Evidence map›Paper›PMID 41480746›Full record

ArticleJCI insight2026

An integrated single-cell and spatial transcriptomic atlas of thyroid cancer progression identifies prognostic fibroblast subpopulations.

Matthew A Loberg, George J Xu, Sheau-Chiann Chen, Hua-Chang Chen, Claudia C Wahoski, Kailey P Caroland, Megan L Tigue, Heather A Hartmann, Jean-Nicolas Gallant, Courtney J Phifer and 24 more

Abstract read
In one paragraph

Article in JCI insight, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Article
  2. Review
  3. PRECISE: A Prognostic Thyrocyte-Derived Gene Signature for Papillary Thyroid Carcinoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Article
  4. Article
  5. Review
  6. Review
  7. Review
  8. Review
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  10. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

34 authors.

Matthew A LobergDepartment of Pathology, Microbiology, and Immunology.
George J XuDepartment of Pathology, Microbiology, and Immunology.
Sheau-Chiann ChenDepartment of Biostatistics.
Hua-Chang ChenDepartment of Biostatistics.
Claudia C WahoskiDepartment of Pathology, Microbiology, and Immunology.
Kailey P CarolandDepartment of Pathology, Microbiology, and Immunology.
Megan L TigueDepartment of Pathology, Microbiology, and Immunology.
Heather A HartmannDepartment of Pathology, Microbiology, and Immunology.
Jean-Nicolas GallantDepartment of Otolaryngology - Head and Neck Surgery; and.
Courtney J PhiferDepartment of Pathology, Microbiology, and Immunology.
Andres A OcampoDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Dayle K WangDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Reilly G FankhauserDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Kirti A KarunakaranDepartment of Pathology, Microbiology, and Immunology.
Chia-Chin WuDepartment of Genomic Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Maxime TarabichiThe Francis Crick Institute, London, United Kingdom.
Sophia M ShaddyDepartment of Laboratory Medicine and Pathology, University of Washington School of Medicine, Seattle, Washington, USA.
James L NettervilleDepartment of Otolaryngology - Head and Neck Surgery; and.
Sarah L RohdeDepartment of Otolaryngology - Head and Neck Surgery; and.
Carmen C SolórzanoVanderbilt Ingram Cancer Center and.
Lindsay A BischoffDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Naira BaregamianVanderbilt Ingram Cancer Center and.
Barbara A MurphyDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Jennifer H ChoeDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Jennifer R WangDepartment of Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Eric C HuangDepartment of Laboratory Medicine and Pathology, University of Washington School of Medicine, Seattle, Washington, USA.
Quanhu ShengDepartment of Biostatistics.
Luciane T KagoharaDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Elizabeth M JaffeeDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Ryan H BelcherDepartment of Otolaryngology - Head and Neck Surgery; and.
Ken S LauDepartment of Cell and Developmental Biology, Vanderbilt University, Nashville, Tennessee, USA.
Fei YeDepartment of Biostatistics.
Ethan LeeDepartment of Cell and Developmental Biology, Vanderbilt University, Nashville, Tennessee, USA.
Vivian L WeissDepartment of Pathology, Microbiology, and Immunology.

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007347 · NIGMS · VANDERBILT UNIVERSITY · PI WILLIAMS, CHRISTOPHER S. · 1985 to 2023
$26.3M
Vanderbilt Clinical Oncology Research Career Development ProgramK12CA090625 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Debra L. Friedman, Paula Jill Hurley · 2001 to 2026
$16.9M
Mechanism of Wnt signal transductionR35GM122516 · NIGMS · VANDERBILT UNIVERSITY · PI ETHAN LEE · 2017 to 2026
$5.8M
A Multimodal 3D Atlas of Colorectal Cancer Across Ages of OnsetU01CA294527 · NCI · VANDERBILT UNIVERSITY · PI LAU, KEN S, SPRAGGINS, JEFFREY M · 2024 to 2025
$5.2M
Tuft cell heterogeneity in function, lineage, and structure in ileal inflammatory diseaseR01DK103831 · NIDDK · VANDERBILT UNIVERSITY · PI LAU, KEN S · 2016 to 2024
$4.4M
Chemical Biology of Infectious Diseases (CBID) Training ProgramT32AI112541 · NIAID · VANDERBILT UNIVERSITY · PI Eric P Skaar · 2015 to 2026
$4.0M
Inhibition of the Wnt Receptor Complex by the Tumor Suppressor Adenomatous Polyposis ColiR01CA244188 · NCI · DARTMOUTH COLLEGE · PI AHMED, YASMATH, LEE, ETHAN · 2020 to 2024
$3.2M
The Role of Cancer-Associated Fibroblasts in Thyroid CarcinomaR01CA272875 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI WEISS, VIVIAN LEE · 2022 to 2025
$2.5M
The role of Wnt signaling in aggressive thyroid carcinomaK08CA240901 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI WEISS, VIVIAN LEE · 2020 to 2024
$1.1M
Cancer-associated fibroblasts promote thyroid cancer malignancy through Wnt signalingF30CA281125 · NCI · VANDERBILT UNIVERSITY · PI LOBERG, MATTHEW A · 2023 to 2025
$141k
NCI NIH HHS F30 CA281125NCI NIH HHS K08 CA240901NCI NIH HHS K12 CA090625NCI NIH HHS R01 CA244188NCI NIH HHS R01 CA272875NCI NIH HHS U01 CA294527NIAID NIH HHS T32 AI112541NIDDK NIH HHS R01 DK103831NIGMS NIH HHS R35 GM122516NIGMS NIH HHS T32 GM007347
6 · The paper itself

Abstract

Although well-differentiated thyroid carcinoma (WDTC) is characterized by a robust treatment response, aggressive subtypes, such as anaplastic thyroid carcinoma (ATC), remain highly lethal. To understand thyroid cancer evolution in both children and adults, we analyzed single-cell transcriptomes of 423,733 cells from 81 samples and spatially resolved key tumor and microenvironment populations across 28 tumors with spatial transcriptomics, including rare and unique composite WDTC/ATC tumors and pediatric diffuse sclerosing thyroid carcinomas. Additionally, we identified gene signatures of stromal cell populations in 5 large thyroid cancer bulk RNA-sequencing cohorts. Through this multi-institutional effort, we defined a population of POSTN+ myofibroblast cancer-associated fibroblasts (myCAFs) that are intimately associated with invasive tumor cells and correlate with poor prognosis, lymph node metastasis, and disease progression in thyroid carcinoma. We also revealed a population of inflammatory CAFs that are distant to tumor cells and are found in the inflammatory stromal microenvironment of autoimmune thyroiditis. Together, our study provides spatial profiling of thyroid cancer evolution in samples with mixed WDTC/ATC histopathology and identifies a prognostic myCAF subtype with potential clinical utility in predicting aggressive disease in both children and adults.

Indexed as

Cancer-Associated FibroblastsThyroid Carcinoma, AnaplasticThyroid NeoplasmsTranscriptomeAdultChildDisease ProgressionFemaleGene Expression ProfilingHumansMaleMiddle AgedPrognosisSingle-Cell AnalysisTumor MicroenvironmentCancerGeneticsHead and neck cancerOncologyThyroid disease

Identifiers

PMID41480746
PMCPMC12890526

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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.