Evidence map›Paper›PMID 40157958›Full record

ArticleScientific reports2025

Whole exome sequencing of multi-regions reveals tumor heterogeneity in Opisthorchis viverrini-associated cholangiocarcinoma.

Sirinya Sitthirak, Arporn Wangwiwatsin, Apinya Jusakul, Nisana Namwat, Poramate Klanrit, Hasaya Dokduang, Prakasit Sa-Ngiamwibool, Attapol Titapun, Apiwat Jareanrat, Vasin Thanasukarn and 5 more

Abstract read
In one paragraph

Article in Scientific reports, 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
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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

15 authors.

Sirinya SitthirakDepartment of Systems Biosciences and Computational Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand.
Arporn WangwiwatsinDepartment of Systems Biosciences and Computational Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand.
Apinya JusakulCholangiocarcinoma Research Institute, Khon Kaen University, Khon Kaen, 40002, Thailand.
Nisana NamwatDepartment of Systems Biosciences and Computational Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand.
Poramate KlanritDepartment of Systems Biosciences and Computational Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand.
Hasaya DokduangCholangiocarcinoma Research Institute, Khon Kaen University, Khon Kaen, 40002, Thailand.
Prakasit Sa-NgiamwiboolDepartment of Pathology, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand.
Attapol TitapunDepartment of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand.
Apiwat JareanratDepartment of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand.
Vasin ThanasukarnDepartment of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand.
Natcha KhuntikeoDepartment of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand.
Bin Tean TehNational Cancer Centre Singapore, Duke-NUS Medical School, Singapore, 169857, Singapore.
Luke BoulterMRC Human Genetics Unit, Institute of Genetics and Cancer, The University of Edinburgh, Western General Hospital, Crewe Road South, Edinburgh, EH4 2XU, Scotland, UK.
Yoshinori MurakamiDepartment of Molecular Biology, Institute for Advanced Medical Sciences, Nippon Medical School, Tokyo, Japan.
Watcharin LoilomeDepartment of Systems Biosciences and Computational Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand. watclo@kku.ac.th.

Funding

Cholangiocarcinoma Research Institute, Khon Kaen University CARI01/2565Invitation Research Grant, Faculty of Medicine, Khon Kaen University IN67067
6 · The paper itself

Abstract

The study examines Opisthorchis viverrini (OV)-related cholangiocarcinoma (CCA), a serious malignancy common in Southeast Asia. Through multi-regional whole-exome sequencing of 52 tumor samples and 13 adjacent tissues from 13 patients, significant intratumoral heterogeneity (ITH) and inter-patient heterogeneity are shown. Chronic liver fluke infection induces a distinct mutational landscape, with 48-90% of mutations concentrated in each region of the tumor. The average mutation burden is 95 non-synonymous mutations per area, exceeding previous CCA investigations. Critical driver mutations in TP53, SMAD4, and other genes underscore their significance in pathogenesis. Mutational markers elucidate mechanisms including spontaneous deamination and impaired DNA repair. Unique mutation patterns distinguish OV-associated CCA from other variants. Chromosomal instability in patient K110 signifies aggressive tumor behavior and unfavorable prognosis. Targetable mutations such as ERBB2 underscore the possibility for personalized therapeutics. These findings underscore the necessity for personalized strategies for treatment that target both trunk and branch mutations in endemic areas.

Indexed as

Bile Duct NeoplasmsCholangiocarcinomaExome SequencingOpisthorchiasisOpisthorchisAdultAnimalsFemaleGenetic HeterogeneityHumansMaleMiddle AgedMutationCholangiocarcinomaClonal evolutionMulti-region sequencingPhylogenetic treeTumor heterogeneity

Identifiers

PMID40157958
PMCPMC11954897

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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.