Evidence map›Paper›PMID 31533831›Full record

ArticleJournal for immunotherapy of cancer2019

Immunosuppression by monocytic myeloid-derived suppressor cells in patients with pancreatic ductal carcinoma is orchestrated by STAT3.

Rosalinda Trovato, Alessandra Fiore, Sara Sartori, Stefania Canè, Rosalba Giugno, Luciano Cascione, Salvatore Paiella, Roberto Salvia, Francesco De Sanctis, Ornella Poffe and 14 more

Open access · goldAbstract read
In one paragraph

Article in Journal for immunotherapy of cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 120 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
120citing papers in PubMed, 2 pooled it
9.6field-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

120 citing papers in PubMed, 2 syntheses or guidelines pooled it, 184 citations in OpenAlex.

  1. Necroptosis in pancreatic cancer: Molecular mechanisms and therapeutic implications.Apoptosis : an international journal on programmed cell death · 2026
    Pooled it
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  17. The roles of arginases and arginine in immunity.Nature reviews. Immunology · 2025
    Review
  18. Enhancing antitumour immunity with photodynamic therapy.Photochemical & photobiological sciences : Official journal of the European Photochemistry Association and the European Society for Photobiology · 2025
    Article
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60 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

24 authors at 5 institutions in 5 countries.

Rosalinda TrovatoUniversity Hospital and Department of Medicine, Section of Immunology, University of Verona, Verona, Italy.
Alessandra FioreUniversity Hospital and Department of Medicine, Section of Immunology, University of Verona, Verona, Italy.
Sara SartoriUniversity Hospital and Department of Medicine, Section of Immunology, University of Verona, Verona, Italy.
Stefania CanèUniversity Hospital and Department of Medicine, Section of Immunology, University of Verona, Verona, Italy.
Rosalba GiugnoDepartment of Computer Science, University of Verona, Verona, Italy.
Luciano CascioneInstitute of Oncology Research, Bellinzona, Switzerland.
Salvatore PaiellaGeneral and Pancreatic Surgery, Pancreas Institute, University of Verona, Verona, Italy.
Roberto SalviaGeneral and Pancreatic Surgery, Pancreas Institute, University of Verona, Verona, Italy.
Francesco De SanctisUniversity Hospital and Department of Medicine, Section of Immunology, University of Verona, Verona, Italy.
Ornella PoffeUniversity Hospital and Department of Medicine, Section of Immunology, University of Verona, Verona, Italy.
Cristina AnselmiUniversity Hospital and Department of Medicine, Section of Immunology, University of Verona, Verona, Italy.
Francesca HoferUniversity Hospital and Department of Medicine, Section of Immunology, University of Verona, Verona, Italy.
Silvia SartorisUniversity Hospital and Department of Medicine, Section of Immunology, University of Verona, Verona, Italy.
Geny PiroMedical Oncology, Fondazione Policlinico Universitario Agostino Gemelli, IRCCS, Rome, Italy.
Carmine CarboneMedical Oncology, Fondazione Policlinico Universitario Agostino Gemelli, IRCCS, Rome, Italy.
Vincenzo CorboDepartment of Department of Diagnostic and Public Health, University of Verona, Verona, Italy.ORCID 0000-0002-3741-5141
Rita LawlorARC-Net Centre for Applied Research on Cancer, University and Hospital Trust of Verona, Verona, Italy.
Samantha SolitoDepartment of Surgery, Oncology and Gastroenterology, Section of Oncology and Immunology, University of Padova, Padova, Italy.
Laura PintonDepartment of Surgery, Oncology and Gastroenterology, Section of Oncology and Immunology, University of Padova, Padova, Italy.
Susanna MandruzzatoDepartment of Surgery, Oncology and Gastroenterology, Section of Oncology and Immunology, University of Padova, Padova, Italy.
Claudio BassiGeneral and Pancreatic Surgery, Pancreas Institute, University of Verona, Verona, Italy.
Aldo ScarpaDepartment of Department of Diagnostic and Public Health, University of Verona, Verona, Italy.
Vincenzo BronteUniversity Hospital and Department of Medicine, Section of Immunology, University of Verona, Verona, Italy. vincenzo.bronte@univr.it.
Stefano UgelUniversity Hospital and Department of Medicine, Section of Immunology, University of Verona, Verona, Italy.
University of Verona · ITUniversità Cattolica del Sacro Cuore · ITUniversity of Padua · ITInstitute of Oncology Research · CHUniversity Hospital Foundation · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPancreatic ductal adenocarcinoma (PDAC) is a highly devastating disease with an overall 5-year survival rate of less than 8%. New evidence indicates that PDAC cells release pro-inflammatory metabolites that induce a marked alteration of normal hematopoiesis, favoring the expansion and accumulation of myeloid-derived suppressor cells (MDSCs). We report here that PDAC patients show increased levels of both circulating and tumor-infiltrating MDSC-like cells.

methodsThe frequency of MDSC subsets in the peripheral blood was determined by flow cytometry in three independent cohorts of PDAC patients (total analyzed patients, n = 117). Frequency of circulating MDSCs was correlated with overall survival of PDAC patients. We also analyzed the frequency of tumor-infiltrating MDSC and the immune landscape in fresh biopsies. Purified myeloid cell subsets were tested in vitro for their T-cell suppressive capacity.

resultsCorrelation with clinical data revealed that MDSC frequency was significantly associated with a shorter patients' overall survival and metastatic disease. However, the immunosuppressive activity of purified MDSCs was detectable only in some patients and mainly limited to the monocytic subset. A transcriptome analysis of the immunosuppressive M-MDSCs highlighted a distinct gene signature in which STAT3 was crucial for monocyte re-programming. Suppressive M-MDSCs can be characterized as circulating STAT3/arginase1-expressing CD14

conclusionMDSC analysis aids in defining the immune landscape of PDAC patients for a more appropriate diagnosis, stratification and treatment.

Indexed as

Tumor EscapeAgedAged, 80 and overArginaseCarcinoma, Pancreatic DuctalCells, CulturedCell SeparationFemaleFlow CytometryGene Expression ProfilingHumansLipopolysaccharide ReceptorsMaleMiddle AgedMyeloid-Derived Suppressor CellsPancreasARG1 protein, humanArginaseCD14 protein, humanLipopolysaccharide ReceptorsSTAT3 protein, humanSTAT3 Transcription FactorInnate immunityMyeloid-derived suppressor cells (MDSC)Pancreatic ductal adenocarcinoma (PDAC)Tumor-associated immunosuppressionTumor progression

Identifiers

PMID31533831
PMCPMC6751612
OpenAlexW2973724679

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.