Evidence map›Paper›PMID 42538973›Full record

ArticlebioRxiv : the preprint server for biology2026

Multiple distinct metastatic cell states are induced by epithelial-mesenchymal plasticity.

Fahda Alsharief, Robert K Suter, Apsra Nasir, Idalia Cruz, Gray W Pearson

Abstract readPreprint
In one paragraph

Article in bioRxiv : the preprint server for biology, 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

5 authors.

Fahda AlshariefLombardi Comprehensive Cancer Center and Department of Oncology, Georgetown University, Washington, DC 20057, USA.ORCID 0009-0006-5799-9144
Robert K SuterLombardi Comprehensive Cancer Center and Department of Oncology, Georgetown University, Washington, DC 20057, USA.ORCID 0000-0002-3335-8426
Apsra NasirLombardi Comprehensive Cancer Center and Department of Oncology, Georgetown University, Washington, DC 20057, USA.ORCID 0000-0003-3644-911X
Idalia CruzLombardi Comprehensive Cancer Center and Department of Oncology, Georgetown University, Washington, DC 20057, USA.
Gray W PearsonLombardi Comprehensive Cancer Center and Department of Oncology, Georgetown University, Washington, DC 20057, USA.ORCID 0000-0001-6961-0227

Funding

Tissue Culture Shared ResourceP30CA051008 · NCI · GEORGETOWN UNIVERSITY · PI MARCUS S NOEL · 1990 to 2026
$71.5M
DEFINING HOW COOPERATION BETWEEN TUMOR SUBPOPULATIONS PROMOTES TUMOR PROGRESSIONR01CA218670 · NCI · GEORGETOWN UNIVERSITY · PI PEARSON, GRAY W · 2017 to 2021
$1.8M
NCI NIH HHS P30 CA051008NCI NIH HHS R01 CA218670
6 · The paper itself

Abstract

Epithelial-mesenchymal transition (EMT) enables epithelial cancer cells to acquire mesenchymal-associated traits that can promote invasion and metastasis. Although distinct EMT-associated states have been linked to invasive and metastatic behavior, it remains unclear when these states arise during primary tumor progression, how they diversify, and whether metastatic competence is restricted to a particular EMT phenotype. Using single-cell RNA sequencing in a genetically engineered mouse model of triple-negative breast cancer (TNBC), together with functional studies of tumor organoids, we reconstructed the emergence of EMT-associated heterogeneity during tumor progression. We found that early malignant cells first lost mammary lineage identity, generating lineage-altered epithelial states with increased intrinsic plasticity. Rather than progressing through a single EMT program, these plastic states diversified through ERK1/2-low and ERK1/2-high EMT-associated programs. These programs generated distinct hybrid epithelial-mesenchymal states in early tumors and more uniform mesenchymal-like subpopulations at later stages, with canonical EMT features, diminished plasticity, and highly invasive behavior. Importantly, metastatic competence was not restricted to a single EMT-associated state-both heterogeneous hybrid cells and more uniform mesenchymal-like cells initiated metastases, with metastatic lesions retaining features of their initiating populations. Together, our results show that EMT-associated heterogeneity in TNBC emerges through early lineage-state disruption followed by parallel regulatory programs that generate distinct metastatic cell states rather than converging on a single highly metastatic phenotype.

Identifiers

PMID42538973
PMCPMC13419502

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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.