Evidence map›Paper›PMID 33115526›Full record

ReviewJournal of experimental & clinical cancer research : CR2020

KRAS wild-type pancreatic ductal adenocarcinoma: molecular pathology and therapeutic opportunities.

Claudio Luchini, Gaetano Paolino, Paola Mattiolo, Maria L Piredda, Alessandro Cavaliere, Marina Gaule, Davide Melisi, Roberto Salvia, Giuseppe Malleo, Jae Il Shin and 5 more

Open access · goldAbstract readReview
In one paragraph

Review in Journal of experimental & clinical cancer research : CR, 2020. 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
4.3field-weighted citation impact, top 4% 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

61 citing papers in PubMed, 1 synthesis or guideline pooled it, 95 citations in OpenAlex.

  1. Pooled it
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  7. CSIE: cancer subtyping via inference and ensemble.Briefings in bioinformatics · 2026
    Article
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  15. Improving outcomes of patients with pancreatic cancer.Nature reviews. Clinical oncology · 2025
    Review
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  17. Article
  18. Article
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  20. Article

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

15 authors at 3 institutions in 2 countries.

Claudio LuchiniDepartment of Diagnostics and Public Health, Section of Pathology, University of Verona, 37134, Verona, Italy.
Gaetano PaolinoDepartment of Diagnostics and Public Health, Section of Pathology, University of Verona, 37134, Verona, Italy.
Paola MattioloDepartment of Diagnostics and Public Health, Section of Pathology, University of Verona, 37134, Verona, Italy.
Maria L PireddaARC-Net Research Center, University and Hospital Trust of Verona, 37134, Verona, Italy.
Alessandro CavaliereSection of Oncology, Department of Medicine, University and Hospital Trust of Verona, Piazzale L.A. Scuro 10, 37134, Verona, VR, Italy.
Marina GauleSection of Oncology, Department of Medicine, University and Hospital Trust of Verona, Piazzale L.A. Scuro 10, 37134, Verona, VR, Italy.
Davide MelisiSection of Oncology, Department of Medicine, University and Hospital Trust of Verona, Piazzale L.A. Scuro 10, 37134, Verona, VR, Italy.
Roberto SalviaDepartment of Surgery, University of Verona, 37134, Verona, Italy.
Giuseppe MalleoDepartment of Surgery, University of Verona, 37134, Verona, Italy.
Jae Il ShinYonsei University College of Medicine, 03722, Seoul, Republic of Korea.
Sarah CargninDepartment of Pharmaceutical Sciences and Interdepartmental Research Center of Pharmacogenetics and Pharmacogenomics (CRIFF), University of Piemonte Orientale, 28100, Novara, Italy.
Salvatore TerrazzinoDepartment of Pharmaceutical Sciences and Interdepartmental Research Center of Pharmacogenetics and Pharmacogenomics (CRIFF), University of Piemonte Orientale, 28100, Novara, Italy.
Rita T LawlorARC-Net Research Center, University and Hospital Trust of Verona, 37134, Verona, Italy.
Michele MilellaSection of Oncology, Department of Medicine, University and Hospital Trust of Verona, Piazzale L.A. Scuro 10, 37134, Verona, VR, Italy. michele.milella@univr.it.ORCID http://orcid.org/0000-0002-3826-5237
Aldo ScarpaDepartment of Diagnostics and Public Health, Section of Pathology, University of Verona, 37134, Verona, Italy.
University of Verona · ITUniversità degli Studi del Piemonte Orientale “Amedeo Avogadro” · ITYonsei University · KR

Funding

Associazione Italiana per la Ricerca sul Cancro 12182Fondazione Cariverona: Oncology Biobank Project "Antonio Schiavi" 203885/2017
6 · The paper itself

Abstract

Pancreatic ductal adenocarcinoma (PDAC) is a deadly disease, whose main molecular trait is the MAPK pathway activation due to KRAS mutation, which is present in 90% of cases.The genetic landscape of KRAS wild type PDAC can be divided into three categories. The first is represented by tumors with an activated MAPK pathway due to BRAF mutation that occur in up to 4% of cases. The second includes tumors with microsatellite instability (MSI) due to defective DNA mismatch repair (dMMR), which occurs in about 2% of cases, also featuring a high tumor mutational burden. The third category is represented by tumors with kinase fusion genes, which marks about 4% of cases. While therapeutic molecular targeting of KRAS is an unresolved challenge, KRAS-wild type PDACs have potential options for tailored treatments, including BRAF antagonists and MAPK inhibitors for the first group, immunotherapy with anti-PD-1/PD-L1 agents for the MSI/dMMR group, and kinase inhibitors for the third group.This calls for a complementation of the histological diagnosis of PDAC with a routine determination of KRAS followed by a comprehensive molecular profiling of KRAS-negative cases.

Indexed as

Molecular Targeted TherapyMutationPathology, MolecularAntineoplastic AgentsCarcinoma, Pancreatic DuctalHumansPancreatic NeoplasmsProto-Oncogene Proteins p21(ras)Antineoplastic AgentsKRAS protein, humanProto-Oncogene Proteins p21(ras)BRAFdMMRfusion genesKRASMSIpancreatic cancer

Identifiers

PMID33115526
PMCPMC7594413
OpenAlexW3095252657

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.