Evidence map›Paper›PMID 41950768›Full record

ArticleJHEP reports : innovation in hepatology2026

Multiomics and multi-region spatial transcriptome analysis reveal cellular networks and pathways associated with HCC recurrence.

Veerabrahma P Seshachalam, Ita N Sari, Kane Toh, Prativa Majee, Shay L Chong, Karthik Sekar, Aziz Aiderus, Khaireen Idzham, Ong Y Qi, Li Y Chong and 28 more

Registry-linked trialAbstract read
In one paragraph

Article in JHEP reports : innovation in hepatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03267641 (A Multi-National Cohort Study On The Impact Of Intra-Tumoural Genomic Heterogeneity And The Immune Micro-Environment On The Clinical Trajectory Of Resected Hepatocellular Carcinoma), which is not on this 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.

NCT03267641 completednot on this map

A Multi-National Cohort Study On The Impact Of Intra-Tumoural Genomic Heterogeneity And The Immune Micro-Environment On The Clinical Trajectory Of Resected Hepatocellular Carcinoma

TypeobservationalSponsorNational Cancer Centre, SingaporeRan2016 to 2021Enrolled86ConditionsHepatocellular Carcinoma
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

38 authors.

Veerabrahma P SeshachalamProgram in Translational and Clinical Liver Research, National Cancer Center Singapore, Republic of Singapore.
Ita N SariLaboratory of NFκB Signalling, Institute of Molecular and Cell Biology (IMCB), Agency for Science, Technology and Research (A∗STAR), Singapore, Singapore.
Kane TohProgram in Translational and Clinical Liver Research, National Cancer Center Singapore, Republic of Singapore.
Prativa MajeeLaboratory of NFκB Signalling, Institute of Molecular and Cell Biology (IMCB), Agency for Science, Technology and Research (A∗STAR), Singapore, Singapore.
Shay L ChongProgram in Translational and Clinical Liver Research, National Cancer Center Singapore, Republic of Singapore.
Karthik SekarProgram in Translational and Clinical Liver Research, National Cancer Center Singapore, Republic of Singapore.
Aziz AiderusLaboratory of NFκB Signalling, Institute of Molecular and Cell Biology (IMCB), Agency for Science, Technology and Research (A∗STAR), Singapore, Singapore.
Khaireen IdzhamLaboratory of NFκB Signalling, Institute of Molecular and Cell Biology (IMCB), Agency for Science, Technology and Research (A∗STAR), Singapore, Singapore.
Ong Y QiLaboratory of NFκB Signalling, Institute of Molecular and Cell Biology (IMCB), Agency for Science, Technology and Research (A∗STAR), Singapore, Singapore.
Li Y ChongInstitute of Molecular and Cell Biology (IMCB), Agency of Science, Technology and Research (A∗STAR), Singapore, Republic of Singapore.
Matias CaldezLaboratory of NFκB Signalling, Institute of Molecular and Cell Biology (IMCB), Agency for Science, Technology and Research (A∗STAR), Singapore, Singapore.
Raghuvaran ShanmugamLaboratory of NFκB Signalling, Institute of Molecular and Cell Biology (IMCB), Agency for Science, Technology and Research (A∗STAR), Singapore, Singapore.
Dorcas H H YingLaboratory of NFκB Signalling, Institute of Molecular and Cell Biology (IMCB), Agency for Science, Technology and Research (A∗STAR), Singapore, Singapore.
Esmond LeeBioprocessing Technology Institute (BTI), Agency of Science, Technology and Research (A∗STAR), Singapore, Republic of Singapore.
Jiaying TohBioprocessing Technology Institute (BTI), Agency of Science, Technology and Research (A∗STAR), Singapore, Republic of Singapore.
Wu LeleLaboratory of NFκB Signalling, Institute of Molecular and Cell Biology (IMCB), Agency for Science, Technology and Research (A∗STAR), Singapore, Singapore.
Jia Y J LeeBioinformatics Institute (BII), Agency for Science, Technology and Research (A∗STAR), Singapore, Republic of Singapore.
Guorui ZhongBioinformatics Institute (BII), Agency for Science, Technology and Research (A∗STAR), Singapore, Republic of Singapore.
Sin C ChewProgram in Translational and Clinical Liver Research, National Cancer Center Singapore, Republic of Singapore.
Gao B ChenProgram in Translational and Clinical Liver Research, National Cancer Center Singapore, Republic of Singapore.
Lingyan WuProgram in Translational and Clinical Liver Research, National Cancer Center Singapore, Republic of Singapore.
Alexander Y F ChungDepartment of Hepatopancreatobiliary and Transplant Surgery, National Cancer Centre Singapore and Singapore General Hospital, Republic of Singapore.
Peng C CheowDepartment of Hepatopancreatobiliary and Transplant Surgery, National Cancer Centre Singapore and Singapore General Hospital, Republic of Singapore.
Juinn H KamDepartment of Hepatopancreatobiliary and Transplant Surgery, National Cancer Centre Singapore and Singapore General Hospital, Republic of Singapore.
Alfred W C KowDivision of Hepatobiliary & Pancreatic Surgery, Department of Surgery, University Surgical Cluster, National University Health System, Singapore 119228, Republic of Singapore.
Wei Q LeowDepartment of Pathology, Singapore General Hospital, Singapore 169608, Republic of Singapore.
Nagalakshmi JegannathanDepartment of Pathology, Singapore General Hospital, Singapore 169608, Republic of Singapore.
Kaina ChenDepartment of Gastroenterology & Hepatology, Singapore General Hospital, Singapore 169608, Republic of Singapore.
Chairat BunchaliewHepato-Pancreato-Biliary Surgery Unit, Department of Surgery, National Cancer Institute, Bangkok, Thailand.
Vanessa H de VillaDepartment of Surgery and Center for Liver Health and Transplantation, The Medical City, Pasig City, Metro Manila, Philippines.
Peng S KohDepartment of Surgery, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Glenn BonneyDivision of Hepatobiliary & Pancreatic Surgery, Department of Surgery, University Surgical Cluster, National University Health System, Singapore 119228, Republic of Singapore.
Brian K P GohDepartment of Hepatopancreatobiliary and Transplant Surgery, National Cancer Centre Singapore and Singapore General Hospital, Republic of Singapore.
Wai Leong TamGenome Institute of Singapore (GIS), Agency for Science, Technology and Research (A∗STAR), 60 Biopolis Street, Genome, Singapore 138672, Republic of Singapore; Cancer Science Institute of Singapore, National University of Singapore, 14 Medical Drive, Singapore 117599, Republic of Singapore; Department of Biochemistry, Yong Loo Lin School of Medicine, National University of Singapore (NUS), 8 Medical Drive, MD7, Singapore 117596, Republic of Singapore.
Lit-Hsin LooBioinformatics Institute (BII), Agency for Science, Technology and Research (A∗STAR), Singapore, Republic of Singapore.
Joe YeongInstitute of Molecular and Cell Biology (IMCB), Agency of Science, Technology and Research (A∗STAR), Singapore, Republic of Singapore; Department of Anatomical Pathology, Singapore General Hospital, Republic of Singapore; Pathology Academic Clinical Program, Duke-NUS Medical School, Republic of Singapore; Department of Microbiology, Singapore General Hospital, Republic of Singapore.
Vinay TergaonkarLaboratory of NFκB Signalling, Institute of Molecular and Cell Biology (IMCB), Agency for Science, Technology and Research (A∗STAR), Singapore, Singapore; Institute of Molecular and Cell Biology (IMCB), Agency of Science, Technology and Research (A∗STAR), Singapore, Republic of Singapore. Electronic address: vinayt@a-star.edu.sg.
Pierce K H ChowProgram in Translational and Clinical Liver Research, National Cancer Center Singapore, Republic of Singapore; Department of Hepatopancreatobiliary and Transplant Surgery, National Cancer Centre Singapore and Singapore General Hospital, Republic of Singapore; Surgery Academic Clinical Program, Duke-NUS Medical School, Singapore 169857, Republic of Singapore. Electronic address: pierce.chow@duke-nus.edu.sg.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND &

aimsHepatocellular carcinoma (HCC) exhibits diverse aetiologies and molecular heterogeneity, with a median 5-year overall survival of <70% due to high recurrence rates following curative-intent surgery. This study investigated the complex tumour microenvironment (TME) in HCC and explored interactions between various cell types and their roles in disease recurrence.

methodsUsing a multi-omics approach on multi-region samples of surgically resected HCC from the PLANet 1.0 cohort (NCT03267641), we performed spatial transcriptomics on 17 tissue samples from four patients and bulk RNA sequencing on 329 sectors from 90 patients. Findings were validated using immunofluorescence and multiplex immunohistochemistry.

resultsOur analysis revealed extensive intra- and intertumour gene expression heterogeneity and identified a specific subset of endothelial cells (ECs), INTS6

conclusionsINTS6 IMPACT AND IMPLICATIONS: The spatial co-localisation of cell types plays a significant role in the recurrence of hepatocellular carcinoma. In this study, we have pinpointed a particular group of endothelial cells, known as INTS6+ endothelial cells, which are spatially colocalised with tumour cells and enriched in microvascular invasion regions in patients experiencing recurrence. These discoveries highlight novel therapeutic targets that focus on endothelial cell interactions within the tumour microenvironment to prevent recurrence and enhance overall patient survival.

Indexed as

ANGPTL4endothelial cellsHepatocellular carcinomaINTS6microvascular invasionmultiomicsscRNA-SeqSDC1spatial transcriptomicstumour microenvironment

Identifiers

PMID41950768
PMCPMC13087693

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Registered trials

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.