Evidence map›Paper›PMID 42336815›Full record

ReviewCell death discovery2026

The "Hit-and-Run" legacy: epigenetic locking and the survival switch in H. pylori-associated gastric cancer.

Junjie Sun, Pengtao Hu, Benno Traub, Marko Kornmann, Uwe Knippschild, Jian Lu, Chengyu Lv, Georgios Giamas

Abstract readReview
In one paragraph

Review in Cell death discovery, 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

8 authors.

Junjie Sun *Department of General Surgery, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Pengtao Hu *Department of General Surgery, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Benno TraubDepartment of General, Visceral and Transplantation Surgery, Tübingen University Hospital, Tübingen, Germany.
Marko KornmannDepartment of General and Visceral Surgery, Ulm University Hospital, Ulm, Germany.
Uwe KnippschildDepartment of General and Visceral Surgery, Ulm University Hospital, Ulm, Germany.
Jian LuInternational Oncology Institute, The First Affiliated Hospital of Zhejiang Chinese Medical University, Oncology Department of the First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China. jian.lu@zcmu.edu.cn.ORCID http://orcid.org/0000-0002-6090-2490
Chengyu LvDepartment of General Surgery, Nanjing First Hospital, Nanjing Medical University, Nanjing, China. lcy_1234@aliyun.com.
Georgios GiamasInternational Oncology Institute, The First Affiliated Hospital of Zhejiang Chinese Medical University, Oncology Department of the First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China. georgios.giamas@zcmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The mortality associated with gastric cancer (GC) is mostly attributed to metastasis that is resistant to therapy, presenting a therapeutic challenge that frequently continues even after effective eradication of Helicobacter pylori (H. pylori). This paper addresses the "eradication paradox" by introducing a novel conceptual framework, the "Survival Switch" hypothesis: H. pylori infection not only induces a temporary epithelial-mesenchymal transition (EMT) but also stabilizes gastric epithelial cells in a persistent, drug-resistant "Hybrid Epithelial/Mesenchymal (Hybrid E/M) state." We systematically outline this evolutionary trajectory through three distinct phases: (1) The Igniter: The virulence factor Cytotoxin-associated gene A (CagA) compromises junctional integrity and commandeers YAP/ZEB1 signaling to initiate plasticity; (2) The Lock: A "Hit-and-Run" mechanism establishes "epigenetic scarring," specifically methyltransferase-like 3 (METTL3)-mediated N

Identifiers

PMID42336815
PMCPMC13547248

What Socratic holds

Textmetadata
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.