Evidence map›Paper›PMID 40621801›Full record

ArticleHead & neck2026

Magnifying Glass on Sinonasal NUT Carcinoma Heterogeneity via Spatial Transcriptomics.

Diana Bell, Garret Choby, Michelle Afkhami, Ellie Maghami, Renata Ferrarotto, Carl Snyderman, Eric Wang, Ehab Hanna, Raja Seethala

Abstract readCase Reports
In one paragraph

Article in Head & neck, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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.

Diana BellDepartment of Pathology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.ORCID 0000-0002-3531-8241
Garret ChobyDepartment of Otorhinolaryngology, Skull Base at University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.ORCID 0000-0002-3745-2727
Michelle AfkhamiDepartment of Pathology, Division of Molecular Pathology, City of Hope Comprehensive Cancer Center, Duarte, California, USA.ORCID 0000-0001-5830-6158
Ellie MaghamiDepartment of Surgery Head and Neck, City of Hope Comprehensive Cancer Center, Duarte, California, USA.
Renata FerrarottoDepartment of Thoracic/Head and Neck Medical Oncology, MD Anderson Cancer Center, Houston, Texas, USA.ORCID 0000-0002-3561-215X
Carl SnydermanDepartment of Otorhinolaryngology, Skull Base at University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Eric WangDepartment of Otorhinolaryngology, Skull Base at University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Ehab HannaHead and Neck Surgery, MD Anderson Cancer Center, Houston, Texas, USA.
Raja SeethalaDepartment of Pathology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNuclear protein in testis (NUT) carcinomas (NCs) are rare, clinically aggressive tumors with characteristic translocation involving NUTM1 and BRD4 genes. While NCs are generally characterized by undifferentiated basaloid cells with focal/abrupt squamous differentiation, tumoral heterogeneity remains unexplored. This may have therapeutic implications as NC frequently develops drug resistance and metastasis. Spatial transcriptomics (ST) sequencing technology emerged as an approach to elucidate tumoral heterogeneity by integrating cellular transcriptome and spatial distributions within tissues, providing insights into the interactions among different cell types and overall tissue genomic architecture.

methodsThree cases of sinonasal NC with formalin-fixed paraffin embedded tissue formed the study material. A representative region of each NC was subjected to 10X Genomics Visium Spatial Gene Expression analysis. Resulting data were analyzed in 10X Genomics Loupe Browser.

resultsAll cases demonstrated statistically distinct (graph-neural network based) transcriptomic clusters. These clusters were correlated with histologic characteristics by parsing all spots by region types based on tissue distribution including tumor, limited stroma, and normal epithelium. Cluster constitution and transcriptomic pattern were consistent with the morphologic features of each tissue region. NC#3 had a relatively low number of tumor clusters in comparison to NC#1 and NC#2.

conclusionsSpatial transcriptomic profiling corresponds to histopathologic features in NC and yet highlights cell type diversity across tumors and in the case of NC#2, within a given tumor. Behavioral correlates are speculative, but NC#3 for which the patient had a rapidly lethal outcome showed a preponderance of neural gene expression which may be of interest in tumor cell progression/evolution.

Indexed as

CarcinomaMaxillary Sinus NeoplasmsNeoplasm ProteinsNuclear ProteinsOncogene ProteinsParanasal Sinus NeoplasmsTranscriptomeGene Expression ProfilingHumansNeoplasm ProteinsNuclear ProteinsNUTM1 protein, humanOncogene ProteinsNUT carcinomaPRAMEspatial transcriptomicstumoral heterogeneity

Identifiers

PMID40621801
PMCPMC12703572

What Socratic holds

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LicenceCC BY-NC-ND
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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 Socratic graph.