Evidence map›Paper›PMID 40003965›Full record

ArticleInternational journal of molecular sciences2025

Exosomal CD40, CD25, and Serum CA19-9 as Combinatory Novel Liquid Biopsy Biomarker for the Diagnosis and Prognosis of Patients with Pancreatic Ductal Adenocarcinoma.

Paul David, Dina Kouhestani, Frederik J Hansen, Sushmita Paul, Franziska Czubayko, Alara Karabiber, Nadine Weisel, Bettina Klösch, Susanne Merkel, Jan Ole-Baur and 5 more

Abstract read
In one paragraph

Article in International journal of molecular sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. 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

15 authors.

Paul DavidDepartment of Surgery, University Hospital Erlangen, 91054 Erlangen, Germany.ORCID 0000-0002-9643-3657
Dina KouhestaniDepartment of Surgery, University Hospital Erlangen, 91054 Erlangen, Germany.
Frederik J HansenDepartment of Surgery, University Hospital Erlangen, 91054 Erlangen, Germany.ORCID 0000-0002-7452-1189
Sushmita PaulDepartment of Dermatology, University Hospital Erlangen, 91054 Erlangen, Germany.
Franziska CzubaykoDepartment of Surgery, University Hospital Erlangen, 91054 Erlangen, Germany.
Alara KarabiberDepartment of Surgery, University Hospital Erlangen, 91054 Erlangen, Germany.
Nadine WeiselDepartment of Surgery, University Hospital Erlangen, 91054 Erlangen, Germany.
Bettina KlöschDepartment of Surgery, University Hospital Erlangen, 91054 Erlangen, Germany.
Susanne MerkelDepartment of Surgery, University Hospital Erlangen, 91054 Erlangen, Germany.ORCID 0000-0003-2676-9486
Jan Ole-BaurDepartment of Dermatology, University Hospital Erlangen, 91054 Erlangen, Germany.
Andreas GießlDepartment of Ophthalmology, University Hospital Erlangen, 91054 Erlangen, Germany.ORCID 0000-0002-9768-2049
Jan Van DeunDepartment of Dermatology, University Hospital Erlangen, 91054 Erlangen, Germany.ORCID 0000-0003-1707-6266
Julio VeraDepartment of Dermatology, University Hospital Erlangen, 91054 Erlangen, Germany.ORCID 0000-0002-3076-5122
Anke MittelstädtDepartment of Surgery, University Hospital Erlangen, 91054 Erlangen, Germany.ORCID 0009-0009-1716-3547
Georg F WeberDepartment of Surgery, University Hospital Erlangen, 91054 Erlangen, Germany.ORCID 0000-0003-1175-4505

Funding

Federal Ministry of Education and Research 03INT506CA
6 · The paper itself

Abstract

The poor prognosis of pancreatic ductal adenocarcinoma (PDAC) is largely due to several challenges, such as late diagnosis, early metastasis, limited response to chemotherapy, aggressive tumor biology, and high rates of tumor recurrence. Therefore, the development of a non-invasive and effective method for early detection of PDAC is crucial to improving patient outcomes. Continued research and exploration in this area are essential to enhance early detection methods and ultimately improve the prognosis for individuals with PDAC. In this study, we examined 37 exosomal surface proteins through a multiplex flow cytometry test on peripheral plasma samples from a group of 51 clinical control individuals (including healthy volunteers and non-cancer patients (Cholecystectomy, Hernia, healthy volunteers)), 21 pancreatitis, and 48 patients diagnosed with PDAC. Our research findings revealed that the level of exosomal CD40 expression is significantly lower in patients with PDAC and pancreatitis compared to non-cancer patients (

Indexed as

Biomarkers, TumorCA-19-9 AntigenCarcinoma, Pancreatic DuctalCD40 AntigensExosomesInterleukin-2 Receptor alpha SubunitPancreatic NeoplasmsAdultAgedFemaleHumansLiquid BiopsyMaleMiddle AgedPrognosisBiomarkers, TumorCA-19-9 AntigenCD40 AntigensInterleukin-2 Receptor alpha Subunitexosomesliquid biopsynon-invasive biomarkerPDAC

Identifiers

PMID40003965
PMCPMC11854914

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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.