Evidence map›Paper›PMID 39762215›Full record

ArticleNature communications2025

Spatial tumor immune heterogeneity facilitates subtype co-existence and therapy response in pancreatic cancer.

Lukas Klein, Mengyu Tu, Niklas Krebs, Laura Urbach, Daniela Grimm, Muhammad Umair Latif, Frederike Penz, Anna Blandau, Xueyan Wu, Rebecca Diya Samuel and 14 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing 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

30 citing papers in PubMed.

  1. Review
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  6. Article
  7. GSK3βGut · 2026
    Article
  8. Article
  9. Article
  10. Pancreatic cancer.Nature reviews. Disease primers · 2026
    Review
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. SLC2A1Nature cell biology · 2026
    Article
  18. Review
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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

24 authors.

Lukas KleinDepartment of Gastroenterology, Gastrointestinal Oncology and Endocrinology, University Medical Center Göttingen, Göttingen, Germany.ORCID 0000-0003-3725-068X
Mengyu TuDepartment of Gastroenterology, Gastrointestinal Oncology and Endocrinology, University Medical Center Göttingen, Göttingen, Germany.
Niklas KrebsDepartment of Medical Oncology, West German Cancer Center, University Hospital Essen, Essen, Germany.
Laura UrbachDepartment of Gastroenterology, Gastrointestinal Oncology and Endocrinology, University Medical Center Göttingen, Göttingen, Germany.
Daniela GrimmDepartment of Gastroenterology, Gastrointestinal Oncology and Endocrinology, University Medical Center Göttingen, Göttingen, Germany.ORCID 0009-0009-2417-1262
Muhammad Umair LatifDepartment of Gastroenterology, Gastrointestinal Oncology and Endocrinology, University Medical Center Göttingen, Göttingen, Germany.ORCID 0000-0002-6198-3069
Frederike PenzDepartment of Gastroenterology, Gastrointestinal Oncology and Endocrinology, University Medical Center Göttingen, Göttingen, Germany.
Anna BlandauDepartment of Gynecology and Obstetrics, University Medical Center Göttingen, Göttingen, Germany.
Xueyan WuDepartment of Gastroenterology, Gastrointestinal Oncology and Endocrinology, University Medical Center Göttingen, Göttingen, Germany.ORCID 0009-0000-3368-2712
Rebecca Diya SamuelDepartment of Gastroenterology, Gastrointestinal Oncology and Endocrinology, University Medical Center Göttingen, Göttingen, Germany.ORCID 0009-0002-0603-0406
Stefan KüfferInstitute of Pathology, University Medical Center Göttingen, Göttingen, Germany.
Florian WegwitzDepartment of Gynecology and Obstetrics, University Medical Center Göttingen, Göttingen, Germany.
Nathan ChanPrincess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.
Kazeera AliarPrincess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.ORCID 0000-0003-1499-1020
Foram VyasPrincess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.
Uday KishoreDepartment of Veterinary Medicine and Zayed Center of Health Sciences, United Arab Emirates University, Al Ain, UAE.
Elisabeth HessmannDepartment of Gastroenterology, Gastrointestinal Oncology and Endocrinology, University Medical Center Göttingen, Göttingen, Germany.
Andreas TrumppDivision of Stem Cells and Cancer, DKFZ, Heidelberg, Germany.ORCID 0000-0002-6212-3466
Elisa EspinetDivision of Stem Cells and Cancer, DKFZ, Heidelberg, Germany.ORCID 0000-0002-0690-9878
Argyris PapantonisInstitute of Pathology, University Medical Center Göttingen, Göttingen, Germany.ORCID 0000-0001-7551-1073
Rama KhokhaPrincess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.
Volker EllenriederDepartment of Gastroenterology, Gastrointestinal Oncology and Endocrinology, University Medical Center Göttingen, Göttingen, Germany.
Barbara T GrünwaldPrincess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.
Shiv K SinghDepartment of Gastroenterology, Gastrointestinal Oncology and Endocrinology, University Medical Center Göttingen, Göttingen, Germany. shiv.singh@med.uni-goettingen.de.ORCID 0000-0002-5725-4058

Funding

Deutsche Forschungsgemeinschaft (German Research Foundation) KFO5002Deutsche Krebshilfe (German Cancer Aid) 70112999Deutsche Krebshilfe (German Cancer Aid) 70115054Fritz Thyssen Stiftung (Fritz Thyssen Foundation) 10.20.2.038MN; 10.23.2.021MNWilhelm Sander-Stiftung (Wilhelm Sander Foundation) 2021.159.1 and 2021.159.2
6 · The paper itself

Abstract

Pancreatic ductal adenocarcinoma (PDAC) displays a high degree of spatial subtype heterogeneity and co-existence, linked to a diverse microenvironment and worse clinical outcome. However, the underlying mechanisms remain unclear. Here, by combining preclinical models, multi-center clinical, transcriptomic, proteomic, and patient bioimaging data, we identify an interplay between neoplastic intrinsic AP1 transcription factor dichotomy and extrinsic macrophages driving subtype co-existence and an immunosuppressive microenvironment. ATAC-, ChIP-, and RNA-seq analyses reveal that JUNB/AP1- and HDAC-mediated epigenetic programs repress pro-inflammatory signatures in tumor cells, antagonizing cJUN/AP1 signaling, favoring a therapy-responsive classical neoplastic state. This dichotomous regulation is amplified via regional TNF-α

Indexed as

Carcinoma, Pancreatic DuctalMacrophagesPancreatic NeoplasmsTumor MicroenvironmentTumor Necrosis Factor-alphaAnimalsCD8-Positive T-LymphocytesCell Line, TumorEpigenesis, GeneticGene Expression Regulation, NeoplasticHumansImmunotherapyMiceSignal TransductionTranscription Factor AP-1Transcription Factor AP-1Tumor Necrosis Factor-alpha

Identifiers

PMID39762215
PMCPMC11704331

What OpenQuestion holds

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LicenceCC BY
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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.