Evidence map›Paper›PMID 42346627›Full record

ReviewJournal of personalized medicine2026

Extrachromosomal DNA Amplification as a Prognostic Factor for Cancer.

Filip Gajewski, Joanna Pec, Jakub Kleinrok, Weronika Pająk, Katarzyna Pacyna, Agata Tokarzewska, Paweł Krawczyk

Abstract readReview
In one paragraph

Review in Journal of personalized medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Filip GajewskiStudent Scientific Association, The Department of Pneumonology, Oncology and Allergology, Medical University of Lublin, Doktora Kazimierza Jaczewskiego 8, 20-090 Lublin, Poland.ORCID 0009-0000-5982-861X
Joanna PecStudent Scientific Association, The Department of Pneumonology, Oncology and Allergology, Medical University of Lublin, Doktora Kazimierza Jaczewskiego 8, 20-090 Lublin, Poland.ORCID 0009-0000-5525-7338
Jakub KleinrokChair and Department of Clinical Pathomorphology, Medical University of Lublin, Kazimierza Jaczewskiego 8b, 20-090 Lublin, Poland.ORCID 0009-0006-3742-5696
Weronika PająkStudent Scientific Association, The Department of Pneumonology, Oncology and Allergology, Medical University of Lublin, Doktora Kazimierza Jaczewskiego 8, 20-090 Lublin, Poland.ORCID 0009-0009-9616-0458
Katarzyna PacynaStudent Scientific Association, The Department of Pneumonology, Oncology and Allergology, Medical University of Lublin, Doktora Kazimierza Jaczewskiego 8, 20-090 Lublin, Poland.
Agata TokarzewskaStudent Scientific Association, The Department of Pneumonology, Oncology and Allergology, Medical University of Lublin, Doktora Kazimierza Jaczewskiego 8, 20-090 Lublin, Poland.ORCID 0000-0001-9539-1697
Paweł KrawczykDepartment of Pneumonology, Oncology and Allergology, Medical University of Lublin, Doktora Kazimierza Jaczewskiego 8, 20-090 Lublin, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExtrachromosomal DNA (ecDNA) amplification represents a distinct mechanism of genomic instability in cancer, increasingly recognized for its role in aggressive disease progression. This review examines how ecDNA drives tumour evolution and assesses its potential as both a prognostic marker and therapeutic target.

methodsThe authors integrate findings from multiple detection platforms-including FISH, whole-genome sequencing, and specialized reconstruction algorithms-and present data across diverse cancer types; no preregistration is noted, and no animal studies are included.

resultsecDNA consists of circular, acentric DNA elements carrying high-copy oncogene amplifications (such as

conclusionsThe authors conclude that ecDNA amplification serves as a credible adverse prognostic indicator and holds promise for refining risk stratification and guiding treatment strategies. However, they stress that clinical adoption remains constrained by the absence of standardized, scalable, and reproducible detection.

Indexed as

biomarkercancer prognosisdrug resistanceextrachromosomal DNA (ecDNA)genomic instabilityoncogene amplificationtargeted therapytumour heterogeneity

Identifiers

PMID42346627
PMCPMC13300797

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Registered trials

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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.