Evidence map›Paper›PMID 41456860›Full record

ArticleCancer science2026

Decoding Senescence-Driven Heterogeneity in Early-Onset Colorectal Cancer for Prognostic and Therapeutic Stratification.

Du Cai, Mingru Mai, Rende Huang, Haoning Qi, Xingzhi Feng, Qianling Gao, Yinmeng Zhang, Chenghang Li, Xiaojian Wu, Yize Mao and 2 more

Abstract read
In one paragraph

Article in Cancer science, 2026. 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. Article
  2. 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

12 authors.

Du CaiDepartment of General Surgery, The Sixth Affiliated Hospital, Sun Yat-Sen University, Guangzhou, Guangdong, China.
Mingru MaiGuangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, Guangdong Institute of Gastroenterology, The Sixth Affiliated Hospital, Sun Yat-Sen University, Guangzhou, Guangdong, China.ORCID https://orcid.org/0009-0004-0411-1928
Rende HuangGuangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, Guangdong Institute of Gastroenterology, The Sixth Affiliated Hospital, Sun Yat-Sen University, Guangzhou, Guangdong, China.
Haoning QiDepartment of General Surgery, The Sixth Affiliated Hospital, Sun Yat-Sen University, Guangzhou, Guangdong, China.
Xingzhi FengDepartment of General Surgery, The Sixth Affiliated Hospital, Sun Yat-Sen University, Guangzhou, Guangdong, China.
Qianling GaoGuangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, Guangdong Institute of Gastroenterology, The Sixth Affiliated Hospital, Sun Yat-Sen University, Guangzhou, Guangdong, China.
Yinmeng ZhangDepartment of Gastroenterology and Endoscopy Center, The First Hospital of Jilin University, Jilin, China.
Chenghang LiShenzhen Peking University Hong Kong University of Science and Technology Medical Center, Shenzhen, Guangdong, China.
Xiaojian WuDepartment of General Surgery, The Sixth Affiliated Hospital, Sun Yat-Sen University, Guangzhou, Guangdong, China.
Yize MaoDepartment of Pancreatobiliary Surgery, State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-Sen University Cancer Center, Guangzhou, Guangdong, China.
Zihuan YangGuangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, Guangdong Institute of Gastroenterology, The Sixth Affiliated Hospital, Sun Yat-Sen University, Guangzhou, Guangdong, China.
Feng GaoDepartment of General Surgery, The Sixth Affiliated Hospital, Sun Yat-Sen University, Guangzhou, Guangdong, China.

Funding

Basic and Applied Basic Research Foundation of Guangdong Province 2023A1515110196Basic and Applied Basic Research Foundation of Guangdong Province 2023B1515130008Basic and Applied Basic Research Foundation of Guangdong Province 2024A1515012269Guangdong Key Research and Development Project 2023B1111040003Guangzhou Basic and Applied Basic Research Fund 2024A04J9983Guangzhou Key r&d Project 2024B01J1211National Natural Science Foundation of China 82272422National Natural Science Foundation of China 82573725Noncommunicable Chronic Diseases-National Science and Technology Major Project 2023ZD0501600Postdoctoral Fellowship Program of CPSF GZC20233214Shenzhen Medical Research Special Project D2401005the program of Guangdong Provincial Clinical Research Center for Digestive Diseases 2020B1111170004"Tianshan Talents · Leading Medical Talents in Guangdong Province" Cooperative Expert Studio KSYJ2022001Youth S&T Talent Support Programme of Guangdong Provincial Association for Science and Technology SKXRC2025127
6 · The paper itself

Abstract

Early-onset colorectal cancer (EOCRC), diagnosed in patients under 50, is particularly aggressive, yet lacks targeted therapeutic strategies. This study aimed to explore the role of cellular senescence in driving EOCRC's malignancy and developed a senescence scoring system (EO-Senscore) to guide precision oncology. Through a multi-omics analysis of 2961 patients, we discovered that cellular senescence is more pronounced and varied in EOCRC and is not tied to chronological age. Two distinct senescence subtypes were identified: Cluster 1 (low-senescence tumors) showed prolonged survival, enhanced immunogenicity, and cell cycle activation, while Cluster 2 (high-senescence tumors) exhibited aggressive phenotypes and an immunosuppressive microenvironment. We further developed a machine learning model, the EO-Senscore, to quantify a tumor's senescence level. This score effectively stratified patients by prognosis and potential treatment response. Patients with a low EO-Senscore were predicted to respond well to immunotherapy and chemotherapy. In contrast, those with a high score had more invasive tumors but showed significant sensitivity to senolytic drugs (like ABT-263) in lab-based experiments. In conclusion, this research establishes cellular senescence as a crucial factor in EOCRC's aggressiveness. The EO-Senscore provides a practical, quantitative tool to guide clinical decisions, suggesting that patients could be directed toward immunotherapy or novel senolytic-based combination therapies for more personalized and effective cancer care.

Indexed as

Cellular SenescenceColorectal NeoplasmsAdultAge of OnsetAniline CompoundsFemaleHumansImmunotherapyMachine LearningMaleMiddle AgedPrognosisSulfonamidesTumor MicroenvironmentAniline CompoundsnavitoclaxSulfonamidescellular senescenceearly‐onset colorectal cancerpersonalized therapyprognostic modeltumor microenvironment

Identifiers

PMID41456860
PMCPMC12951124

What OpenQuestion holds

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LicenceCC BY-NC
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.