Evidence map›Paper›PMID 40239399›Full record

ArticleEuropean journal of cancer (Oxford, England : 1990)2025

Pathogenomic fingerprinting to identify associations between tumor morphology and epigenetic states.

Shayan Monabbati, Germán Corredor, Tilak Pathak, Craig Peacock, Kailin Yang, Shlomo Koyfman, Peter Scacheri, James Lewis, Anant Madabhushi, Satish E Viswanath and 1 more

Abstract read
In one paragraph

Article in European journal of cancer (Oxford, England : 1990), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. AI-assisted multimodal data integration for precision oncology.Frontiers in artificial intelligence · 2026
    Review
  2. 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

11 authors.

Shayan MonabbatiDept. of Genetics and Genome Sciences, Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Germán CorredorDept. of Biomedical Engineering, Emory University School of Medicine, Atlanta, GA, USA; Mayo Clinic, AZ, USA.
Tilak PathakDept. of Biomedical Engineering, Emory University School of Medicine, Atlanta, GA, USA.
Craig PeacockDept. of Genetics and Genome Sciences, Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Kailin YangDept. of Radiation Oncology, Holden Comprehensive Cancer Center, University of Iowa, Iowa City, IA, USA.
Shlomo KoyfmanDept. of Radiation Oncology, Cleveland Clinic, Cleveland, OH, USA.
Peter ScacheriDept. of Genetics and Genome Sciences, Case Western Reserve University School of Medicine, Cleveland, OH, USA.
James LewisMayo Clinic, AZ, USA.
Anant MadabhushiDept. of Biomedical Engineering, Emory University School of Medicine, Atlanta, GA, USA; Atlanta VA Medical Center, Atlanta, GA, USA. Electronic address: anantm@emory.edu.
Satish E ViswanathDept. of Biomedical Engineering, Case Western Reserve University, Cleveland, OH, USA; Cleveland VA Medical Center, Cleveland, OH, USA.
Berkley GryderDept. of Genetics and Genome Sciences, Case Western Reserve University School of Medicine, Cleveland, OH, USA. Electronic address: berkley.gryder@case.edu.

Funding

Computer-Assisted Histologic Evaluation of Cardiac Allograft RejectionR01HL151277 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI MADABHUSHI, ANANT, MARGULIES, KENNETH BER · 2020 to 2023
$3.2M
Oral Cavity Quantitative Histomorphometric Risk Classifier (OHbIC) in Oral Cavity Squamous Cell Carcinoma (OC-SCC)R01CA249992 · NCI · EMORY UNIVERSITY · PI LEWIS, JAMES, MADABHUSHI, ANANT · 2021 to 2025
$3.2M
Prostate cancer risk stratification via computational 3D pathologyR01CA268207 · NCI · UNIVERSITY OF WASHINGTON · PI Jonathan T.C. Liu, Anant Madabhushi · 2022 to 2026
$3.1M
Quantitative Histomorphometric Risk Classifier (QuHbIC) in HPV + Oropharyngeal CarcinomaR01CA220581 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI KOYFMAN, SHLOMO, LEWIS, JAMES · 2018 to 2023
$3.1M
Computerized Histologic Risk Predictor (CHiRP) for Early Stage Lung CancersR01CA216579 · NCI · EMORY UNIVERSITY · PI FU, PINGFU, LLOYD, MARK · 2018 to 2023
$3.1M
Prognostic and Predictive Digital Tissue Image Assay for Prostate CancerR01CA268287 · NCI · EMORY UNIVERSITY · PI GUPTA, SHILPA, LAL, PRITI · 2022 to 2025
$3.0M
RADIOMIC APPROACHES TO IMPROVE TARGETING FOR ATRIAL FIBRILLATION CATHETER ABLATIONR01HL158071 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI BARNARD, JOHN, CHUNG, MINA KAY · 2021 to 2024
$2.9M
Novel Radiomics for Predicting Response to Immunotherapy for Lung CancerR01CA257612 · NCI · EMORY UNIVERSITY · PI Anant Madabhushi, Vamsidhar Velcheti · 2021 to 2026
$2.7M
An AI-enabled Digital Pathology Platform for Multi-Cancer Diagnosis, Prognosis and Prediction of Therapeutic BenefitU01CA269181 · NCI · EMORY UNIVERSITY · PI Anant Madabhushi, tanuja shet · 2022 to 2026
$2.5M
Novel radiomic signatures for treatment response to neoadjuvant therapy in rectal cancersR01CA280981 · NCI · EMORY UNIVERSITY · PI ANDREI SARAIVA PURYSKO, Emily Steinhagen · 2024 to 2026
$1.7M
BLRD VA I01 BX004121BLRD VA I01 BX006439BLRD VA IK6 BX006185CSRD VA I01 CX002622CSRD VA I01 CX002776NCI NIH HHS R01 CA216579NCI NIH HHS R01 CA220581NCI NIH HHS R01 CA249992NCI NIH HHS R01 CA257612NCI NIH HHS R01 CA268207NCI NIH HHS R01 CA268287NCI NIH HHS R01 CA280981NCI NIH HHS U01 CA269181NHLBI NIH HHS R01 HL151277NHLBI NIH HHS R01 HL158071
6 · The paper itself

Abstract

introductionMeasuring the chromatin state of a tumor provides a powerful map of its epigenetic commitments; however, as these are generally bulk measurements, it has not yet been possible to connect changes in chromatin accessibility to the pathological signatures of complex tumors. In parallel, recent advances in computational pathology have enabled the identification of spatial features and immune cells within oral cavity tumors and their microenvironment.

methodsHere, we present pathogenomic fingerprinting (PaGeFin), a novel method that integrates morphological tumor features with chromatin states using ATAC-seq. This framework links spatial morphologic and epigenetic features, offering insights into tumor progression and immune evasion within and across tumors. Morphologic features describing spatial relationships between tumor and lymphocyte cells that are prognostic of oral cavity squamous cell carcinoma (OSCC) were identified through AI-driven pathology analysis. These pathomic features were spatially colocalized within the epigenome of 4 distinct sections of 4 OSCC tumors.

resultsThese key features pinpointed chromatin regions responsible for critical immune cell function through peak locations and enrichment analysis, highlighting loci of CD27+ memory B cells, helper CD4+ T cells, and cytotoxic CD8 naïve T cells that likely drive morphologic changes in the distribution of lymphocytes in the tumor microenvironment and promote aggressive tumor behavior. Gene Ontology analysis revealed that the CTLA4, CD79A, CD3D, and CCR7 genes were embedded in these regions.

conclusionThis computational approach is the first to assess the correlation between pathomic and epigenetic features in the context of cancer.

Indexed as

Biomarkers, TumorCarcinoma, Squamous CellEpigenesis, GeneticMouth NeoplasmsSquamous Cell Carcinoma of Head and NeckChromatinEpigenomicsHumansLymphocytes, Tumor-InfiltratingTumor MicroenvironmentBiomarkers, TumorChromatinChromatin accessibilityComputer visionEpigenetic dataMachine learningOntology analysisOral cavity squamous cell carcinomaOverall survivalTumor heterogeneityTumor morphology

Identifiers

PMID40239399
PMCPMC12042128

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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.