Evidence map›Paper›PMID 41021636›Full record

ArticlePLoS pathogens2025

Variation in natural infection outcomes and cancer cell release from soft-shell clams (Mya arenaria) with bivalve transmissible neoplasia.

Rachael M Giersch, Jordana K Sevigny, Sydney A Weinandt, Carissa Mayo, Fiona E S Garrett, Karyn Tindbaek, Marisa A Yonemitsu, Samuel F M Hart, Michael J Metzger

Abstract read
In one paragraph

Article in PLoS pathogens, 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. Review
  2. Atlantic to Pacific: Outbreak of bivalve transmissible neoplasia detected in hybridizing soft-shell clams and eDNA in Puget Sound.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
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.

Rachael M GierschPacific Northwest Research Institute, Seattle, Washington, United States of America.
Jordana K SevignyPacific Northwest Research Institute, Seattle, Washington, United States of America.
Sydney A WeinandtPacific Northwest Research Institute, Seattle, Washington, United States of America.
Carissa MayoPacific Northwest Research Institute, Seattle, Washington, United States of America.
Fiona E S GarrettPacific Northwest Research Institute, Seattle, Washington, United States of America.
Karyn TindbaekPacific Northwest Research Institute, Seattle, Washington, United States of America.
Marisa A YonemitsuPacific Northwest Research Institute, Seattle, Washington, United States of America.
Samuel F M HartPacific Northwest Research Institute, Seattle, Washington, United States of America.
Michael J MetzgerPacific Northwest Research Institute, Seattle, Washington, United States of America.ORCID 0000-0001-7855-1388

Funding

INTERDISCIPLINARY TRAINING IN GENOMIC SCIENCEST32HG000035 · NHGRI · UNIVERSITY OF WASHINGTON · PI Bruce Colston Trapnell · 1995 to 2026
$24.2M
TRAINING IN MOLECULAR AND CELLULAR BIOLOGYT32GM007270 · NIGMS · UNIVERSITY OF WASHINGTON · PI RAIBLE, DAVID W · 1985 to 2020
$21.0M
Identifying host factors that block engraftment and progression of transmissible cancer as a model of AMLR01CA255712 · NCI · PACIFIC NORTHWEST RESEARCH INSTITUTE · PI Michael Jeffrey Metzger · 2022 to 2026
$2.0M
NCI NIH HHS R01 CA255712NHGRI NIH HHS T32 HG000035NIGMS NIH HHS T32 GM007270
6 · The paper itself

Abstract

Bivalve transmissible neoplasias (BTNs) are leukemia-like cancers found in at least 10 bivalve species, in which the cancer cells themselves transfer from one individual to another, spreading as an unusual form of infectious disease. Before the infectious etiology was known, there were reports of lethality and outbreaks of cancer in the soft-shell clam (Mya arenaria) on the east coast of North America. Using sensitive and specific qPCR assays, we followed the outcomes of BTN in naturally-infected soft-shell clams from Maine, USA. We observed variable outcomes, with about half of clams (9/21) progressing to high levels of cancer and death, about half exhibiting long-term non-progression (11/21), and a single animal showing regression of cancer. We also observe a significant decrease in survival in animals that progress to >10% cancer in their hemolymph, while we see no effect on survival in clams with BTN that are long-term non-progressors. As most bivalves do not physically contact each other, and BTN cells can survive in seawater, it has been proposed that BTN is spread through release of cancer cells into the water. We used qPCR to detect BTN-specific sequences in environmental DNA (eDNA) in the tanks of animals throughout this experiment. We show that BTN-specific eDNA (likely from released cancer cells) can be detected in tank water of most clams with >24% cancer in their hemolymph, but not below this level. This detection of BTN eDNA is variable and occurs in bursts, but in clams with >24% cancer, the detection of BTN eDNA correlates with progression of the cancer in the hemolymph. This study demonstrates the lethality of BTN, but the observation that about half of clams with BTN do not progress to death provides evidence suggesting that there may be a block to the progression of BTN in a large portion of clams in a population with this enzootic disease. This study also further supports the hypothesis that BTN cells transmit through seawater and provides insights into the mechanisms of the transmission dynamics.

Indexed as

BivalviaMyaNeoplasmsAnimalsHemolymph

Identifiers

PMID41021636
PMCPMC12503300

What OpenQuestion holds

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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.