Evidence map›Paper›PMID 39915477›Full record

ArticleNature communications2025

Distinct immune cell infiltration patterns in pancreatic ductal adenocarcinoma (PDAC) exhibit divergent immune cell selection and immunosuppressive mechanisms.

Shivan Sivakumar, Ashwin Jainarayanan, Edward Arbe-Barnes, Piyush Kumar Sharma, Maire Ni Leathlobhair, Sakina Amin, David J Reiss, Lara Heij, Samarth Hegde, Assaf Magen and 27 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 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing 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

29 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Review
  5. Article
  6. Review
  7. VDJ-REMIX: REpertoire Module Identification and eXploration.Bioinformatics (Oxford, England) · 2026
    Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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

37 authors.

Shivan Sivakumar *Department of Oncology, University of Oxford, Oxford, OX3 7LF, UK. s.sivakumar@bham.ac.uk.ORCID http://orcid.org/0000-0002-5175-2697
Ashwin Jainarayanan *Kennedy Institute of Rheumatology, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Roosevelt Dr, Headington, Oxford, OX3 7FY, UK.
Edward Arbe-Barnes *Oxford University Clinical Academic Graduate School, John Radcliffe Hospital, University of Oxford, Oxford, OX3 9DU, UK.
Piyush Kumar Sharma *Department of Oncology, University of Oxford, Oxford, OX3 7LF, UK.
Maire Ni Leathlobhair *Department of Microbiology, Trinity College, Dublin, Ireland.
Sakina Amin *Department of Biochemistry, South Parks Road, University of Oxford, Oxford, OX1 3QU, UK.ORCID http://orcid.org/0000-0002-5680-8928
David J Reiss *Bristol-Myers Squibb, Seattle, Seattle, WA, USA.ORCID http://orcid.org/0000-0001-5392-3034
Lara HeijGROW School for Oncology and Developmental Biology, Department of Pathology, Maastricht University Medical Center, Maastricht, The Netherlands.ORCID http://orcid.org/0000-0002-0602-3356
Samarth HegdePrecision Immunology Institute, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Pl, New York, NY, 10029, USA.
Assaf MagenPrecision Immunology Institute, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Pl, New York, NY, 10029, USA.ORCID http://orcid.org/0000-0001-5473-274X
Felicia TucciDepartment of Biochemistry, South Parks Road, University of Oxford, Oxford, OX1 3QU, UK.ORCID http://orcid.org/0000-0001-5813-9708
Bo SunNuffield Department of Clinical Neurosciences, University of Oxford, Oxford, OX3 7LD, UK.ORCID http://orcid.org/0000-0002-5507-6657
Shihong WuDepartment of Biochemistry, South Parks Road, University of Oxford, Oxford, OX1 3QU, UK.
Nithishwer Mouroug AnandDepartment of Biochemistry, South Parks Road, University of Oxford, Oxford, OX1 3QU, UK.ORCID http://orcid.org/0000-0003-0852-7141
Hubert SlawinskiWellcome Centre for Human Genetics, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0002-8996-8477
Santiago RevaleWellcome Centre for Human Genetics, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0001-5219-9582
Isar NassiriWellcome Centre for Human Genetics, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0003-1886-1151
Jonathon WebberKennedy Institute of Rheumatology, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Roosevelt Dr, Headington, Oxford, OX3 7FY, UK.
Gerard D HoeltzelDepartment of Biochemistry, South Parks Road, University of Oxford, Oxford, OX1 3QU, UK.
Adam E FramptonMinimal Access Therapy Training Unit (MATTU), Leggett Building, University of Surrey, Daphne Jackson Road, Guildford, GU2 7WG, UK.ORCID http://orcid.org/0000-0002-1392-2755
Georg WiltbergerDepartment of General, Visceral, and Transplantation Surgery, University Hospital of RWTH Aachen, Aachen, Germany.
Ulf NeumannDepartment of General, Visceral, and Transplantation Surgery, University Hospital of RWTH Aachen, Aachen, Germany.
Philip CharltonDepartment of Oncology, University of Oxford, Oxford, OX3 7LF, UK.ORCID http://orcid.org/0000-0003-0752-1960
Laura SpiersDepartment of Oncology, University of Oxford, Oxford, OX3 7LF, UK.
Tim ElliottCentre for Immuno-oncology, Nuffield Department of Medicine, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0003-1097-0222
Maria WangBristol-Myers Squibb, Seattle, Seattle, WA, USA.
Suzana CoutoNeomorph, Inc., 5590 Morehouse Dr, San Diego, CA, USA.
Thomas LilaBristol-Myers Squibb, Seattle, Seattle, WA, USA.
Pallavur V SivakumarBristol-Myers Squibb, Seattle, Seattle, WA, USA.
Alexander V RatushnyBristol-Myers Squibb, Seattle, Seattle, WA, USA.
Mark R MiddletonDepartment of Oncology, University of Oxford, Oxford, OX3 7LF, UK.ORCID http://orcid.org/0000-0003-0167-1685
Dimitra PeppaUCL Institute of Immunity & Transplantation, The Pears Building, Pond Street, London, NW3 2PP, UK.
Benjamin FairfaxDepartment of Oncology, University of Oxford, Oxford, OX3 7LF, UK.ORCID http://orcid.org/0000-0001-7413-5002
Miriam MeradPrecision Immunology Institute, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Pl, New York, NY, 10029, USA.ORCID http://orcid.org/0000-0002-4481-7827
Michael L DustinKennedy Institute of Rheumatology, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Roosevelt Dr, Headington, Oxford, OX3 7FY, UK.ORCID http://orcid.org/0000-0003-4983-6389
Enas Abu-ShahKennedy Institute of Rheumatology, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Roosevelt Dr, Headington, Oxford, OX3 7FY, UK. enas.abushah@path.ox.ac.uk.ORCID http://orcid.org/0000-0001-5033-8171
Rachael Bashford-RogersDepartment of Biochemistry, South Parks Road, University of Oxford, Oxford, OX1 3QU, UK. rachael.bashford-rogers@bioch.ox.ac.uk.ORCID http://orcid.org/0000-0002-6838-0711

Funding

Defining the barriers to immune surveillance in solid tumorsK00CA223043 · NCI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI HEGDE, SAMARTH · 2020 to 2023
$374k
NCI NIH HHS K00 CA223043Wellcome Trust
6 · The paper itself

Abstract

Pancreatic ductal adenocarcinoma has a dismal prognosis. A comprehensive analysis of single-cell multi-omic data from matched tumour-infiltrated CD45+ cells and peripheral blood in 12 patients, and two published datasets, reveals a complex immune infiltrate. Patients have either a myeloid-enriched or adaptive-enriched tumour microenvironment. Adaptive immune cell-enriched is intrinsically linked with highly distinct B and T cell clonal selection, diversification, and differentiation. Using TCR data, we see the largest clonal expansions in CD8 effector memory, senescent cells, and highly activated regulatory T cells which are induced within the tumour from naïve cells. We identify pathways that potentially lead to a suppressive microenvironment, including investigational targets TIGIT/PVR and SIRPA/CD47. Analysis of patients from the APACT clinical trial shows that myeloid enrichment had a shorter overall survival compared to those with adaptive cell enrichment. Strategies for rationale therapeutic development in this disease include boosting of B cell responses, targeting immunosuppressive macrophages, and specific Treg cell depletion approaches.

Indexed as

Carcinoma, Pancreatic DuctalLymphocytes, Tumor-InfiltratingPancreatic NeoplasmsB-LymphocytesCD8-Positive T-LymphocytesFemaleHumansMacrophagesMaleMiddle AgedSingle-Cell AnalysisT-Lymphocytes, RegulatoryTumor Microenvironment

Identifiers

PMID39915477
PMCPMC11802853

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.