Evidence map›Paper›PMID 41691146›Full record

ReviewCellular & molecular biology letters2026

Extrachromosomal circular DNA: a potential clinical therapeutic target in malignant tumors.

Hao Zhang, Enqing Zhuo, Meng Li, Junxiao Feng, Xingjuan Shi, Xiaoou Sun

Abstract readReview
In one paragraph

Review in Cellular & molecular biology letters, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Hao ZhangInstitute of Biomedical and Pharmaceutical Sciences, Guangdong University of Technology, Guangzhou, 510006, China.
Enqing ZhuoDepartment of 2nd Oncology, Guangdong Second Provincial General Hospital, Guangzhou, Guangdong, China.
Meng LiInstitute of Biomedical and Pharmaceutical Sciences, Guangdong University of Technology, Guangzhou, 510006, China.
Junxiao FengSchool of Life Science and Technology, Key Laboratory of Developmental Genes and Human Disease, Southeast University, Nanjing, 210096, China.
Xingjuan ShiSchool of Life Science and Technology, Key Laboratory of Developmental Genes and Human Disease, Southeast University, Nanjing, 210096, China. xingjuanshi@seu.edu.cn.
Xiaoou SunInstitute of Biomedical and Pharmaceutical Sciences, Guangdong University of Technology, Guangzhou, 510006, China. xiaoousun@gdut.edu.cn.

Funding

National Natural Science Foundation of China 82301476 and 82170370the Science and Technology Projects in Guangzhou 2024A03J1058 and 2025A04J4044
6 · The paper itself

Abstract

Malignant tumors, commonly referred to as cancer, are pathological conditions distinguished by the unregulated growth and infiltration of malignant cells into adjacent tissues or remote organs. This uncontrolled cell proliferation results in continuous tumor cell division and proliferation in the body. The tumor invades surrounding tissues and spreads to other body parts through the bloodstream or lymphatic system. This forms distant metastases that can influence several systems and organs, seriously affecting the health and life of patients. Effective treatment methods are still lacking owing to their complex mechanism of action. With the continuous development of precision medicine, research on the correlation between extrachromosomal circular DNA (eccDNA) and malignant tumors has become a hot topic. The eccDNA is a circular DNA molecule independent of chromosomes, more stable, and less susceptible to nuclease degradation. Increasing evidence has shown that eccDNA has a function in malignant tumor heterogeneity, invasiveness, evolution, and chemical resistance. It drives tumor heterogeneity so that cancer cells can quickly adapt to treatment plans and environmental changes. Compared with linear chromosomal DNA, eccDNA has an open structure, carries active histone modifications, and can facilitate long-range gene interactions, significantly improving the transcriptional activity of genes and playing an essential regulatory role in disease progression. It also serves as a biological marker for diagnosing and predicting malignant tumors, thus attracting increasing attention. This article reviews its role, mechanism, and value in malignant tumors, providing a new perspective for diagnosing and treating this disease.

Indexed as

DNA, CircularNeoplasmsAnimalsBiomarkers, TumorExtrachromosomal DNAHumansBiomarkers, TumorDNA, CircularExtrachromosomal DNABiomarkerExtrachromosomal circular DNAMalignant tumorRegulatory effect

Identifiers

PMID41691146
PMCPMC13011668

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.