Evidence map›Paper›PMID 38552609›Full record

ReviewCell2024

Embracing cancer complexity: Hallmarks of systemic disease.

Charles Swanton, Elsa Bernard, Chris Abbosh, Fabrice André, Johan Auwerx, Allan Balmain, Dafna Bar-Sagi, René Bernards, Susan Bullman, James DeGregori and 23 more

Open access · bronzeAbstract readReview
In one paragraph

Review in Cell, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 322 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
322citing papers in PubMed, 1 pooled it
131.9field-weighted citation impact, top 1% of its field
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

322 citing papers in PubMed, 1 synthesis or guideline pooled it, 404 citations in OpenAlex.

  1. Pooled it
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  12. Wildfire smoke PMCancer epidemiology · 2026
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  18. Deep integration of clinical metadata with [European journal of nuclear medicine and molecular imaging · 2026
    Article
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262 more citing papers are in PubMed but not listed here.

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

33 authors at 20 institutions in 10 countries.

Charles SwantonThe Francis Crick Institute, London, UK; Cancer Research UK Lung Cancer Centre of Excellence, University College London Cancer Institute, London, UK. Electronic address: charles.swanton@crick.ac.uk.
Elsa BernardThe Francis Crick Institute, London, UK; INSERM U981, Gustave Roussy, Villejuif, France.
Chris AbboshAstraZeneca, Cambridge, UK.
Fabrice AndréINSERM U981, Gustave Roussy, Villejuif, France; Department of Medical Oncology, Gustave Roussy, Villejuif, France; Paris Saclay University, Kremlin-Bicetre, France.
Johan AuwerxLaboratory of Integrative Systems Physiology, Ecole Polytechnique Federale de Lausanne, Lausanne, Switzerland.
Allan BalmainUCSF Helen Diller Family Comprehensive Cancer Center, San Francisco, CA, USA.
Dafna Bar-SagiNYU Langone Health, New York, NY, USA.
René BernardsDivision of Molecular Carcinogenesis, Oncode Institute, the Netherlands Cancer Institute, Amsterdam, the Netherlands.
Susan BullmanHuman Biology Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.
James DeGregoriDepartment of Biochemistry and Molecular Genetics, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Catherine ElliottCancer Research UK, London, UK.
Ayelet ErezDepartment of Molecular Cell Biology, Weizmann Institute of Science, Rehovot, Israel.
Gerard EvanThe Francis Crick Institute, London, UK; Kings College London, London, UK.
Mark A FebbraioDrug Discovery Biology, Monash Institute of Pharmaceutical Sciences, Monash University, Parkville, VIC, Australia.
Andrés HidalgoDepartment of Immunobiology, Yale University, New Haven, CT 06519, USA; Area of Cardiovascular Regeneration, Centro Nacional de Investigaciones Cardiovasculares, 28029 Madrid, Spain.
Mariam Jamal-HanjaniCancer Research UK Lung Cancer Centre of Excellence, University College London Cancer Institute, London, UK.
Johanna A JoyceDepartment of Oncology, Ludwig Institute for Cancer Research, University of Lausanne, Lausanne, Switzerland.
Matthew KaiserCancer Research UK, London, UK.
Katja LamiaDepartment of Molecular Medicine, Scripps Research Institute, La Jolla, CA, USA.
Jason W LocasaleDepartment of Pharmacology and Cancer Biology, Duke University, Durham, NC, USA; Department of Molecular and Structural Biochemistry, North Carolina State University, Raleigh, NC, USA.
Sherene LoiDivision of Cancer Research, Peter MacCallum Cancer Centre, Melbourne, VIC, Australia; The Sir Department of Medical Oncology, The University of Melbourne, Parkville, VIC, Australia.
Ilaria MalanchiThe Francis Crick Institute, London, UK.
Miriam MeradDepartment of immunology and immunotherapy, Precision Immunology Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Kathryn MusgraveTranslational and Clinical Research Institute, Newcastle University, Newcastle, UK; Department of Haematology, The Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
Ketan J PatelMRC Weatherall Institute of Molecular Medicine, University of Oxford, John Radcliffe Hospital, Oxford, UK.
Sergio QuezadaCancer Immunology Unit, Research Department of Haematology, University College London Cancer Institute, London, UK.
Jennifer A WargoDepartment of Surgical Oncology, Department of Genomic Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Ashani WeeraratnaSidney Kimmel Cancer Center, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Eileen WhiteRutgers Cancer Institute of New Jersey, New Brunswick, NJ, USA; Ludwig Princeton Branch, Ludwig Institute for Cancer Research, Princeton, NJ, USA.
Frank WinklerNeurology Clinic and National Center for Tumor Diseases, University Hospital Heidelberg, Heidelberg, Germany; Clinical Cooperation Unit Neuro-oncology, German Cancer Consortium (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany.
John N WoodMolecular Nociception Group, WIBR, University College London, London, UK.
Karen H VousdenThe Francis Crick Institute, London, UK. Electronic address: karen.vousden@crick.ac.uk.
Douglas HanahanLausanne Branch, Ludwig Institute for Cancer Research, Lausanne, Switzerland; Swiss institute for Experimental Cancer Research (ISREC), EPFL, Lausanne, Switzerland; Agora Translational Cancer Research Center, Lausanne, Switzerland. Electronic address: douglas.hanahan@epfl.ch.
The Francis Crick Institute · GBCancer Research Horizons · GBInserm · FRLudwig Cancer Research · CHAstraZeneca (United Kingdom) · GBCancer Research UK · GBÉcole Polytechnique Fédérale de Lausanne · CHFred Hutch Cancer Center · USGerman Cancer Research Center · DEIcahn School of Medicine at Mount Sinai · USJohn Radcliffe Hospital · GBJohns Hopkins University · USKing's College London · GBLondon Cancer · GBMonash University · AUNewcastle upon Tyne Hospitals NHS Foundation Trust · GBNorth Carolina State University · USNYU Langone Health · USRutgers, The State University of New Jersey · USScripps Research Institute · US

Funding

PROMINENT - UCSFOT2CA278665 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ALLAN BALMAIN · 2022 to 2026
$8.9M
Systems genetics analysis of tumor evolution in the mouseR35CA210018 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ALLAN BALMAIN · 2017 to 2026
$8.0M
Tumor cell metabolism in actionR01CA163591 · NCI · RUTGERS, THE STATE UNIV OF N.J. · PI JOSHUA D RABINOWITZ, Eileen P. White · 2012 to 2026
$7.0M
Oncogenic Ras-induced macropinocytosis: A new paradigm for metabolic adaptationR35CA210263 · NCI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI BAR-SAGI, DAFNA · 2016 to 2022
$6.6M
Impact of mutation burden on cancer growth and the immune landscapeR01CA243547 · NCI · RUTGERS BIOMEDICAL AND HEALTH SCIENCES · PI WHITE, EILEEN P. · 2020 to 2024
$3.2M
Non-canonical functions of neutrophilsR01AI165661 · NIAID · YALE UNIVERSITY · PI HIDALGO, ANDRES · 2022 to 2025
$2.8M
CANCAN-RUTGERSOT2CA278609 · NCI · RUTGERS BIOMEDICAL AND HEALTH SCIENCES · PI Eileen P. White · 2022 to 2026
$2.6M
Establishing a mechanistic basis for enhanced tumorigenesis under chronic circadian disruptionR01CA271500 · NCI · SCRIPPS RESEARCH INSTITUTE, THE · PI Katja A Lamia · 2023 to 2026
$2.4M
Determining how aging-associated changes in the microenvironment contribute to leukemogenesisR01AG067584 · NIA · UNIVERSITY OF COLORADO DENVER · PI DEGREGORI, JAMES V · 2019 to 2022
$1.7M
Cancer Research UK CGCATF-2021/100026NCI NIH HHS OT2 CA278609NCI NIH HHS OT2 CA278665NCI NIH HHS R01 CA163591NCI NIH HHS R01 CA243547NCI NIH HHS R01 CA271500NCI NIH HHS R35 CA210018NCI NIH HHS R35 CA210263NIAID NIH HHS R01 AI165661NIA NIH HHS R01 AG067584Wellcome Trust CC2051Wellcome Trust CC2073
6 · The paper itself

Abstract

The last 50 years have witnessed extraordinary developments in understanding mechanisms of carcinogenesis, synthesized as the hallmarks of cancer. Despite this logical framework, our understanding of the molecular basis of systemic manifestations and the underlying causes of cancer-related death remains incomplete. Looking forward, elucidating how tumors interact with distant organs and how multifaceted environmental and physiological parameters impinge on tumors and their hosts will be crucial for advances in preventing and more effectively treating human cancers. In this perspective, we discuss complexities of cancer as a systemic disease, including tumor initiation and promotion, tumor micro- and immune macro-environments, aging, metabolism and obesity, cancer cachexia, circadian rhythms, nervous system interactions, tumor-related thrombosis, and the microbiome. Model systems incorporating human genetic variation will be essential to decipher the mechanistic basis of these phenomena and unravel gene-environment interactions, providing a modern synthesis of molecular oncology that is primed to prevent cancers and improve patient quality of life and cancer outcomes.

Indexed as

NeoplasmsCarcinogenesisHumansMicrobiotaObesityQuality of Life

Identifiers

PMID38552609
PMCPMC12077170
OpenAlexW4393251580

What Socratic holds

Textmetadata
LicenceTDM
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 Socratic graph.