Evidence map›Paper›PMID 35944927›Full record

ArticleGut2023

Molecular heterogeneity and commonalities in pancreatic cancer precursors with gastric and intestinal phenotype.

Sven-Thorsten Liffers, Laura Godfrey, Lisa Frohn, Lena Haeberle, Aslihan Yavas, Rita Vesce, Wolfgang Goering, Friederike V Opitz, Nickolas Stoecklein, Wolfram Trudo Knoefel and 6 more

Open access · hybridAbstract read
In one paragraph

Article in Gut, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
4.0field-weighted citation impact, top 5% 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

24 citing papers in PubMed, 42 citations in OpenAlex.

  1. Article
  2. Tumor-Derived LAMB3 Drives Immunosuppressive LRRC15Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  3. metileneNature communications · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Review
  14. Dual Role of NRF2 in Pancreatic Precursor Lesions.Cancer research communications · 2025
    Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Review
  20. 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

16 authors at 2 institutions in 1 country.

Sven-Thorsten LiffersBridge Institute of Experimental Tumor Therapy, West German Cancer Center, University Hospital Essen, Essen, Germany.
Laura GodfreyBridge Institute of Experimental Tumor Therapy, West German Cancer Center, University Hospital Essen, Essen, Germany.
Lisa FrohnInstitute of Pathology, Heinrich-Heine University and University Hospital of Dusseldorf, Dusseldorf, Germany.
Lena HaeberleInstitute of Pathology, Heinrich-Heine University and University Hospital of Dusseldorf, Dusseldorf, Germany.
Aslihan YavasInstitute of Pathology, Heinrich-Heine University and University Hospital of Dusseldorf, Dusseldorf, Germany.ORCID 0000-0002-8408-3063
Rita VesceInstitute of Pathology, Heinrich-Heine University and University Hospital of Dusseldorf, Dusseldorf, Germany.
Wolfgang GoeringInstitute of Pathology, Heinrich-Heine University and University Hospital of Dusseldorf, Dusseldorf, Germany.
Friederike V OpitzInstitute of Pathology, Heinrich-Heine University and University Hospital of Dusseldorf, Dusseldorf, Germany.ORCID 0000-0002-5025-3781
Nickolas StoeckleinDepartment of General, Visceral and Pediatric Surgery, Heinrich-Heine-University and University Hospital of Dusseldorf, Dusseldorf, Germany.
Wolfram Trudo KnoefelDepartment of General, Visceral and Pediatric Surgery, Heinrich-Heine-University and University Hospital of Dusseldorf, Dusseldorf, Germany.
Anna Melissa SchlitterInstitute of Pathology, Technische Universitaet Muenchen, Munich, Germany.ORCID 0000-0001-6431-2036
Guenter KlöppelInstitute of Pathology, Technische Universitaet Muenchen, Munich, Germany.
Elisa EspinetHI-STEM-Heidelberg Institute for Stem Cell Technology and Experimental Medicine GmbH, Heidelberg, Germany.ORCID 0000-0002-0690-9878
Andreas TrumppHI-STEM-Heidelberg Institute for Stem Cell Technology and Experimental Medicine GmbH, Heidelberg, Germany.
Jens T SivekeBridge Institute of Experimental Tumor Therapy, West German Cancer Center, University Hospital Essen, Essen, Germany.
Irene EspositoInstitute of Pathology, Heinrich-Heine University and University Hospital of Dusseldorf, Dusseldorf, Germany Irene.Esposito@med.uni-duesseldorf.de.ORCID 0000-0002-0554-2402
Düsseldorf University Hospital · DEGerman Cancer Research Center · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveDue to the limited number of modifiable risk factors, secondary prevention strategies based on early diagnosis represent the preferred route to improve the prognosis of pancreatic ductal adenocarcinoma (PDAC). Here, we provide a comparative morphogenetic analysis of PDAC precursors aiming at dissecting the process of carcinogenesis and tackling the heterogeneity of preinvasive lesions.

designTargeted and whole-genome low-coverage sequencing, genome-wide methylation and transcriptome analyses were applied on a final collective of 122 morphologically well-characterised low-grade and high-grade PDAC precursors, including intestinal and gastric intraductal papillary mucinous neoplasms (IPMN) and pancreatic intraepithelial neoplasias (PanIN).

resultsEpigenetic regulation of mucin genes determines the phenotype of PDAC precursors. PanIN and gastric IPMN display a ductal molecular profile and numerous similarly regulated pathways, including the Notch pathway, but can be distinguished by recurrent deletions and differential methylation and, in part, by the expression of mucin-like 3. Intestinal IPMN are clearly distinct lesions at the molecular level with a more instable genotype and are possibly related to a different ductal cell compartment.

conclusionsPDAC precursors with gastric and intestinal phenotype are heterogeneous in terms of morphology, genetic and epigenetic profile. This heterogeneity is related to a different cell identity and, possibly, to a different aetiology.

Indexed as

Carcinoma, Pancreatic DuctalPancreatic Intraductal NeoplasmsPancreatic NeoplasmsEpigenesis, GeneticHumansMucinsPhenotypeMucinsgene expressiongene mutationpancreatic pathologypancreatic tumourspre-malignancy - GI tract

Identifiers

PMID35944927
PMCPMC9933174
OpenAlexW4293105077

What OpenQuestion holds

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LicenceCC BY-NC
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.