Evidence map›Paper›PMID 40032924›Full record

ArticleNPJ precision oncology2025

Complement activation in tumor microenvironment after neoadjuvant therapy and its impact on pancreatic cancer outcomes.

Xiaofei Zhang, Ruoxin Lan, Yongjun Liu, Venu G Pillarisetty, Danting Li, Chaohui L Zhao, Suparna A Sarkar, Weiguo Liu, Iman Hanna, Mala Gupta and 6 more

Abstract read
In one paragraph

Article in NPJ precision oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Article
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  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Targeting tumor transition windows.Exploration of targeted anti-tumor therapy · 2026
    Review
  10. Review
  11. Article
  12. Review
  13. Review
  14. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

Xiaofei Zhang *Department of Pathology and Laboratory Medicine, University of Wisconsin-Madison, Madison, WI, USA. xiaofei.zhang@nyulangone.org.
Ruoxin Lan *Department of Biostatistics and Data Science, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA.
Yongjun LiuDepartment of Pathology and Laboratory Medicine, University of Wisconsin-Madison, Madison, WI, USA.
Venu G PillarisettyDepartment of Surgery, University of Washington School of Medicine, Seattle, WA, USA.ORCID http://orcid.org/0000-0002-1162-9643
Danting LiDepartment of Biostatistics and Data Science, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA.
Chaohui L ZhaoDepartment of Pathology and Laboratory Medicine, New York University Grossman Long Island School of Medicine, Mineola, NY, USA.
Suparna A SarkarDepartment of Pathology and Laboratory Medicine, New York University Grossman School of Medicine, New York, NY, USA.
Weiguo LiuDepartment of Pathology and Laboratory Medicine, New York University Grossman Long Island School of Medicine, Mineola, NY, USA.
Iman HannaDepartment of Pathology and Laboratory Medicine, New York University Grossman Long Island School of Medicine, Mineola, NY, USA.
Mala GuptaDepartment of Pathology and Laboratory Medicine, New York University Grossman Long Island School of Medicine, Mineola, NY, USA.
Cristina HajduDepartment of Pathology and Laboratory Medicine, New York University Grossman School of Medicine, New York, NY, USA.
Jonathan MelamedDepartment of Pathology and Laboratory Medicine, New York University Grossman Long Island School of Medicine, Mineola, NY, USA.
Michael ShustermanDepartment of Oncology, New York University Grossman Long Island School of Medicine, Mineola, NY, USA.
Jessica WidmerDepartment of Gastroenterology, New York University Grossman Long Island School of Medicine, Mineola, NY, USA.
John AllendorfDepartment of Surgery, New York University Grossman Long Island School of Medicine, Mineola, NY, USA.
Yao-Zhong LiuDepartment of Biostatistics and Data Science, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA. yliu8@tulane.edu.

Funding

UW COMPREHENSIVE CANCER CENTER SUPPORTP30CA014520 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI Justine Yang Bruce · 1985 to 2026
$142.6M
Automated Tissue MicroarrayerS10OD023526 · OD · UNIVERSITY OF WISCONSIN-MADISON · PI MATKOWSKYJ, KRISTINA A. · 2018 to 2018
$184k
NCI NIH HHS P30 CA014520NIH HHS S10 OD023526
6 · The paper itself

Abstract

Neoadjuvant therapy (NAT) is increasingly being used for pancreatic ductal adenocarcinoma (PDAC). This study investigates how NAT differentially impacts PDAC's carcinoma cells and the tumor microenvironment (TME). Spatial transcriptomics was used to compare gene expression profiles in carcinoma cells and the TME of 23 NAT-treated versus 13 NAT-naïve PDACs. Findings were validated by single-nucleus RNA sequencing (snRNA-seq) analysis. NAT induces apoptosis and inhibits proliferation of carcinoma cells and coordinately upregulates multiple complement genes (C1R, C1S, C3, C4B and C7) within the TME. Higher TME complement expression following NAT is associated with increased immunomodulatory and neurotrophic cancer-associated fibroblasts (CAFs); more CD4

Identifiers

PMID40032924
PMCPMC11876354

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.