Evidence map›Paper›PMID 39658630›Full record

ArticleNature biomedical engineering2025

Heterogeneity-driven phenotypic plasticity and treatment response in branched-organoid models of pancreatic ductal adenocarcinoma.

Aristeidis Papargyriou, Mulham Najajreh, David P Cook, Carlo H Maurer, Stefanie Bärthel, Hendrik A Messal, Sakthi K Ravichandran, Till Richter, Moritz Knolle, Thomas Metzler and 34 more

Abstract read
In one paragraph

Article in Nature biomedical engineering, 2025. 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
–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

37 citing papers in PubMed.

  1. Review
  2. Review
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  4. Article
  5. Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. Pancreatic cancer.Nature reviews. Disease primers · 2026
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Proceedings of the ... AAAI Conference on Artificial Intelligence. AAAI Conference on Artificial Intelligence · 2026
    Article
  16. Article
  17. Article
  18. Review
  19. Organoids glimpse: the nexus for diverse tumor heterogeneity.Frontiers in cell and developmental biology · 2026
    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

44 authors.

Aristeidis PapargyriouTranslational Pancreatic Cancer Research Center, Klinik und Poliklinik für Innere Medizin II, Klinikum rechts der Isar, Technical University of Munich, München, Germany.ORCID http://orcid.org/0000-0002-2577-4737
Mulham NajajrehTranslational Pancreatic Cancer Research Center, Klinik und Poliklinik für Innere Medizin II, Klinikum rechts der Isar, Technical University of Munich, München, Germany.
David P CookDepartment of Cellular and Molecular Medicine, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Carlo H MaurerTranslational Pancreatic Cancer Research Center, Klinik und Poliklinik für Innere Medizin II, Klinikum rechts der Isar, Technical University of Munich, München, Germany.
Stefanie BärthelCenter for Translational Cancer Research (TranslaTUM), School of Medicine, Technical University of Munich, Munich, Germany.ORCID http://orcid.org/0000-0001-5986-4864
Hendrik A MessalDivision of Molecular Pathology, Oncode Institute, The Netherlands Cancer Institute, Amsterdam, the Netherlands.ORCID http://orcid.org/0000-0003-2259-0286
Sakthi K RavichandranTranslational Pancreatic Cancer Research Center, Klinik und Poliklinik für Innere Medizin II, Klinikum rechts der Isar, Technical University of Munich, München, Germany.
Till RichterInstitute of Computational Biology, Helmholtz Center Munich, Neuherberg, Germany.ORCID http://orcid.org/0000-0001-6008-8209
Moritz KnolleInstitute of Diagnostic and Interventional Radiology, Klinikum rechts der Isar München, Technical University of Munich, Munich, Germany.
Thomas MetzlerComparative Experimental Pathology, Institut für Allgemeine Pathologie und Pathologische Anatomie, School of Medicine, Technical University of Munich, Munich, Germany.ORCID http://orcid.org/0000-0002-1620-5559
Akul R ShastriTranslational Pancreatic Cancer Research Center, Klinik und Poliklinik für Innere Medizin II, Klinikum rechts der Isar, Technical University of Munich, München, Germany.
Rupert ÖllingerCenter for Translational Cancer Research (TranslaTUM), School of Medicine, Technical University of Munich, Munich, Germany.
Jacob JasperTranslational Pancreatic Cancer Research Center, Klinik und Poliklinik für Innere Medizin II, Klinikum rechts der Isar, Technical University of Munich, München, Germany.
Laura SchmidleitnerTranslational Pancreatic Cancer Research Center, Klinik und Poliklinik für Innere Medizin II, Klinikum rechts der Isar, Technical University of Munich, München, Germany.
Surui WangInstitute for Diabetes and Cancer, Helmholtz Center Munich, Neuherberg, Germany.
Christian SchneeweisCenter for Translational Cancer Research (TranslaTUM), School of Medicine, Technical University of Munich, Munich, Germany.
Hellen Ishikawa-AnkerholdDepartment of Medicine I, University Hospital of the Ludwig-Maximilians-University Munich, Munich, Germany.
Thomas EngleitnerCenter for Translational Cancer Research (TranslaTUM), School of Medicine, Technical University of Munich, Munich, Germany.
Laura MataiteTranslational Pancreatic Cancer Research Center, Klinik und Poliklinik für Innere Medizin II, Klinikum rechts der Isar, Technical University of Munich, München, Germany.
Mariia SeminaInstitute of Diagnostic and Interventional Radiology, Klinikum rechts der Isar München, Technical University of Munich, Munich, Germany.
Hussein TrabulssiInstitute of Diagnostic and Interventional Radiology, Klinikum rechts der Isar München, Technical University of Munich, Munich, Germany.
Sebastian LangeKlinik und Poliklinik für Innere Medizin II, Klinikum rechts der Isar, Technical University of Munich, München, Germany.ORCID http://orcid.org/0000-0003-0406-1401
Aashreya RavichandraTranslational Pancreatic Cancer Research Center, Klinik und Poliklinik für Innere Medizin II, Klinikum rechts der Isar, Technical University of Munich, München, Germany.
Maximilian SchusterTranslational Pancreatic Cancer Research Center, Klinik und Poliklinik für Innere Medizin II, Klinikum rechts der Isar, Technical University of Munich, München, Germany.ORCID http://orcid.org/0000-0001-9030-2210
Sebastian MuellerCenter for Translational Cancer Research (TranslaTUM), School of Medicine, Technical University of Munich, Munich, Germany.ORCID http://orcid.org/0009-0008-1514-3027
Katja PeschkeTranslational Pancreatic Cancer Research Center, Klinik und Poliklinik für Innere Medizin II, Klinikum rechts der Isar, Technical University of Munich, München, Germany.
Arlett SchäferTranslational Pancreatic Cancer Research Center, Klinik und Poliklinik für Innere Medizin II, Klinikum rechts der Isar, Technical University of Munich, München, Germany.ORCID http://orcid.org/0000-0002-8010-594X
Sophie DobiaschDepartment of Radiation Oncology, Technical University of Munich, Munich, Germany.
Stephanie E CombsDepartment of Radiation Oncology, Technical University of Munich, Munich, Germany.
Roland M SchmidKlinik und Poliklinik für Innere Medizin II, Klinikum rechts der Isar, Technical University of Munich, München, Germany.
Andreas R BauschCenter for Functional Protein Assemblies, Technical University of Munich, Garching, Germany.ORCID http://orcid.org/0000-0002-4608-9544
Rickmer BrarenInstitute of Diagnostic and Interventional Radiology, Klinikum rechts der Isar München, Technical University of Munich, Munich, Germany.
Irina HeidInstitute of Diagnostic and Interventional Radiology, Klinikum rechts der Isar München, Technical University of Munich, Munich, Germany.
Christina H ScheelInstitute of Stem Cell Research, Helmholtz Center Munich, Neuherberg, Germany.
Günter SchneiderDepartment of General, Visceral and Pediatric Surgery, University Medical Center Göttingen, Göttingen, Germany.ORCID http://orcid.org/0000-0003-1840-4508
Anja ZeigererInstitute for Diabetes and Cancer, Helmholtz Center Munich, Neuherberg, Germany.
Malte D LueckenInstitute of Computational Biology, Helmholtz Center Munich, Neuherberg, Germany.
Katja SteigerComparative Experimental Pathology, Institut für Allgemeine Pathologie und Pathologische Anatomie, School of Medicine, Technical University of Munich, Munich, Germany.ORCID http://orcid.org/0000-0002-7269-5433
Georgios KaissisInstitute of Diagnostic and Interventional Radiology, Klinikum rechts der Isar München, Technical University of Munich, Munich, Germany.ORCID http://orcid.org/0000-0001-8382-8062
Jacco van RheenenDivision of Molecular Pathology, Oncode Institute, The Netherlands Cancer Institute, Amsterdam, the Netherlands.ORCID http://orcid.org/0000-0001-8175-1647
Fabian J TheisInstitute of Computational Biology, Helmholtz Center Munich, Neuherberg, Germany.ORCID http://orcid.org/0000-0002-2419-1943
Dieter SaurCenter for Translational Cancer Research (TranslaTUM), School of Medicine, Technical University of Munich, Munich, Germany.ORCID http://orcid.org/0000-0001-5874-0210
Roland RadCenter for Translational Cancer Research (TranslaTUM), School of Medicine, Technical University of Munich, Munich, Germany.ORCID http://orcid.org/0000-0002-6849-9659
Maximilian ReichertTranslational Pancreatic Cancer Research Center, Klinik und Poliklinik für Innere Medizin II, Klinikum rechts der Isar, Technical University of Munich, München, Germany. maximilian.reichert@tum.de.ORCID http://orcid.org/0000-0002-8611-5639

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In patients with pancreatic ductal adenocarcinoma (PDAC), intratumoural and intertumoural heterogeneity increases chemoresistance and mortality rates. However, such morphological and phenotypic diversities are not typically captured by organoid models of PDAC. Here we show that branched organoids embedded in collagen gels can recapitulate the phenotypic landscape seen in murine and human PDAC, that the pronounced molecular and morphological intratumoural and intertumoural heterogeneity of organoids is governed by defined transcriptional programmes (notably, epithelial-to-mesenchymal plasticity), and that different organoid phenotypes represent distinct tumour-cell states with unique biological features in vivo. We also show that phenotype-specific therapeutic vulnerabilities and modes of treatment-induced phenotype reprogramming can be captured in phenotypic heterogeneity maps. Our methodology and analyses of tumour-cell heterogeneity in PDAC may guide the development of phenotype-targeted treatment strategies.

Indexed as

Carcinoma, Pancreatic DuctalOrganoidsPancreatic NeoplasmsAnimalsCell Line, TumorEpithelial-Mesenchymal TransitionHumansMicePhenotype

Identifiers

PMID39658630
PMCPMC12176653

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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.