Evidence map›Paper›PMID 42171146›Full record

ArticleEndocrine-related cancer2026

Single-cell reveals age-dependent epithelial reprogramming and EMT vulnerability in THCA.

Qiankun Zhang, Wei Pan, Xiaohua Gong, Qi Zhou

Abstract read
In one paragraph

Article in Endocrine-related cancer, 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

4 authors.

Qiankun ZhangDepartment of Nephrology, The Fifth Affiliated Hospital of Wenzhou Medical University; Lishui Central Hospital; Lishui Hospital of Zhejiang University, Lishui, China.
Wei PanDepartment of Endocrinology and Metabolism, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Xiaohua GongDepartment of Endocrinology and Metabolism, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Qi ZhouDepartment of Endocrinology and Metabolism, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.ORCID https://orcid.org/0009-0007-4849-0079

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Thyroid cancer exhibits pronounced cellular heterogeneity, yet the mechanisms underlying epithelial-mesenchymal transition (EMT) and tumor microenvironment (TME) remodeling remain incompletely understood. In this study, single-cell RNA sequencing of 92,849 cells from 20 thyroid tissue samples derived from underage and adult patients was performed to systematically characterize immune and epithelial heterogeneity through cell type annotation, subclustering, and functional enrichment analyses. A total of 26 distinct cell clusters were identified, encompassing immune and stromal compartments, with notable age- and stage-specific differences in T cell, epithelial, and macrophage subsets. EMT-high tumors were characterized by stromal enrichment, immune suppression, and transcriptional activation of canonical EMT drivers, including TGFB1, SNAI1/2, TWIST1/2, and ZEB1/2. Functional validation demonstrated that shRNA-mediated knockdown of PHTF2 or SNAI1 in TPC-1 and KTC-1 cell lines significantly inhibited proliferation and clonogenic capacity, accompanied by upregulation of CDH1 and downregulation of multiple EMT-associated genes. Furthermore, EMT-high tumors exhibited distinct drug sensitivity profiles, including reduced responsiveness to conventional chemotherapeutics and increased sensitivity to agents such as camptothecin and dabrafenib. Collectively, these findings identify PHTF2 and SNAI1 as key regulators of EMT and tumor cell proliferation in thyroid cancer, and suggest that EMT-driven TME remodeling contributes to immune evasion and therapeutic resistance, thereby revealing EMT-associated vulnerabilities as potential targets for precision therapy.

Indexed as

Epithelial-Mesenchymal TransitionThyroid NeoplasmsHumansSingle-Cell AnalysisSingle-Cell Gene Expression AnalysisSnail Family Transcription FactorsTumor MicroenvironmentSnail Family Transcription Factorsepithelial–mesenchymal transitionPHTF2single-cell RNA sequencingSNAI1thyroid cancertumor microenvironment

Identifiers

PMID42171146
PMCPMC13250642

What OpenQuestion holds

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LicenceCC BY
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.