Evidence map›Paper›PMID 34947972›Full record

ArticleInternational journal of molecular sciences2021

DFMO Improves Survival and Increases Immune Cell Infiltration in Association with MYC Downregulation in the Pancreatic Tumor Microenvironment.

Sai Preethi Nakkina, Sarah B Gitto, Jordan M Beardsley, Veethika Pandey, Michael W Rohr, Jignesh G Parikh, Otto Phanstiel, Deborah A Altomare

Open access · goldAbstract read
In one paragraph

Article in International journal of molecular sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.4field-weighted citation impact, top 41% 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

8 citing papers in PubMed, 12 citations in OpenAlex.

  1. Current oncology (Toronto, Ont.) · 2026
    Review
  2. Article
  3. Article
  4. Polyamine metabolism and anti-tumor immunity.Frontiers in immunology · 2025
    Review
  5. Review
  6. Review
  7. Review
  8. 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

8 authors at 3 institutions in 1 country.

Sai Preethi NakkinaBurnett School of Biomedical Sciences, College of Medicine, University of Central Florida, 6900 Lake Nona Blvd., Orlando, FL 32827, USA.
Sarah B GittoOvarian Cancer Research Center, Division of Gynecology Oncology, Department of Obstetrics and Gynecology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
Jordan M BeardsleyBurnett School of Biomedical Sciences, College of Medicine, University of Central Florida, 6900 Lake Nona Blvd., Orlando, FL 32827, USA.
Veethika PandeyOvarian Cancer Research Center, Division of Gynecology Oncology, Department of Obstetrics and Gynecology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
Michael W RohrBurnett School of Biomedical Sciences, College of Medicine, University of Central Florida, 6900 Lake Nona Blvd., Orlando, FL 32827, USA.
Jignesh G ParikhDepartment of Pathology, Orlando VA Medical Center, 13800 Veterans Way, Orlando, FL 32827, USA.
Otto PhanstielDepartment of Medical Education, College of Medicine, University of Central Florida, 12722 Research Parkway, Orlando, FL 32826, USA.ORCID 0000-0001-7101-1311
Deborah A AltomareBurnett School of Biomedical Sciences, College of Medicine, University of Central Florida, 6900 Lake Nona Blvd., Orlando, FL 32827, USA.ORCID 0000-0002-7014-0397
University of Central Florida · USCancer Research Center · USOrlando VA Medical Center · US

Funding

NRSA Training CoreTL1TR001880 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI MEAGHER, EMMA ANNE · 2016 to 2025
$10.0M
Florida Department of Health Bankhead-Coley Cancer Research Program 8BC05NCATS NIH HHS TL1 TR001880
6 · The paper itself

Abstract

Pancreatic ductal adenocarcinoma (PDAC) has an extremely poor five-year survival rate of less than 10%. Immune suppression along with chemoresistance are obstacles for PDAC therapeutic treatment. Innate immune cells, such as tumor-associated macrophages, are recruited to the inflammatory environment of PDAC and adversely suppress cytotoxic T lymphocytes. KRAS and MYC are important oncogenes associated with immune suppression and pose a challenge to successful therapies. Here, we targeted KRAS, through inhibition of downstream c-RAF with GW5074, and MYC expression via difluoromethylornithine (DFMO). DFMO alone and with GW5074 reduced in vitro PDAC cell viability. Both DFMO and GW5074 showed efficacy in reducing in vivo PDAC growth in an immunocompromised model. Results in immunocompetent syngeneic tumor-bearing mice showed that DFMO and combination treatment markedly decreased tumor size, but only DFMO increased survival in mice. To further investigate, immunohistochemical staining showed DFMO diminished MYC expression and increased tumor infiltration of macrophages, CD86

Indexed as

AnimalsCarcinoma, Pancreatic DuctalCell Line, TumorCell ProliferationCell SurvivalDown-RegulationDrug SynergismEflornithineGene Expression Regulation, NeoplasticHumansImmunocompetenceImmunocompromised HostIndolesMicePancreatic NeoplasmsPhenols5-iodo-3-((3,5-dibromo-4-hydroxyphenyl)methylene)-2-indolinoneEflornithineIndolesMYC protein, humanPhenolsProto-Oncogene Proteins c-mycc-RAFDFMOGW5074immune suppressionKRASMYCpancreatic ductal adenocarcinomapolyamine metabolismtumor microenvironment

Identifiers

PMID34947972
PMCPMC8706739
OpenAlexW4200053459

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.