Evidence map›Paper›PMID 41407927›Full record

ArticleNature methods2026

Inferring cancer type-specific patterns of metastatic spread using Metient.

Divya Koyyalagunta, Karuna Ganesh, Quaid Morris

Abstract read
In one paragraph

Article in Nature methods, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
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  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Divya KoyyalaguntaTri-Institutional Graduate Program in Computational Biology and Medicine, Weill Cornell Medicine, New York, NY, USA.
Karuna GaneshDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0002-4948-1082
Quaid MorrisTri-Institutional Graduate Program in Computational Biology and Medicine, Weill Cornell Medicine, New York, NY, USA. morrisq@mskcc.org.ORCID http://orcid.org/0000-0002-2760-6999

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
The Center for Tumor-Immune Systems Biology at MSKCCU54CA274492 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI Christina S Leslie · 2022 to 2026
$16.3M
Transition to Metastatic State: Lung Cancer, Pancreatic Cancer and Brain MetastasisU2CCA233284 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI PE'ER, DANA · 2018 to 2022
$12.9M
Tri-Institutional PhD Program in Computational Biology & MedicineT32GM132083 · NIGMS · WEILL MEDICAL COLL OF CORNELL UNIV · PI Doron Betel, Iman Hajirasouliha · 2020 to 2026
$3.6M
Mechanisms of Dynamic Transcriptional Reprogramming in Metastasis Stem CellsR37CA266185 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI Karuna Ganesh · 2022 to 2026
$2.6M
National Science Foundation (NSF) 227260-01NCI NIH HHS P30 CA008748NCI NIH HHS R37 CA266185NCI NIH HHS U2C CA233284NCI NIH HHS U54 CA274492NIGMS NIH HHS T32 GM132083U.S. Department of Health & Human Services | National Institutes of Health (NIH) 5T32GM132083-02U.S. Department of Health & Human Services | National Institutes of Health (NIH) P30CA008748U.S. Department of Health & Human Services | National Institutes of Health (NIH) R37CA266185U.S. Department of Health & Human Services | National Institutes of Health (NIH) U2CCA233284
6 · The paper itself

Abstract

Cancers differ in how they spread. These routes of metastatic dissemination can be reconstructed from tumor sequencing data, but current reconstruction methods scale poorly or rely on assumptions that do not reflect known biology. Metient overcomes these limitations using gradient-based, multiobjective optimization to generate multiple hypotheses of metastatic spread that are rescored using independent genetic distance and organotropism data. Unlike current methods, Metient can be used with both clinical sequencing data and barcode-based lineage tracing in preclinical models. Here, applied to data from 167 patients and 479 tumors, Metient identifies distinct trends of metastatic dissemination in melanoma, high-risk neuroblastoma and non-small cell lung cancer. Its reconstructions usually match expert analyses but Metient often finds other plausible migration histories, ultimately positing more polyclonal and metastasis-to-metastasis seeding than previously reported. Metient's reconstructions thus challenge existing assumptions about metastatic dissemination and offer insights into cancer type-specific patterns of metastatic spread.

Indexed as

Neoplasm MetastasisNeoplasmsAlgorithmsCarcinoma, Non-Small-Cell LungHumansLung NeoplasmsMelanomaNeuroblastoma

Identifiers

PMID41407927
PMCPMC13455707

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.