Evidence map›Paper›PMID 38733987›Full record

ArticleCell reports. Medicine2024

GATA6 identifies an immune-enriched phenotype linked to favorable outcomes in patients with pancreatic cancer undergoing upfront surgery.

Casper W F van Eijck, Francisco X Real, Núria Malats, Disha Vadgama, Thierry P P van den Bosch, Michail Doukas, Casper H J van Eijck, Dana A M Mustafa, Dutch Pancreatic Cancer Group (DPCG)

Abstract read
In one paragraph

Article in Cell reports. Medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
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

16 citing papers in PubMed.

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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

9 authors.

Casper W F van EijckDepartment of Surgery, Erasmus University Medical Centre, Rotterdam, the Netherlands; Genetic and Molecular Epidemiology Group, Spanish National Cancer Research Centre, Madrid, Spain. Electronic address: c.w.f.vaneijck@erasmusmc.nl.
Francisco X RealEpithelial Carcinogenesis Group, Spanish National Cancer Research Centre, Madrid, Spain; Centro de Investigación Biomédica en Red-Cáncer, Madrid, Spain; Department of Medicine and Life Sciences, Universitat Pompeu Fabra, Barcelona, Spain.
Núria MalatsGenetic and Molecular Epidemiology Group, Spanish National Cancer Research Centre, Madrid, Spain; Centro de Investigación Biomédica en Red-Cáncer, Madrid, Spain.
Disha VadgamaDepartment of Pathology and Clinical Bioinformatics, Erasmus University Medical Centre, Rotterdam, the Netherlands.
Thierry P P van den BoschDepartment of Pathology and Clinical Bioinformatics, Erasmus University Medical Centre, Rotterdam, the Netherlands.
Michail DoukasDepartment of Pathology and Clinical Bioinformatics, Erasmus University Medical Centre, Rotterdam, the Netherlands.
Casper H J van EijckDepartment of Surgery, Erasmus University Medical Centre, Rotterdam, the Netherlands; Genetic and Molecular Epidemiology Group, Spanish National Cancer Research Centre, Madrid, Spain.
Dana A M MustafaDepartment of Pathology and Clinical Bioinformatics, Erasmus University Medical Centre, Rotterdam, the Netherlands; The Tumor Immuno-Pathology Laboratory, Erasmus University Medical Centre, Rotterdam, the Netherlands. Electronic address: d.mustafa@erasmusmc.nl.
Dutch Pancreatic Cancer Group (DPCG)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study underscores GATA6's role in distinguishing classical and basal-like pancreatic ductal adenocarcinoma (PDAC) phenotypes. Retrospective studies associate GATA6 immunohistochemistry (IHC) expression with survival outcomes, warranting prospective validation. In a prospective treatment-naive cohort of patients with resected PDAC, GATA6 IHC proves a prognostic discriminator, associating high GATA6 expression with extended survival and the classical PDAC phenotype. However, GATA6's prognostic significance is numerically lower after gemcitabine-based neoadjuvant chemoradiotherapy compared to its significance in patients treated with upfront surgery. Furthermore, GATA6 is implicated in immunomodulation, although a comprehensive investigation of its immunological role is lacking. Treatment-naive PDAC tumors with varying GATA6 expression yield distinct immunological landscapes. Tumors highly expressing GATA6 show reduced infiltration of immunosuppressive regulatory T cells and M2 macrophages but increased infiltration of immune-stimulating, antigen-presenting, and activated T cells. Our findings caution against solely relying on GATA6 for molecular subtyping in clinical trials and open avenues for exploring immune-based combination therapies.

Indexed as

Carcinoma, Pancreatic DuctalGATA6 Transcription FactorPancreatic NeoplasmsPhenotypeAgedBiomarkers, TumorFemaleHumansMacrophagesMaleMiddle AgedNeoadjuvant TherapyPrognosisTreatment OutcomeBiomarkers, TumorGATA6 protein, humanGATA6 Transcription FactorGATA6immune profilingpancreatic ductal adenocarcinomaPDACrandomized controlled trialtumor microenvironment

Identifiers

PMID38733987
PMCPMC11148804

What OpenQuestion holds

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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.