Evidence map›Paper›PMID 40108436›Full record

ArticleNPJ precision oncology2025

Revealing neuroendocrine transformation in gynecological cancers through genomic analysis.

Ann Oluloro, David L Wells, Charles K Childers, Tiffany Luu, Keith D Eaton, Renata R Urban, Eric Q Konnick, Vera A Paulson, Kalyan Banda

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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

9 authors.

Ann OluloroDivision of Gynecological Oncology, University of Washington, Seattle, WA, USA.ORCID http://orcid.org/0000-0003-4944-7025
David L WellsDepartment of Laboratory Medicine and Pathology, University of Washington, Seattle, WA, USA.
Charles K ChildersDepartment of Laboratory Medicine and Pathology, University of Washington, Seattle, WA, USA.
Tiffany LuuDivision of Gynecological Oncology, University of Washington, Seattle, WA, USA.
Keith D EatonClinical Research Division, Fred Hutchison Cancer Center, Seattle, WA, USA.
Renata R UrbanDivision of Gynecological Oncology, University of Washington, Seattle, WA, USA.
Eric Q KonnickDepartment of Laboratory Medicine and Pathology, University of Washington, Seattle, WA, USA.ORCID http://orcid.org/0000-0001-5904-1788
Vera A PaulsonDepartment of Laboratory Medicine and Pathology, University of Washington, Seattle, WA, USA.
Kalyan BandaClinical Research Division, Fred Hutchison Cancer Center, Seattle, WA, USA. bkalyan@uw.edu.ORCID http://orcid.org/0000-0003-2581-6906

Funding

TRAINING IN CANCER BIOLOGY &TRANSPLANTATIONT32CA009515 · NCI · UNIVERSITY OF WASHINGTON · PI NANCY ELLEN DAVIDSON, Effie W Petersdorf · 1985 to 2026
$16.2M
NCI NIH HHS T32 CA009515
6 · The paper itself

Abstract

Neuroendocrine transformation (NT) in cancers, typically observed under the selective pressure of targeted therapies, involves lineage plasticity where adenocarcinomas adopt neuroendocrine characteristics while retaining the molecular alterations of their original histology. This phenomenon, well-documented in prostate and lung cancers, has not been observed in gynecological malignancies until now. We present two pivotal cases involving primary ovarian and uterine cancers that developed neuroendocrine carcinomas post-treatment. Initially presumed to be independent primaries, comprehensive next-generation sequencing technologies, including UW-OncoPlex and BROCA panels, were used to establish a clonal relationship between the primary tumors and their respective neuroendocrine metastases. This report provides the first documented instances of NT in gynecological cancers, indicating that it may be a more widespread resistance mechanism than previously recognized. Routine re-biopsy and early integration of advanced molecular diagnostics into clinical practice will identify NT and provide insights into pathogenesis and eventual therapeutic options.

Identifiers

PMID40108436
PMCPMC11923128

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.