SUSCEPTIBILITYP30ES010126 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Stephanie Engel · 2001 to 2026
$36.3M
THE ALLIANCE NCTN BIOREPOSITORY AND BIOSPECIMEN RESOURCEU24CA196171 · NCI · WASHINGTON UNIVERSITY · PI Mine Cicek, Wendy Frankel · 2015 to 2026
$35.0M
NCI NIH HHS U10 CA180821NCI NIH HHS U10 CA180882NCI NIH HHS U24 CA196171NIEHS NIH HHS P30 ES010126U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) U10CA180821U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) U10CA180882U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) U24CA196171
6 · The paper itself

Abstract

backgroundGene signatures derived from transcriptomic-causal networks offer potential for tailoring clinical care in cancer treatment by identifying predictive and prognostic biomarkers. This study aimed to uncover such signatures in metastatic colorectal cancer (CRC) patients to aid treatment decisions.

methodsWe constructed transcriptomic-causal networks and integrated gene interconnectivity into overall survival (OS) analysis to control for confounding genes. This integrative approach involved germline genotype and tumor RNA-seq data from 1165 metastatic CRC patients. The patients were enrolled in a randomized clinical trial receiving either cetuximab or bevacizumab in combination with chemotherapy. An external cohort of paired CRC normal and tumor samples, along with protein-protein interaction databases, was used for replication.

resultsWe identify promising predictive and prognostic gene signatures from pre-treatment gene expression profiles. Our study discerns sets of genes, each forming a signature that collectively contribute to define patient subgroups with different prognosis and response to the therapies. Using an external cohort, we show that the genes influencing OS within the signatures, such as FANCI and PRC1, are upregulated in CRC tumor vs. normal tissue. These signatures are highly associated with immune features, including macrophages, cytotoxicity, and wound healing. Furthermore, the corresponding proteins encoded by the genes within the signatures interact with each other and are functionally related.

conclusionsThis study underscores the utility of gene signatures derived from transcriptomic-causal networks in patient stratification for effective therapies. The interpretability of the findings, supported by replication, highlights the potential of these signatures to identify patients likely to benefit from cetuximab or bevacizumab.

Identifiers

PMID39779996
PMCPMC11711454

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.