Evidence map›Paper›PMID 41009631›Full record

ArticleInternational journal of molecular sciences2025

Artificial Intelligence-Enhanced Precision Medicine Reveals Prognostic Impact of TGF-Beta Pathway Alterations in FOLFOX-Treated Early-Onset Colorectal Cancer Among Disproportionately Affected Populations.

Fernando C Diaz, Brigette Waldrup, Francisco G Carranza, Sophia Manjarrez, Enrique Velazquez-Villarreal

Abstract read
In one paragraph

Article in International journal of molecular sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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.

Fernando C DiazCenter for Cancer Research, National Cancer Institute, Bethesda, MD 20814, USA.
Brigette WaldrupCity of Hope, Beckman Research Institute, Department of Integrative Translational Sciences, Duarte, CA 91010, USA.ORCID 0009-0009-5991-9779
Francisco G CarranzaCity of Hope, Beckman Research Institute, Department of Integrative Translational Sciences, Duarte, CA 91010, USA.ORCID 0000-0003-1789-4197
Sophia ManjarrezCity of Hope, Beckman Research Institute, Department of Integrative Translational Sciences, Duarte, CA 91010, USA.
Enrique Velazquez-VillarrealCity of Hope, Beckman Research Institute, Department of Integrative Translational Sciences, Duarte, CA 91010, USA.ORCID 0000-0002-3603-6414

Funding

Transgenic Mouse FacilityP30CA033572 · NCI · CITY OF HOPE/BECKMAN RESEARCH INSTITUTE · PI Victoria L. Seewaldt · 1985 to 2026
$86.3M
USC PE-GCS: Optimizing Engagement of Hispanic Colorectal Cancer Patients in Cancer Genomic Characterization StudiesU2CCA252971 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI JOHN D. CARPTEN, HEINZ JOSEF LENZ · 2021 to 2026
$19.3M
Project 2U54CA285116 · NCI · BECKMAN RESEARCH INSTITUTE/CITY OF HOPE · PI ERNEST MARTINEZ, Victoria L. Seewaldt · 2023 to 2026
$6.8M
Research EducationU54CA285114 · NCI · UNIVERSITY OF CALIFORNIA RIVERSIDE · PI DAVID D LO · 2023 to 2026
$6.2M
NCI NIH HHS P30 CA033572NCI NIH HHS P30CA033572NCI NIH HHS U2C CA252971NCI NIH HHS U2CCA252971NCI NIH HHS U54 CA285114NCI NIH HHS U54 CA285116NCI NIH HHS U54CA285116
6 · The paper itself

Abstract

Early-onset colorectal cancer (EOCRC; <50 years) incidence is increasing most rapidly among Hispanic/Latino (H/L) populations. While the transforming growth factor-beta (TGF-β) pathway influences colorectal cancer (CRC) progression, its prognostic role in FOLFOX-treated EOCRC, particularly in H/L patients, is unclear. We analyzed 2515 CRC cases (H/L = 266; NHW = 2249) stratified by ancestry, age at onset, and FOLFOX treatment using Fisher's exact, chi-square, and Kaplan-Meier analyses. We then applied AI-HOPE and AI-HOPE-TGFβ, conversational artificial intelligence (AI) platforms that integrate clinical, genomic, and treatment data, to perform complex, natural language-driven queries requiring multi-parameter integration. TGF-β pathway alterations occurred in 28-39% of H/L and 23-31% of NHW patients, with SMAD4 being the predominant driver. BMPR1A mutations were enriched in FOLFOX-treated EO H/L patients (5.5% vs. 1.1% EO NHW;

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsArtificial IntelligenceColorectal NeoplasmsPrecision MedicineTransforming Growth Factor betaAdultAge of OnsetFemaleFluorouracilHispanic or LatinoHumansLeucovorinMaleMiddle AgedMutationOrganoplatinum CompoundsFluorouracilLeucovorinOrganoplatinum CompoundsTransforming Growth Factor betaartificial intelligencecancer diagnosiscancer disparitiescancer genomicscancer treatmentchemotherapycolorectal cancerLLMprecision medicineTGF-beta pathway

Identifiers

PMID41009631
PMCPMC12469963

What Socratic holds

Textmetadata
LicenceCC BY
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.