Evidence map›Paper›PMID 41857179›Full record

ReviewNature reviews. Urology2026

Extrachromosomal DNA in urothelial carcinoma: mechanisms and clinical applications.

Conghui Li, Zhiqiang Hu, Weimin Zhang, Yongling Ji, Fubing Wang, Yuchen Zeng, Sanju Sinha, Fengbiao Mao, Chunhua Lin, Wei Lv

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Urology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

10 authors.

Conghui Li *Department of Biology, University of Copenhagen, Copenhagen, Denmark. conghui.li@bio.ku.dk.ORCID http://orcid.org/0000-0002-1540-8231
Zhiqiang Hu *Cancer Center, Zhejiang University, Hangzhou, Zhejiang, China.ORCID http://orcid.org/0000-0003-1313-3470
Weimin Zhang *State Key Laboratory of Molecular Oncology, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Laboratory of Molecular Oncology, Peking University Cancer Hospital & Institute, Beijing, China.
Yongling Ji *Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, Zhejiang, China.
Fubing Wang *Wuhan Research Center for Infectious Diseases and Cancer, Chinese Academy of Medical Sciences, Wuhan, China.
Yuchen ZengHangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, Zhejiang, China.
Sanju SinhaSanford Burnham Prebys Medical Discovery Institute, La Jolla, CA, USA.
Fengbiao MaoCancer Center, Peking University Third Hospital, Beijing, China. fmao@pku.edu.cn.ORCID http://orcid.org/0000-0003-0852-4266
Chunhua LinThe Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, Shandong, China. chunhua.lin@qdu.edu.cn.ORCID http://orcid.org/0000-0001-5225-3518
Wei LvHangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, Zhejiang, China. wei_lv2024@163.com.ORCID http://orcid.org/0009-0004-0820-8620

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Extrachromosomal DNA (ecDNA) has emerged as a major driver of genomic instability and rapid tumour evolution in urothelial carcinoma. In urothelial carcinoma, ecDNA amplifies oncogenes, reshapes 3D chromatin interactions, reprogrammes transcription and modulates the tumour-immune interface. Together, these features fuel intratumour heterogeneity, accelerate APOBEC3-associated mutational evolution and contribute to aggressive disease. Advances in sequencing and imaging technologies have greatly expanded our understanding of ecDNA biology. Importantly, ecDNA can be detected through non-invasive liquid biopsies, including urine and plasma, and inferred from standard histopathology slides via digital pathology. These observations suggest that ecDNA could be a valuable adjunct biomarker, enhancing current strategies for early detection, patient stratification and dynamic monitoring of treatment response.

Indexed as

Carcinoma, Transitional CellDNA, NeoplasmExtrachromosomal DNAUrinary Bladder NeoplasmsBiomarkers, TumorHumansBiomarkers, TumorDNA, NeoplasmExtrachromosomal DNA

Identifiers

What OpenQuestion holds

Textmetadata
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.