Evidence map›Paper›PMID 30232221›Full record

ArticleCancer research2018

Tobacco Carcinogen-Induced Production of GM-CSF Activates CREB to Promote Pancreatic Cancer.

Supriya Srinivasan, Tulasigeri Totiger, Chanjuan Shi, Jason Castellanos, Purushottam Lamichhane, Austin R Dosch, Fanuel Messaggio, Nilesh Kashikar, Kumaraswamy Honnenahally, Yuguang Ban and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Cancer research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 10% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. cAMP response element-binding protein: A credible cancer drug target.The Journal of pharmacology and experimental therapeutics · 2025
    Review
  6. Article
  7. Article
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  9. Article
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  14. Review
  15. Review
  16. Article
  17. IL-10 in glioma.British journal of cancer · 2021
    Review
  18. Review
  19. Mechanistic insights into the activation of ester prodrugs of 666-15.Bioorganic & medicinal chemistry letters · 2020
    Article
  20. What turns CREB on? And off? And why does it matter?Cellular and molecular life sciences : CMLS · 2020
    Review
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

13 authors at 1 institution in 1 country.

Supriya SrinivasanDepartment of Surgery, University of Miami Miller School of Medicine, Miami, Florida.
Tulasigeri TotigerDepartment of Surgery, University of Miami Miller School of Medicine, Miami, Florida.
Chanjuan ShiDepartment of Pathology, Vanderbilt University School of Medicine, Nashville, Tennessee.
Jason CastellanosDepartment of Surgery, Vanderbilt University School of Medicine, Nashville, Tennessee.
Purushottam LamichhaneDepartment of Surgery, University of Miami Miller School of Medicine, Miami, Florida.
Austin R DoschDepartment of Surgery, University of Miami Miller School of Medicine, Miami, Florida.
Fanuel MessaggioDepartment of Surgery, University of Miami Miller School of Medicine, Miami, Florida.
Nilesh KashikarDepartment of Pathology, University of Colorado, Denver, Colorado.
Kumaraswamy HonnenahallyDepartment of Surgery, Vanderbilt University School of Medicine, Nashville, Tennessee.
Yuguang BanDepartment of Public Health, University of Miami Miller School of Medicine, Miami, Florida.
Nipun B MerchantDepartment of Surgery, University of Miami Miller School of Medicine, Miami, Florida.
Michael VanSaunDepartment of Surgery, University of Miami Miller School of Medicine, Miami, Florida.
Nagaraj S NagathihalliDepartment of Surgery, University of Miami Miller School of Medicine, Miami, Florida. nnagathihalli@med.miami.edu.
Vanderbilt University · US

Funding

Stat3 Signaling in Pancreas CancerR01CA161976 · NCI · VANDERBILT UNIVERSITY · PI MERCHANT, NIPUN B. · 2012 to 2022
$3.4M
Research Training Program in Surgical OncologyT32CA211034 · NCI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI MERCHANT, NIPUN B. · 2016 to 2025
$2.7M
Targeting cytokine mediated CREB activation in pancreatic cancerR21CA209536 · NCI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI NAGATHIHALLI, NAGARAJ S. · 2016 to 2017
$367k
NCI NIH HHS R01 CA161976NCI NIH HHS R21 CA209536NCI NIH HHS T32 CA211034
6 · The paper itself

Abstract

Although smoking is a significant risk factor for pancreatic ductal adenocarcinoma (PDAC), the molecular mechanisms underlying PDAC development and progression in smokers are still unclear. Here, we show the role of cyclic AMP response element-binding protein (CREB) in the pathogenesis of smoking-induced PDAC. Smokers had significantly higher levels of activated CREB when compared with nonsmokers. Cell lines derived from normal pancreas and pancreatic intraepithelial neoplasm (PanIN) exhibited low baseline pCREB levels compared with PDAC cell lines. Furthermore, elevated CREB expression correlated with reduced survival in patients with PDAC. Depletion of CREB significantly reduced tumor burden after tobacco-specific nitrosamine 4-(methyl nitrosamino)-1-(3-pyridyl)-1-butanone (NNK) treatment, suggesting a CREB-dependent contribution to PDAC growth and progression in smokers. Conversely, NNK accelerated PanIN lesion and PDAC formation via GM-CSF-mediated activation of CREB in a PDAC mouse model. CREB inhibition (CREBi) in mice more effectively reduced primary tumor burden compared with control or GM-CSF blockade alone following NNK exposure. GM-CSF played a role in the recruitment of tumor-associated macrophages (TAM) and regulatory T cell (Treg) expansion and promotion, whereas CREBi significantly reduced TAM and Treg populations in NNK-exposed mice. Overall, these results suggest that NNK exposure leads to activation of CREB through GM-CSF, promoting inflammatory and Akt pathways. Direct inhibition of CREB, but not GM-CSF, effectively abrogates these effects and inhibits tumor progression, offering a viable therapeutic strategy for patients with PDAC.

Indexed as

CarcinogensGene Expression Regulation, NeoplasticAnimalsCell Line, TumorCell ProliferationCyclic AMP Response Element-Binding ProteinDisease Models, AnimalDisease ProgressionGranulocyte-Macrophage Colony-Stimulating FactorHumansImmune SystemMacrophagesMiceMice, NudeMice, TransgenicNeoplasm Transplantation4-(N-methyl-N-nitrosamino)-1-(3-pyridyl)-1-butanoneCarcinogensCREB1 protein, humanCyclic AMP Response Element-Binding ProteinGranulocyte-Macrophage Colony-Stimulating FactorNitrosaminesRNA, Small Interfering

Identifiers

PMID30232221
PMCPMC6214726
OpenAlexW2891372229

What OpenQuestion holds

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Read underepoch 390

Registered trials

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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.