Evidence map›Paper›PMID 40676191›Full record

ArticleNPJ precision oncology2025

Multi-omic characterization of early-onset esophagogastric cancer.

Lawrence W Wu, Sachin Kumar Deshmukh, Sharon Wu, Joanne Xiu, Sung Joo Jang, Jimyung Park, Vincent K Lam, Emil Lou, Sanjay Goel, Rachna T Shroff and 1 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 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. Review
  2. Article
  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

11 authors.

Lawrence W WuDivision of Hematology/Oncology, Columbia University Irving Medical Center, New York, NY, USA.
Sachin Kumar DeshmukhCaris Life Sciences, Phoenix, AZ, USA.
Sharon WuCaris Life Sciences, Phoenix, AZ, USA.
Joanne XiuCaris Life Sciences, Phoenix, AZ, USA.
Sung Joo JangDivision of Surgical Sciences, Columbia University Irving Medical Center, New York, NY, USA.
Jimyung ParkDivision of Hematology/Oncology, Columbia University Irving Medical Center, New York, NY, USA.
Vincent K LamJohns Hopkins Sidney Kimmel Comprehensive Cancer Center, Baltimore, MD, USA.
Emil LouDivision of Hematology, Oncology and Transplantation, University of Minnesota, Minneapolis, MN, USA.
Sanjay GoelRutgers Cancer Institute of New Jersey, New Brunswick, NJ, USA.
Rachna T ShroffDivision of Hematology and Oncology, University of Arizona Cancer Center, Tucson, AZ, USA.
Ryan H MoyDivision of Hematology/Oncology, Columbia University Irving Medical Center, New York, NY, USA. rhm2147@cumc.columbia.edu.

Funding

Tumor Biology and Microenvironment ProgramP30CA013696 · NCI · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI Anil K Rustgi · 1985 to 2026
$115.3M
Molecular Oncology Training ProgramT32CA203703 · NCI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Katherine D Crew, DAWN HERSHMAN · 2016 to 2026
$4.1M
Defining the mechanism of inositol 1,4,5-triphosphate receptor-mediated metastatic liver colonization in colorectal cancerK08CA263304 · NCI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MOY, RYAN · 2021 to 2025
$1.4M
American Association for Cancer Research 23-80-41-MOYCongressionally Directed Medical Research Programs HT9425-24-1-0419NCI NIH HHS 5T32CA203703NCI NIH HHS K08 CA263304NCI NIH HHS K08CA263304NCI NIH HHS P30 CA013696NCI NIH HHS T32 CA203703
6 · The paper itself

Abstract

Using a large real-world database with matched genomic and transcriptomic data, we characterized clinical and molecular differences between patients with early-onset esophagogastric cancer (EOEGC; <50 years), intermediate-onset esophagogastric cancer (IOEGC; 50-65 years), and average-onset esophagogastric cancer (AOEGC; >65 years). We analyzed clinicopathologic, whole transcriptome, and DNA-sequencing data from 5175 patient samples (EOEGC, n = 530; IOEGC, n = 1744; AOEGC, n = 2901) from the Caris Life Sciences database. Immune deconvolution was performed with quanTIseq and pathway enrichment with Gene Set Enrichment Analysis (GSEA). Real-world overall survival was estimated from insurance claims data. Prevalence of EOEGC was higher in patients who were Black, Asian, Hispanic/Latino, and female. Patients with EOEGC had higher proportion of CDH1 mutations; FGFR2, CCNE1, MYC copy number alterations; and ARHGAP26 fusions. Patients with EOEGC had decreased prevalence of immune-oncology markers of microsatellite instability-high, tumor mutation burden-high, and PD-L1 positivity. Immune microenvironment analysis identified significant enrichment of M2 macrophages and decreased M1 macrophages in patients with EOEGC. GSEA identified enrichment of epithelial mesenchymal transition and coagulation pathways in patients with EOEGC. This large real-world characterization of age-stratified esophagogastric cancer found that EOEGC was associated with significant racial, ethnic, and gender differences, and notable molecular differences that may have prognostic and therapeutic implications.

Identifiers

PMID40676191
PMCPMC12271507

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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.