Evidence map›Paper›PMID 41360789›Full record

ArticleNature communications2025

Clonal cell states link gastroesophageal junction tissues with metaplasia and cancer.

Rodrigo A Gier, Sydney A Bracht, Jiazhen Rong, Raúl A Reyes Hueros, Madison L Wahlsten, Christopher Cote, Maureen DeMarshall, Tatiana A Karakasheva, Alexandra Strauss Starling, Amanda B Muir and 3 more

Abstract read
In one paragraph

Article in Nature communications, 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. Article
  2. Article
  3. 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

13 authors.

Rodrigo A GierDepartment of Bioengineering, School of Engineering and Applied Science, University of Pennsylvania, Philadelphia, PA, USA.
Sydney A BrachtDepartment of Bioengineering, School of Engineering and Applied Science, University of Pennsylvania, Philadelphia, PA, USA.
Jiazhen RongGraduate Group in Genomics and Computational Biology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-7884-5973
Raúl A Reyes HuerosDepartment of Biochemistry and Molecular Biophysics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Madison L WahlstenDepartment of Bioengineering, School of Engineering and Applied Science, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-3435-9260
Christopher CoteDepartment of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Maureen DeMarshallDivision of Gastroenterology, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Tatiana A KarakashevaGastrointestinal Epithelium Modeling Program, Division of Gastroenterology, Hepatology and Nutrition, Children's Hospital of Philadelphia, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0001-9070-2804
Alexandra Strauss StarlingDivision of Gastroenterology, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Amanda B MuirGastrointestinal Epithelium Modeling Program, Division of Gastroenterology, Hepatology and Nutrition, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Gary W FalkDivision of Gastroenterology, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Nancy R ZhangDepartment of Statistics, The Wharton School, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-0880-5749
Sydney M ShafferDepartment of Bioengineering, School of Engineering and Applied Science, University of Pennsylvania, Philadelphia, PA, USA. sydshaffer@gmail.com.ORCID http://orcid.org/0000-0003-3539-9886

Funding

Phenotypic Diversity in COVID-19UL1TR001878 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2016 to 2025
$102.4M
TRANSGENIC AND CHIMERIC MOUSE COREP30DK050306 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI REBECCA G WELLS · 1997 to 2026
$32.5M
Decoding mechanisms of phenotypic memory in single cellsDP5OD028144 · OD · UNIVERSITY OF PENNSYLVANIA · PI SHAFFER, SYDNEY · 2019 to 2023
$2.0M
Lysyl oxidase induced esophageal remodeling in eosinophilic esophagitisR01DK124266 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI MUIR, AMANDA BROOKE · 2020 to 2024
$2.0M
Single-cell mitochondrial mutation lineage tracing of non-dysplastic and dysplastic Barrett's esophagusR01DK135729 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI Amanda Brooke Muir, Sydney Shaffer · 2024 to 2026
$1.8M
Multiomic single cell and spatial interrogation of mechanisms in cellular adaptation to stressR01GM149671 · NIGMS · UNIVERSITY OF PENNSYLVANIA · PI Sydney Shaffer, Nancy R Zhang · 2024 to 2026
$1.6M
American Cancer Society (American Cancer Society, Inc.) RSG-23-1152597-01-CDPDamon Runyon Cancer Research Foundation (Cancer Research Fund of the Damon Runyon-Walter Winchell Foundation) Damon Runyon-Rachleff Innovation AwardInstitute for Translational Medicine and Therapeutics (ITMAT) NCATS UL1TR001878NCATS NIH HHS UL1 TR001878NIDDK NIH HHS P30 DK050306NIDDK NIH HHS R01 DK124266NIDDK NIH HHS R01 DK135729NIGMS NIH HHS R01 GM149671NIH HHS DP5 OD028144U.S. Department of Health & Human Services | NIH | National Institute of Diabetes and Digestive and Kidney Diseases (National Institute of Diabetes & Digestive & Kidney Diseases) R01DK135729U.S. Department of Health & Human Services | NIH | National Institute of General Medical Sciences (NIGMS) R01GM149671U.S. Department of Health & Human Services | NIH | NIH Office of the Director (OD) DP5OD028144
6 · The paper itself

Abstract

Barrett's esophagus is a common type of metaplasia and a precursor of esophageal adenocarcinoma. However, the cell states and lineage connections underlying the origin, maintenance, and progression of Barrett's esophagus have not been resolved in humans. Here, we perform single-cell lineage tracing and transcriptional profiling of patient cells isolated from metaplastic and healthy tissue. Our analysis unexpectedly reveals evidence for lineages spanning squamous esophagus, gastric cardia, and transitional basal cells at the tissue junction. We also identify lineages connecting Barrett's esophagus to both esophageal and gastric tissues. Barrett's esophagus biopsies consist of multiple distinct clones, with lineages that contain all progenitor and differentiated cell types. We discover Barrett's esophagus cell types, including tuft, ciliated, and BEST4+ cells, which we validate through both lineage relationships and spatial transcriptomics. In contrast, the precancerous dysplastic lesions show expansion from a single molecularly aberrant Barrett's esophagus clone. Together, these findings provide a single-cell view of the cell dynamics of Barrett's esophagus, linking cell states along the disease trajectory, from its origin to cancer.

Indexed as

AdenocarcinomaBarrett EsophagusEsophageal NeoplasmsEsophagogastric JunctionCardiaCell LineageClone CellsEsophagusFemaleGene Expression ProfilingHumansMaleMetaplasiaPrecancerous ConditionsSingle-Cell Analysis

Identifiers

PMID41360789
PMCPMC12686426

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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.