Evidence map›Paper›PMID 37480223›Full record

ReviewCancer science2023

Multifaced roles of desmoplastic reaction and fibrosis in pancreatic cancer progression: Current understanding and future directions.

Hiromichi Sato, Tomoaki Hara, Sikun Meng, Yoshiko Tsuji, Yasuko Arao, Yoshiko Saito, Kazuki Sasaki, Shogo Kobayashi, Yuichiro Doki, Hidetoshi Eguchi and 1 more

Open access · goldAbstract readReview
In one paragraph

Review in Cancer science, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
9.9field-weighted citation impact, top 2% 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

37 citing papers in PubMed, 43 citations in OpenAlex.

  1. Review
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  8. Pancreatic cancer-associated myofibroblasts: a review.International journal of biological sciences · 2026
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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

11 authors at 2 institutions in 1 country.

Hiromichi SatoDepartment of Medical Data Science, Center of Medical Innovation and Translational Research, Osaka University Graduate School of Medicine, Osaka, Japan.
Tomoaki HaraDepartment of Medical Data Science, Center of Medical Innovation and Translational Research, Osaka University Graduate School of Medicine, Osaka, Japan.
Sikun MengDepartment of Medical Data Science, Center of Medical Innovation and Translational Research, Osaka University Graduate School of Medicine, Osaka, Japan.
Yoshiko TsujiDepartment of Medical Data Science, Center of Medical Innovation and Translational Research, Osaka University Graduate School of Medicine, Osaka, Japan.
Yasuko AraoDepartment of Medical Data Science, Center of Medical Innovation and Translational Research, Osaka University Graduate School of Medicine, Osaka, Japan.
Yoshiko SaitoDepartment of Medical Data Science, Center of Medical Innovation and Translational Research, Osaka University Graduate School of Medicine, Osaka, Japan.
Kazuki SasakiDepartment of Medical Data Science, Center of Medical Innovation and Translational Research, Osaka University Graduate School of Medicine, Osaka, Japan.
Shogo KobayashiDepartment of Gastrointestinal Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Yuichiro DokiDepartment of Gastrointestinal Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Hidetoshi EguchiDepartment of Gastrointestinal Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.ORCID https://orcid.org/0000-0002-2318-1129
Hideshi IshiiDepartment of Medical Data Science, Center of Medical Innovation and Translational Research, Osaka University Graduate School of Medicine, Osaka, Japan.ORCID https://orcid.org/0000-0002-0632-6517
Osaka City University · JPOsaka University of Economics · JP

Funding

Grant-in-Aid for Scientific Research from the Ministry of Education, Culture, Sports, Science and Technology 16H06279Grant-in-Aid for Scientific Research from the Ministry of Education, Culture, Sports, Science and Technology 17cm0106414h0002Grant-in-Aid for Scientific Research from the Ministry of Education, Culture, Sports, Science and Technology 18KK0251Grant-in-Aid for Scientific Research from the Ministry of Education, Culture, Sports, Science and Technology 19K2265Grant-in-Aid for Scientific Research from the Ministry of Education, Culture, Sports, Science and Technology 20H00541Grant-in-Aid for Scientific Research from the Ministry of Education, Culture, Sports, Science and Technology 21K19526Grant-in-Aid for Scientific Research from the Ministry of Education, Culture, Sports, Science and Technology 22H03146Grant-in-Aid for Scientific Research from the Ministry of Education, Culture, Sports, Science and Technology 22K19559Grant-in-Aid for Scientific Research from the Ministry of Education, Culture, Sports, Science and Technology JP21lm0203007Mitsubishi Foundation
6 · The paper itself

Abstract

Desmoplastic reaction is a fibrosis reaction that is characterized by a large amount of dense extracellular matrix (ECM) and dense fibrous stroma. Fibrotic stroma around the tumor has several different components, including myofibroblasts, collagen, and other ECM molecules. This stromal reaction is a natural response to the tissue injury process, and fibrosis formation is a key factor in pancreatic cancer development. The fibrotic stroma of pancreatic cancer is associated with tumor progression, metastasis, and poor prognosis. Reportedly, multiple processes are involved in fibrosis, which is largely associated with the upregulation of various cytokines, chemokines, matrix metalloproteinases, and other growth factors that promote tumor growth and metastasis. Fibrosis is also associated with immunosuppressive cell recruitment, such as regulatory T cells (Tregs) with suppressing function to antitumor immunity. Further, dense fibrosis restricts the flow of nutrients and oxygen to the tumor cells, which can contribute to drug resistance. Furthermore, the dense collagen matrix can act as a physical barrier to block the entry of drugs into the tumor, thereby further contributing to drug resistance. Thus, understanding the mechanism of desmoplastic reaction and fibrosis in pancreatic cancer will open an avenue to innovative medicine and improve the prognosis of patients suffering from this disease.

Indexed as

Pancreatic NeoplasmsCytokinesExtracellular MatrixHumansPancreasCytokinescancerdesmoplastic reactionfibroblastsfibrosispancreas

Identifiers

PMID37480223
PMCPMC10475783
OpenAlexW4385064176

What OpenQuestion holds

Textmetadata
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.