Evidence map›Paper›PMID 18054571›Full record

ArticleGastroenterology2007

In vivo lineage tracing defines the role of acinar-to-ductal transdifferentiation in inflammatory ductal metaplasia.

Oliver Strobel, Yuval Dor, Janivette Alsina, Amy Stirman, Gregory Lauwers, Amanda Trainor, Carlos Fernández-Del Castillo, Andrew L Warshaw, Sarah P Thayer

Open access · greenAbstract read
In one paragraph

Article in Gastroenterology, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 166 papers.

0numbers the graph read from it
0cells of the map it votes in
166citing papers in PubMed
11.1field-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

166 citing papers in PubMed, 269 citations in OpenAlex.

  1. Acinar-Derived Organoids Reveal Stage-Specific Control of Acinar Plasticity.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  2. Cell plasticity in cancer and therapy resistance.Experimental & molecular medicine · 2026
    Review
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  13. PRRX1 Has Functional Roles in Pancreatic Acinar to Ductal Metaplasia and Carcinogenesis.Cellular and molecular gastroenterology and hepatology · 2025
    Article
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  17. Review
  18. Review
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106 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 3 countries.

Oliver StrobelDepartment of Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Yuval Dor
Janivette Alsina
Amy Stirman
Gregory Lauwers
Amanda Trainor
Carlos Fernández-Del Castillo
Andrew L Warshaw
Sarah P Thayer
Harvard University · USMassachusetts General Hospital · USHebrew University of Jerusalem · IL

Funding

The Hedgehog Pathway and Pancreatic NeoplasiaK08DK071329 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI THAYER, SARAH P · 2004 to 2008
$660k
NIDDK NIH HHS DK071329NIDDK NIH HHS K08 DK071329
6 · The paper itself

Abstract

BACKGROUND &

aimsChronic injury results in regeneration of normal pancreatic tissue and formation of a metaplasia of ductal phenotype. Metaplastic ductal lesions are seen in pancreatitis as well as in specimens of pancreatic cancer and are thought to represent a condition with increased risk of neoplasia. Acinar-to-ductal transdifferentiation is thought to be the source of this metaplasia. This has been suggested for flat duct-like lesions called tubular complexes and for lesions exhibiting a mucinous metaplasia. However, available studies are based on interpretation of static data rather than on direct evidence. Transdifferentiation from acinar to ductal cells has never been confirmed in the adult pancreas.

methodsHere, we use Cre-loxP-based genetic lineage tracing in vivo to investigate whether transdifferentiation of acinar cells contributes to regeneration and metaplasia in pancreatitis.

resultsThe results show that transdifferentiation does not play a role in regeneration of normal tissue. Acinar cells are regenerated by preexisting acinar cells and not from other cell types. Three different types of metaplastic ductal lesions are observed and analyzed. Whereas the majority of metaplastic lesions are not of acinar origin, acinar-to-ductal transdifferentiation is identified in a minority of mucinous metaplastic lesions.

conclusionsHere, we provide direct evidence that acinar-to-ductal transdifferentiation occurs in the adult pancreas in vivo. However, it accounts for only a minority of metaplastic lesions.

Indexed as

Cell DifferentiationCell LineageAnimalsCell TransdifferentiationDisease Models, AnimalEpithelial CellsInflammationMetaplasiaMicePancreasPancreas, ExocrinePancreatic DuctsRegeneration

Identifiers

PMID18054571
PMCPMC2254582
OpenAlexW2087276195

What OpenQuestion 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 OpenQuestion graph.