Evidence map›Paper›PMID 39788719›Full record

ArticleGut2025

Induction of macrophage efferocytosis in pancreatic cancer via PI3Kγ inhibition and radiotherapy promotes tumour control.

Shannon Nicole Russell, Constantinos Demetriou, Giampiero Valenzano, Alice Evans, Simei Go, Tess Stanly, Ahmet Hazini, Frances Willenbrock, Alex Nicolas Gordon-Weeks, Somnath Mukherjee and 4 more

Abstract read
In one paragraph

Article in Gut, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

17 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

14 authors.

Shannon Nicole RussellDepartment of Oncology, University of Oxford, Oxford, UK.
Constantinos DemetriouDepartment of Oncology, University of Oxford, Oxford, UK.
Giampiero ValenzanoDepartment of Oncology, University of Oxford, Oxford, UK.
Alice EvansDepartment of Oncology, University of Oxford, Oxford, UK.
Simei GoDepartment of Oncology, University of Oxford, Oxford, UK.
Tess StanlyDepartment of Oncology, University of Oxford, Oxford, UK.
Ahmet HaziniDepartment of Oncology, University of Oxford, Oxford, UK.
Frances WillenbrockDepartment of Oncology, University of Oxford, Oxford, UK.
Alex Nicolas Gordon-WeeksNuffield Department of Surgical Sciences, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0003-2997-4194
Somnath MukherjeeDepartment of Oncology, University of Oxford, Oxford, UK.
Matthias TessonInstitute of Cancer Sciences, CRUK Scotland Institute, Glasgow, UK.
Jennifer P MortonInstitute of Cancer Sciences, CRUK Scotland Institute, Glasgow, UK.
Eric O'NeillDepartment of Oncology, University of Oxford, Oxford, UK.
Keaton Ian JonesNuffield Department of Surgical Sciences, University of Oxford, Oxford, UK keatonjones@doctors.org.uk.ORCID http://orcid.org/0000-0002-4765-2167

Funding

Cancer Research UK 29996HSRD VA CDP 13-003
6 · The paper itself

Abstract

backgroundThe immune suppression mechanisms in pancreatic ductal adenocarcinoma (PDAC) remain unknown, but preclinical studies have implicated macrophage-mediated immune tolerance. Hence, pathways that regulate macrophage phenotype are of strategic interest, with reprogramming strategies focusing on inhibitors of phosphoinositide 3-kinase-gamma (PI3Kγ) due to restricted immune cell expression. Inhibition of PI3Kγ alone is ineffective in PDAC, despite increased infiltration of CD8+ T cells.

objectiveWe hypothesised that the immune stimulatory effects of radiation, and its ability to boost tumour antigen availability could synergise with PI3Kγ inhibition to augment antitumour immunity.

designWe used orthoptic and genetically engineered mouse models of pancreatic cancer (LSL-Kras

resultsTumour-associated macrophages that employ efferocytosis to eradicate apoptotic cells can be redirected to present tumour antigens, stimulate CD8+ T cell responses and increase local tumour control. Specifically, we demonstrate how PI3Kγ signalling restricts inflammatory macrophages and that inhibition supports MERTK-dependent efferocytosis. We further find that the combination of PI3Kγ inhibition with targeted radiotherapy stimulates inflammatory macrophages to invoke a pathogen-induced like efferocytosis that switches from immune tolerant to antigen presenting.

conclusionsOur data supports a new immunotherapeutic approach and a translational rationale to improve survival in PDAC.

Indexed as

Carcinoma, Pancreatic DuctalClass Ib Phosphatidylinositol 3-KinaseMacrophagesPancreatic NeoplasmsPhagocytosisAnimalsCD8-Positive T-LymphocytesDisease Models, AnimalEfferocytosisHumansMicePhosphoinositide-3 Kinase InhibitorsRadiosurgeryTumor MicroenvironmentClass Ib Phosphatidylinositol 3-KinasePhosphoinositide-3 Kinase InhibitorsPik3cg protein, mouseANTIGEN PRESENTATIONCANCERMACROPHAGESPANCREATIC CANCER

Identifiers

PMID39788719
PMCPMC12013568

What OpenQuestion holds

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Registered trials

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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.