Evidence map›Paper›PMID 40149421›Full record

ReviewGenes2025

Molecular Abnormalities and Carcinogenesis in Barrett's Esophagus: Implications for Cancer Treatment and Prevention.

Thaís Cabral de Melo Viana, Eric Toshiyuki Nakamura, Amanda Park, Kaique Flávio Xavier Cardoso Filardi, Rodrigo Moisés de Almeida Leite, Luiz Fernando Sposito Ribeiro Baltazar, Pedro Luiz Serrano Usón Junior, Francisco Tustumi

Abstract readReview
In one paragraph

Review in Genes, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Review
  5. Article
  6. 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

8 authors.

Thaís Cabral de Melo VianaDepartment of Gastroenterology, Universidade de Sao Paulo, Sao Paulo 05508-220, Brazil.
Eric Toshiyuki NakamuraDepartment of Gastroenterology, Universidade de Sao Paulo, Sao Paulo 05508-220, Brazil.
Amanda ParkDepartment of Evidenced-Based Medicine, Centro Universitário Lusíada, Santos 11050-071, Brazil.
Kaique Flávio Xavier Cardoso FilardiDepartment of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA.ORCID 0000-0002-4666-502X
Rodrigo Moisés de Almeida LeiteDepartment of Health Sciences, Hospital Israelita Albert Einstein, Sao Paulo 05652-900, Brazil.ORCID 0000-0002-5998-7925
Luiz Fernando Sposito Ribeiro BaltazarDepartment of Health Sciences, Hospital Israelita Albert Einstein, Sao Paulo 05652-900, Brazil.
Pedro Luiz Serrano Usón JuniorDepartment of Health Sciences, Hospital Israelita Albert Einstein, Sao Paulo 05652-900, Brazil.
Francisco TustumiDepartment of Gastroenterology, Universidade de Sao Paulo, Sao Paulo 05508-220, Brazil.ORCID 0000-0001-6695-0496

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBarrett's esophagus (BE) is described by the transformation of the normal squamous epithelium into metaplastic columnar epithelium, driven by chronic gastroesophageal reflux disease (GERD). BE is a recognized premalignant condition and the main precursor to esophageal adenocarcinoma (EAC). Understanding the molecular mechanisms underlying BE carcinogenesis is crucial for improving prevention, surveillance, and treatment strategies.

methodsThis narrative review examines the molecular abnormalities associated with the progression of BE to EAC.

resultsThis study highlights inflammatory, genetic, epigenetic, and chromosomal alterations, emphasizing key pathways and biomarkers. BE progression follows a multistep process involving dysplasia and genetic alterations such as TP53 and CDKN2A (p16) mutations, chromosomal instability, and dysregulation of pathways like PI3K/AKT/mTOR. Epigenetic alterations, including aberrant microRNA expression or DNA methylation, further contribute to this progression. These molecular changes are stage-specific, with some alterations occurring early in BE during the transition to high-grade dysplasia or EAC. Innovations in chemoprevention, such as combining proton pump inhibitors and aspirin, and the potential of antireflux surgery to halt disease progression are promising. Incorporating molecular biomarkers into surveillance strategies and advancing precision medicine may enable earlier detection and personalized treatments.

conclusionsBE is the primary preneoplastic condition for EAC. A deeper understanding of its molecular transformation can enhance surveillance protocols, optimize the management of gastroesophageal reflux inflammation, and refine prevention and therapeutic strategies, ultimately contributing to a reduction in the global burden of EAC.

Indexed as

AdenocarcinomaBarrett EsophagusCarcinogenesisEsophageal NeoplasmsEpigenesis, GeneticGastroesophageal RefluxHumansBarrett’s esophaguscarcinogenesisgastroesophageal reflux

Identifiers

PMID40149421
PMCPMC11942460

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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.