Data‐Driven Molecular Typing: A New Frontier in Esophageal Cancer Management

ABSTRACT Background Esophageal squamous cell carcinoma (ESCC) is a predominant and highly lethal form of esophageal cancer, with a five‐year survival rate below 20%. Despite advancements, most patients are diagnosed at advanced stages, limiting effective treatment options. Multi‐omics integration, e...

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Main Authors: Yue Du, Bianli Gu, Linlin Shi, Yong She, Qi Zhao, Shegan Gao
Format: Article
Language:English
Published: Wiley 2025-03-01
Series:Cancer Medicine
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Online Access:https://doi.org/10.1002/cam4.70730
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author Yue Du
Bianli Gu
Linlin Shi
Yong She
Qi Zhao
Shegan Gao
author_facet Yue Du
Bianli Gu
Linlin Shi
Yong She
Qi Zhao
Shegan Gao
author_sort Yue Du
collection DOAJ
description ABSTRACT Background Esophageal squamous cell carcinoma (ESCC) is a predominant and highly lethal form of esophageal cancer, with a five‐year survival rate below 20%. Despite advancements, most patients are diagnosed at advanced stages, limiting effective treatment options. Multi‐omics integration, encompassing somatic genomic alterations, inherited genetic mutations, transcriptomics, proteomics, metabolomics, and single‐cell sequencing, has enabled the identification of distinct molecular subtypes of ESCC. Method This article systematically reviewed the current status of molecular subtyping of ESCC based on big data, summarized unique subtypes with differing treatment responses and prognostic outcomes. Result Key findings included subtype‐specific genetic mutations, signaling pathway alterations, and metabolomic profiles, which offer novel biomarkers and therapeutic targets. Furthermore, this review discusses the link between molecular subtypes and immunotherapy efficacy, chemotherapy response, and drug development. Conclusion These insights highlight the potential of omics‐based molecular typing to transform ESCC management and facilitate personalized treatment strategies.
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series Cancer Medicine
spelling doaj-art-0024d6eee75b42b4b2f00a447ee163fc2025-08-20T02:05:21ZengWileyCancer Medicine2045-76342025-03-01145n/an/a10.1002/cam4.70730Data‐Driven Molecular Typing: A New Frontier in Esophageal Cancer ManagementYue Du0Bianli Gu1Linlin Shi2Yong She3Qi Zhao4Shegan Gao5Henan Key Laboratory of Microbiome and Esophageal Cancer Prevention and Treatment, Henan Key Laboratory of Cancer Epigenetics, The First Affiliated Hospital (College of Clinical Medicine) of Henan University of Science and Technology Cancer Hospital Luoyang Henan ChinaHenan Key Laboratory of Microbiome and Esophageal Cancer Prevention and Treatment, Henan Key Laboratory of Cancer Epigenetics, The First Affiliated Hospital (College of Clinical Medicine) of Henan University of Science and Technology Cancer Hospital Luoyang Henan ChinaHenan Key Laboratory of Microbiome and Esophageal Cancer Prevention and Treatment, Henan Key Laboratory of Cancer Epigenetics, The First Affiliated Hospital (College of Clinical Medicine) of Henan University of Science and Technology Cancer Hospital Luoyang Henan ChinaState Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer Sun Yat‐Sen University Cancer Center Guangzhou Guangdong ChinaState Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer Sun Yat‐Sen University Cancer Center Guangzhou Guangdong ChinaHenan Key Laboratory of Microbiome and Esophageal Cancer Prevention and Treatment, Henan Key Laboratory of Cancer Epigenetics, The First Affiliated Hospital (College of Clinical Medicine) of Henan University of Science and Technology Cancer Hospital Luoyang Henan ChinaABSTRACT Background Esophageal squamous cell carcinoma (ESCC) is a predominant and highly lethal form of esophageal cancer, with a five‐year survival rate below 20%. Despite advancements, most patients are diagnosed at advanced stages, limiting effective treatment options. Multi‐omics integration, encompassing somatic genomic alterations, inherited genetic mutations, transcriptomics, proteomics, metabolomics, and single‐cell sequencing, has enabled the identification of distinct molecular subtypes of ESCC. Method This article systematically reviewed the current status of molecular subtyping of ESCC based on big data, summarized unique subtypes with differing treatment responses and prognostic outcomes. Result Key findings included subtype‐specific genetic mutations, signaling pathway alterations, and metabolomic profiles, which offer novel biomarkers and therapeutic targets. Furthermore, this review discusses the link between molecular subtypes and immunotherapy efficacy, chemotherapy response, and drug development. Conclusion These insights highlight the potential of omics‐based molecular typing to transform ESCC management and facilitate personalized treatment strategies.https://doi.org/10.1002/cam4.70730big dataesophageal squamous cell carcinomamolecular typingprecision treatmentsingle‐cell sequencing
spellingShingle Yue Du
Bianli Gu
Linlin Shi
Yong She
Qi Zhao
Shegan Gao
Data‐Driven Molecular Typing: A New Frontier in Esophageal Cancer Management
Cancer Medicine
big data
esophageal squamous cell carcinoma
molecular typing
precision treatment
single‐cell sequencing
title Data‐Driven Molecular Typing: A New Frontier in Esophageal Cancer Management
title_full Data‐Driven Molecular Typing: A New Frontier in Esophageal Cancer Management
title_fullStr Data‐Driven Molecular Typing: A New Frontier in Esophageal Cancer Management
title_full_unstemmed Data‐Driven Molecular Typing: A New Frontier in Esophageal Cancer Management
title_short Data‐Driven Molecular Typing: A New Frontier in Esophageal Cancer Management
title_sort data driven molecular typing a new frontier in esophageal cancer management
topic big data
esophageal squamous cell carcinoma
molecular typing
precision treatment
single‐cell sequencing
url https://doi.org/10.1002/cam4.70730
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