Evidence map›Paper›PMID 40000871›Full record

ArticleNPJ precision oncology2025

A spatial transcriptomic signature of 26 genes resolved at single-cell resolution characterizes high-risk gastric cancer precursors.

Robert J Huang, Ignacio A Wichmann, Andrew Su, Anuja Sathe, Miranda V Shum, Susan M Grimes, Rithika Meka, Alison Almeda, Xiangqi Bai, Jeanne Shen and 6 more

Abstract read
In one paragraph

Article in NPJ precision oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Normal gastric tissueEpigenetics reports · 2025
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

Robert J Huang *Division of Gastroenterology, Department of Medicine, Stanford School of Medicine, Stanford, CA, 94305, USA.
Ignacio A Wichmann *Division of Oncology, Department of Medicine, Stanford School of Medicine, Stanford, CA, 94305, USA.ORCID http://orcid.org/0000-0002-1115-2937
Andrew SuInstitute for Molecular Bioscience, The University of Queensland, Brisbane, QLD, 4072, Australia.
Anuja SatheDivision of Oncology, Department of Medicine, Stanford School of Medicine, Stanford, CA, 94305, USA.
Miranda V ShumDivision of Gastroenterology, Department of Medicine, Stanford School of Medicine, Stanford, CA, 94305, USA.
Susan M GrimesDivision of Oncology, Department of Medicine, Stanford School of Medicine, Stanford, CA, 94305, USA.
Rithika MekaDivision of Oncology, Department of Medicine, Stanford School of Medicine, Stanford, CA, 94305, USA.
Alison AlmedaDivision of Oncology, Department of Medicine, Stanford School of Medicine, Stanford, CA, 94305, USA.
Xiangqi BaiDivision of Oncology, Department of Medicine, Stanford School of Medicine, Stanford, CA, 94305, USA.
Jeanne ShenDepartment of Pathology, Stanford School of Medicine, Stanford, CA, 94305, USA.
Quan NguyenInstitute for Molecular Bioscience, The University of Queensland, Brisbane, QLD, 4072, Australia.ORCID http://orcid.org/0000-0001-7870-5703
Ingrid LuoQuantitative Sciences Unit, Department of Medicine, Stanford School of Medicine, Stanford, CA, 94305, USA.
Summer S HanQuantitative Sciences Unit, Department of Medicine, Stanford School of Medicine, Stanford, CA, 94305, USA.
Manuel R AmievaDepartment of Microbiology and Immunology, Stanford University, Stanford, CA, 94305, USA.
Joo Ha HwangDivision of Gastroenterology, Department of Medicine, Stanford School of Medicine, Stanford, CA, 94305, USA. jooha@stanford.edu.
Hanlee P JiDivision of Oncology, Department of Medicine, Stanford School of Medicine, Stanford, CA, 94305, USA. genomics_ji@stanford.edu.

Funding

Translational Oncology Research Program (Project-005)P30CA124435 · NCI · STANFORD UNIVERSITY · PI MICHAEL KENNEY · 2007 to 2026
$71.4M
Project 3: Molecular Risk Stratification of Gastric Precancerous LesionsP01CA265772 · NCI · STANFORD UNIVERSITY · PI Summer S Han · 2023 to 2026
$9.0M
Statistical Models for Genome Sequencing and AssociationR01HG006137 · NHGRI · UNIVERSITY OF PENNSYLVANIA · PI JI, HANLEE P, ZHANG, NANCY R · 2011 to 2022
$4.3M
Integrating cancer genomics and spatial architecture of tumor infiltrating lymphocytesR01CA280089 · NCI · STANFORD UNIVERSITY · PI Hanlee P Ji · 2023 to 2026
$1.9M
PRECISE - a PErsonalized Risk Score for gastrIc CancErK08CA252635 · NCI · STANFORD UNIVERSITY · PI HUANG, ROBERT JEFFREY · 2021 to 2025
$941k
NCI NIH HHS K08 CA252635NCI NIH HHS P01 CA265772NCI NIH HHS P30 CA124435NCI NIH HHS R01 CA280089NHGRI NIH HHS R01 HG006137U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) K08CA252635U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) P01CA26577U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) R01HG006137
6 · The paper itself

Abstract

Gastric cancer precursors demonstrate highly-variable rates of progression toward neoplasia. Certain high-risk precursors, such as gastric intestinal metaplasia with advanced histologic features, may be at up to 30-fold increased risk for progression compared to lower-risk intestinal metaplasia. The biological differences between high- and low-risk lesions have been incompletely explored. In this study, we use several clinical cohorts to characterize the microenvironment of advanced gastric cancer precursors relative to low-risk lesions using bulk, spatial, and single-cell gene expression assays. We identified a 26-gene panel which is associated with advanced lesions, localizes to metaplastic glands on histopathology, and is expressed in aberrant mature and immature intestinal cells not normally present in the healthy stomach. This gene expression signature suggests an important role of the immature intestinal lineages in promoting carcinogenesis in the metaplastic microenvironment. These findings may help to inform future biomarker development and strategies of gastric cancer prevention.

Identifiers

PMID40000871
PMCPMC11861308

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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.