Evidence map›Paper›PMID 41219393›Full record

ReviewNature reviews. Clinical oncology2026

The biology and therapeutic implications of heterogeneity in Barrett oesophagus and oesophageal adenocarcinoma.

Dylan P McClurg, Sally Pan, Rebecca C Fitzgerald, Christopher M Jones

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Clinical oncology, 2026. 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. Predictors of early cancer burden inEClinicalMedicine · 2026
    Article
  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

4 authors.

Dylan P McClurgEarly Cancer Institute, University of Cambridge, Cambridge, UK.
Sally PanEarly Cancer Institute, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0002-1584-8026
Rebecca C FitzgeraldEarly Cancer Institute, University of Cambridge, Cambridge, UK. rcf29@cam.ac.uk.ORCID http://orcid.org/0000-0002-3434-3568
Christopher M JonesEarly Cancer Institute, University of Cambridge, Cambridge, UK. cj480@cam.ac.uk.ORCID http://orcid.org/0000-0002-4513-4964

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Oesophageal adenocarcinoma (OAC) and its precursor condition, Barrett oesophagus, are characterized by phenotypic and molecular intertumoural and intratumoural heterogeneity. This heterogeneity arises in space and time through a complex and still poorly understood interplay between cancer-cell-intrinsic factors, the tumour microenvironment and external influences, such as exposure to anticancer therapies. Together, these elements contribute to a high degree of resistance to therapy while limiting the development of novel targeted therapies and the identification of predictive biomarkers. This situation is exacerbated both in Barrett oesophagus and OAC by a historical clinical reliance on biopsy samples that reflect disease status only at a single location and timepoint. A better understanding of heterogeneity is therefore vital to improve efforts to intercept the development of and optimize treatments for OAC. In this Review, we provide an overview of current and future directions of research on the heterogeneity of Barrett oesophagus and OAC, summarizing our knowledge of the factors that influence heterogeneity, and its consequences across the spectrum of these diseases.

Indexed as

AdenocarcinomaBarrett EsophagusEsophageal NeoplasmsHumansTumor Microenvironment

Identifiers

PMID41219393

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.