Evidence map›Paper›PMID 21339327›Full record

ArticleThe Journal of experimental medicine2011

Intratumor T helper type 2 cell infiltrate correlates with cancer-associated fibroblast thymic stromal lymphopoietin production and reduced survival in pancreatic cancer.

Lucia De Monte, Michele Reni, Elena Tassi, Daniela Clavenna, Ilenia Papa, Helios Recalde, Marco Braga, Valerio Di Carlo, Claudio Doglioni, Maria Pia Protti

2 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in The Journal of experimental medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 434 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
434citing papers in PubMed, 3 pooled it
23.4field-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.

NCT02021422 phase1completednot on this mapstarted 2013, after this paper: background citation

A Pilot, Prospective, Non-randomized Evaluation of the Safety of Anakinra Plus Standard Chemotherapy Regimens in Metastatic Pancreatic Ductal Adenocarcinoma Patients

TypeinterventionalSponsorBaylor Research InstituteRan2013 to 2021Enrolled13ConditionsPancreas CancerArmsanakinra, Oxaliplatin, Irinotecan, fluorouracil
NCT04622423 recruitingnot on this mapstarted 2019, after this paper: background citation

Advanced Immune Gene and Cell Therapies for Liver Metastases

TypeobservationalSponsorIRCCS San RaffaeleRan2019 to 2030Enrolled625ConditionsPancreatic Ductal Adenocarcinoma (PDAC), Colorectal Cancer (CRC), Liver Metastasis, IPMN, Pancreatic
3 · Its place in the literature

Who cites it

434 citing papers in PubMed, 3 syntheses or guidelines pooled it, 687 citations in OpenAlex.

  1. Necroptosis in pancreatic cancer: Molecular mechanisms and therapeutic implications.Apoptosis : an international journal on programmed cell death · 2026
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374 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Lucia De MonteTumor Immunology Unit, San Raffaele Scientific Institute, 20132 Milan, Italy.
Michele Reni
Elena Tassi
Daniela Clavenna
Ilenia Papa
Helios Recalde
Marco Braga
Valerio Di Carlo
Claudio Doglioni
Maria Pia Protti
Vita-Salute San Raffaele University · ITSan Raffaele University of Rome · ITPancreas Centre (Canada) · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pancreatic cancer is a very aggressive disease characterized by a marked desmoplasia with a predominant Th2 (GATA-3+) over Th1 (T-bet+) lymphoid infiltrate. We found that the ratio of GATA-3+/T-bet+ tumor-infiltrating lymphoid cells is an independent predictive marker of patient survival. Patients surgically treated for stage IB/III disease with a ratio inferior to the median value had a statistically significant prolonged overall survival, implying an active role for Th2 responses in disease progression. Thymic stromal lymphopoietin (TSLP), which favors Th2 cell polarization through myeloid dendritic cell (DC) conditioning, was secreted by cancer-associated fibroblasts (CAFs) after activation with tumor-derived tumor necrosis factor α and interleukin 1β. TSLP-containing supernatants from activated CAFs induced in vitro myeloid DCs to up-regulate the TSLP receptor (TSLPR), secrete Th2-attracting chemokines, and acquire TSLP-dependent Th2-polarizing capability in vitro. In vivo, Th2 chemoattractants were expressed in the tumor and in the stroma, and TSLPR-expressing DCs were present in the tumor stroma and in tumor-draining but not in nondraining lymph nodes. Collectively, this study identifies in pancreatic cancer a cross talk between tumor cells and CAFs, resulting in a TSLP-dependent induction of Th2-type inflammation which associates with reduced patient survival. Thus, blocking TSLP production by CAFs might help to improve prognosis in pancreatic cancer.

Indexed as

CytokinesFemaleFibroblastsHumansInterleukin-1betaLymphocytes, Tumor-InfiltratingMaleMiddle AgedPancreatic NeoplasmsReceptors, CytokineTh1 CellsTh2 CellsThymic Stromal LymphopoietinTumor Necrosis Factor-alphaCRLF2 protein, humanCytokinesInterleukin-1betaReceptors, CytokineThymic Stromal LymphopoietinTumor Necrosis Factor-alpha

Identifiers

PMID21339327
PMCPMC3058573
OpenAlexW2149336558

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

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.