Evidence map›Paper›PMID 31277479›Full record

ArticleCancers2019

Gene Expression Comparison between the Lymph Node-Positive and -Negative Reveals a Peculiar Immune Microenvironment Signature and a Theranostic Role for WNT Targeting in Pancreatic Ductal Adenocarcinoma: A Pilot Study.

Antonella Argentiero, Simona De Summa, Roberta Di Fonte, Rosa Maria Iacobazzi, Letizia Porcelli, Matteo Da Vià, Oronzo Brunetti, Amalia Azzariti, Nicola Silvestris, Antonio Giovanni Solimando

Abstract read
In one paragraph

Article in Cancers, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 1 pooled it
–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

61 citing papers in PubMed, 1 synthesis or guideline pooled it.

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1 more citing papers are in PubMed but not listed here.

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

10 authors.

Antonella ArgentieroMedical Oncology Unit, IRCCS Cancer Institute "Giovanni Paolo II" of Bari, 70124 Bari, Italy.
Simona De SummaMolecular Diagnostics and Pharmacogenetics Unit, IRCCS Cancer Institute "Giovanni Paolo II", 70124 Bari, Italy.ORCID 0000-0001-9607-3754
Roberta Di FonteExperimental Pharmacology Laboratory, IRCCS Cancer Institute "Giovanni Paolo II", 70124 Bari, Italy.
Rosa Maria IacobazziExperimental Pharmacology Laboratory, IRCCS Cancer Institute "Giovanni Paolo II", 70124 Bari, Italy.ORCID 0000-0002-0737-6591
Letizia PorcelliExperimental Pharmacology Laboratory, IRCCS Cancer Institute "Giovanni Paolo II", 70124 Bari, Italy.
Matteo Da ViàDepartment of Internal Medicine II, Interdisciplinary Center for Clinical Research Laboratory, University Hospital of Würzburg, 97080 Würzburg, Germany.ORCID 0000-0002-5396-6584
Oronzo BrunettiMedical Oncology Unit, The Hospital Mons. R. Dimiccoli, 76121 Barletta (Bat), Italy.
Amalia AzzaritiExperimental Pharmacology Laboratory, IRCCS Cancer Institute "Giovanni Paolo II", 70124 Bari, Italy.
Nicola SilvestrisScientific Direction, IRCCS Cancer Institute "Giovanni Paolo II", 70124 Bari, Italy.ORCID 0000-0001-7814-7318
Antonio Giovanni SolimandoDepartment of Internal Medicine II, Interdisciplinary Center for Clinical Research Laboratory, University Hospital of Würzburg, 97080 Würzburg, Germany. antonio.solimando@uniba.it.

Funding

Italian Ministry of Health RC2018-2020
6 · The paper itself

Abstract

Over the past several years there has been much debate with regards to the prognostic and clinical significance of pancreatic ductal adenocarcinoma (PDAC) with lymph nodes metastasis. The PDAC gene expression knowledge and the biologic alterations underlying the lymph node involvement convey a clinical implication in dealing with the theranostic window. To this end, we provide an original bioinformatic dissection of the gene expression differences of PDAC according to the nodal involvement from a large public available dataset. Comprehensive transcriptomic analysis from 143 RNA-seq patient's derived samples indicated that WNT increased activation and a peculiar immune microenvironment identify subjects with nodal involvement. In frame of this thinking, we validated the WNT pathway role in increasing the likelihood of lymphatic dissemination in vitro. Moreover, we demonstrated for the first time in a PDAC model the potential therapeutic window that XAV-939-a specific WNT pathway inhibitor-has in re-educating a tumor-permissive immune system. Finally, we outline the potential implication on bystander molecular drivers exerted by WNT molecular inhibition, providing a picture of the proteomic oncogenic landscape changes elicited by XAV-939 on PDAC cells and their clinical implication. Our findings hold the promise to identify novel immune-based therapeutic strategies targeting WNT to enhance PDAC cytotoxicity and restore anti-PDAC immunity in node-positive disease.

Indexed as

ANGPTL4dendritic cellslymph node metastasesM2 macrophagesMST-1pancreatic cancerPDACtumor immune microenvironmentWNTXAV-939

Identifiers

PMID31277479
PMCPMC6678707

What OpenQuestion holds

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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.