Evidence map›Paper›PMID 42288505›Full record

ArticleNature communications2026

The embryo game uncovers hidden cell behaviours.

Maria Abou Chakra, Joshua Hislop, Ipek Egilmez, Rafael Alkalai, Omar Bashth, Kieran Maheden, Akash Gundagathi, Mo R Ebrahimkhani, Nika Shakiba

Abstract read
In one paragraph

Article in Nature communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Virtual twins and the future of human developmental biology.NPJ systems biology and applications · 2026
    Review
  2. Article
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

9 authors.

Maria Abou ChakraThe Donnelly Centre, University of Toronto, Toronto, Canada.ORCID http://orcid.org/0000-0002-4895-954X
Joshua HislopDepartment of Bioengineering, Swanson School of Engineering, University of Pittsburgh, Pittsburgh, PA, USA.
Ipek EgilmezSchool of Biomedical Engineering, University of British Columbia, Vancouver, BC, Canada.
Rafael AlkalaiSchool of Biomedical Engineering, University of British Columbia, Vancouver, BC, Canada.ORCID http://orcid.org/0009-0003-5929-5915
Omar BashthSchool of Biomedical Engineering, University of British Columbia, Vancouver, BC, Canada.ORCID http://orcid.org/0000-0001-8825-044X
Kieran MahedenSchool of Biomedical Engineering, University of British Columbia, Vancouver, BC, Canada.
Akash GundagathiDepartment of Bioengineering, Swanson School of Engineering, University of Pittsburgh, Pittsburgh, PA, USA.
Mo R EbrahimkhaniDepartment of Bioengineering, Swanson School of Engineering, University of Pittsburgh, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0001-5753-6779
Nika ShakibaSchool of Biomedical Engineering, University of British Columbia, Vancouver, BC, Canada. nika.shakiba@ubc.ca.ORCID http://orcid.org/0000-0003-2985-3130

Funding

Cellular Approaches to Tissue Engineering/RegenerationT32EB001026 · NIBIB · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DUNCAN, ANDREW W, MONGA, SATDARSHAN SINGH · 2003 to 2024
$5.5M
Canada Research Chairs (Chaires de recherche du Canada) Tier 2 ChairGouvernement du Canada | Natural Sciences and Engineering Research Council of Canada (Conseil de Recherches en Sciences Naturelles et en Génie du Canada) RGPIN-2020-04198, CGS-M, CGS-DMichael Smith Foundation for Health Research (MSFHR) Scholar AwardNIBIB NIH HHS T32 EB001026Paul G. Allen Family Foundation Allen Distinguished Investigator
6 · The paper itself

Abstract

While cells are driven to preserve their own survival, they must cooperate to ensure embryo viability. To explore how cellular behaviours shape human development, we intersect evolutionary game theory and in vitro embryo modelling. We focus on cell competition, a conserved cell-cell killing thought to enable embryonic error correction, though few studies directly link it to embryo success. Our collective risk game shows that killing is costly for a cell, but beneficial when the embryo exceeds its target size and the probability of survival is low. Analogously, successful heX-embryoids form within the target size range of the native human embryonic disc and inhibiting cell death produces larger, defective embryoids. Killing and proliferating are responsive cellular behaviours that maintain optimal embryoid size, consistent with their emergence as conditional strategies in our game. Further, conditional killing is a "threat" to restrain over-proliferating cells. Counter-intuitively, cell competition may underpin cooperation in the embryo.

Indexed as

Cell CompetitionEmbryo, MammalianEmbryonic DevelopmentGame TheoryAnimalsCell ProliferationCell SurvivalHumansModels, Biological

Identifiers

PMID42288505
PMCPMC13408500

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.