Evidence map›Paper›PMID 41986343›Full record

ReviewSignal transduction and targeted therapy2026

Esophageal cancer: from pathogenesis to precision therapies.

Shaosen Zhang, Yanrong Shen, Lingxuan Zhu, Yancheng Lai, Liang Zhu, Xinyi Xiao, Jiachen Li, Wen Tan, Dongxin Lin, Chen Wu

Abstract readReview
In one paragraph

Review in Signal transduction and targeted therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Article
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  4. Article
  5. Article
  6. Article
  7. 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.

Shaosen Zhang *Department of Etiology and Carcinogenesis, National Cancer Center/National Clinical Research Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. zhangss@cicams.ac.cn.ORCID http://orcid.org/0000-0003-0010-1445
Yanrong Shen *Department of Etiology and Carcinogenesis, National Cancer Center/National Clinical Research Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Lingxuan Zhu *Department of Etiology and Carcinogenesis, National Cancer Center/National Clinical Research Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Yancheng Lai *Department of Etiology and Carcinogenesis, National Cancer Center/National Clinical Research Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Liang Zhu *Department of Etiology and Carcinogenesis, National Cancer Center/National Clinical Research Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Xinyi XiaoDepartment of Etiology and Carcinogenesis, National Cancer Center/National Clinical Research Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Jiachen LiDepartment of Etiology and Carcinogenesis, National Cancer Center/National Clinical Research Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Wen TanDepartment of Etiology and Carcinogenesis, National Cancer Center/National Clinical Research Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.ORCID http://orcid.org/0000-0002-7231-7838
Dongxin LinDepartment of Etiology and Carcinogenesis, National Cancer Center/National Clinical Research Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. lindx@cicams.ac.cn.ORCID http://orcid.org/0000-0002-8723-8868
Chen WuDepartment of Etiology and Carcinogenesis, National Cancer Center/National Clinical Research Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. chenwu@cicams.ac.cn.ORCID http://orcid.org/0000-0003-4954-1011

Funding

Chinese Academy of Medical Sciences (CAMS) 2022-I2M-2-003Chinese Academy of Medical Sciences (CAMS) 2023-I2M-2-004Chinese Academy of Medical Sciences (CAMS) 2023-I2M-QJ-002Chinese Academy of Medical Sciences (CAMS) 2023-I2M-QJ-005Chinese Academy of Medical Sciences (CAMS) 2024-I2M-zd-003Chinese Academy of Meteorological Sciences (CAMS) 2025-I2M-KJ-003National Natural Science Foundation of China (National Science Foundation of China) 824B2085
6 · The paper itself

Abstract

Esophageal cancer (EC), encompassing primarily esophageal squamous-cell carcinoma (ESCC) and esophageal adenocarcinoma (EAC), continues to pose a significant global health burden, which is largely due to delayed diagnosis and limited therapeutic efficacy. In this review, we synthesize current insights into key aspects of EC, including established risk factors, the stepwise process of tumorigenesis, strategies for early detection and prevention, and emerging therapeutic approaches. Emphasis is particularly placed on the molecular underpinnings of (1) early tumor initiation and malignant progression, with a focus on genetic mutations, epigenetic modifications, and alterations within the tumor microenvironment; (2) the clonal expansion and metabolic reprogramming that play essential roles in shaping the evolutionary trajectory of esophageal cancer, thereby promoting intratumoral heterogeneity; (3) the transition from normal epithelium to invasive carcinoma in both ESCC and EAC driven by sequential disruptions of molecular networks governing epithelial homeostasis; and (4) advances in early screening techniques and minimally invasive interventions that may offer new opportunities for EC prevention and early detection, especially in high-risk populations. In addition, we summarize recent progress in precision treatment, including chemotherapy, targeted therapy, immunotherapy, and multidisciplinary treatment. By delineating the molecular and cellular mechanisms underlying EC initiation and progression, this review aims to inform future directions in early diagnosis, risk stratification, and individualized therapy, ultimately contributing to improved clinical outcomes and precision prevention of EC.

Indexed as

AdenocarcinomaEsophageal NeoplasmsEsophageal Squamous Cell CarcinomaPrecision MedicineHumansTumor Microenvironment

Identifiers

PMID41986343
PMCPMC13083882

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.