Evidence map›Paper›PMID 40038726›Full record

ArticleJournal of translational medicine2025

Photothermal therapy combined with a STING agonist induces pyroptosis, and gasdermin D could be a new biomarker for guiding the treatment of pancreatic cancer.

Yanyan Hu, ErPeng Qi, Chao Yun, Xi Li, Fangyi Liu, Zhigang Cheng, Na Guan, Qiong Wang, Huixia Zhao, Wenhua Xiao and 3 more

Abstract read
In one paragraph

Article in Journal of translational medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Review
  5. Metal-Ligand Complexes as Multifunctional Platforms for Photo-Activated Cancer Therapy.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Review
  6. Article
  7. RSC advances · 2025
    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

13 authors.

Yanyan Hu *Department of Oncology, Senior Department of Oncology, the Fifth Medical Center of PLA General Hospital, Beijing, China.
ErPeng Qi *Department of Interventional Ultrasound, Senior Department of Oncology, The Fifth Medical Center of PLA General Hospital, Beijing, 100071, China.
Chao Yun *Department of Oncology, Senior Department of Oncology, the Fifth Medical Center of PLA General Hospital, Beijing, China.
Xi Li *Department of Urology, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation, Cambridge, UK.
Fangyi LiuDepartment of Interventional Ultrasound, Senior Department of Oncology, The Fifth Medical Center of PLA General Hospital, Beijing, 100071, China.
Zhigang ChengDepartment of Interventional Ultrasound, Senior Department of Oncology, The Fifth Medical Center of PLA General Hospital, Beijing, 100071, China.
Na GuanDepartment of Oncology, Senior Department of Oncology, the Fifth Medical Center of PLA General Hospital, Beijing, China.
Qiong WangDepartment of Ultrasound, the Fourth Medical Center of PLA General Hospital, Beijing, China.
Huixia ZhaoDepartment of Oncology, Senior Department of Oncology, the Fifth Medical Center of PLA General Hospital, Beijing, China.
Wenhua XiaoDepartment of Oncology, Senior Department of Oncology, the Fifth Medical Center of PLA General Hospital, Beijing, China.
Liang PengDepartment of Oncology, Senior Department of Oncology, the Fifth Medical Center of PLA General Hospital, Beijing, China.
Jingwen YangDepartment of Oncology, Senior Department of Oncology, the Fifth Medical Center of PLA General Hospital, Beijing, China. 8537505@sina.com.ORCID 0000-0002-5703-7694
Xiaoling YuDepartment of Interventional Ultrasound, Senior Department of Oncology, The Fifth Medical Center of PLA General Hospital, Beijing, 100071, China. dyuxl301@aliyun.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAlthough photothermal therapy (PTT) can induce antitumour immunity, the mechanisms underlying its effects in pancreatic cancer (PC) require further exploration. In this study, the mechanism of action of PTT and its connection to pyroptosis as well as the therapeutic potential of PTT alone and in combination with STING agonists, were investigated. In addition, a biomarker of PC was found to stratify patients who are suitable for PTT. EXPERIMENTAL

designWe explored whether PTT can induce pyroptosis in vitro and evaluated the therapeutic efficacy and antitumour immunity-inducing ability of PTT combined with STING agonist (c-di-GMP) as immune adjuvant in vivo in PC. We also evaluated gasdermin D (GSDMD) expression in tumour tissues and investigated drug sensitivity in patient-derived organoids (PDOs) with differential GSDMD expression.

resultsOur study demonstrated that local PTT induces pyroptosis via the caspase-1/GSDMD pathway and elicits antitumour immunity. PTT combined with a STING agonist exhibits better therapeutic efficacy than PTT alone while limiting distant tumour metastasis, and enhances the immune response by promoting dendritic cell maturation, increasing the frequency of tumour infiltrating T cells, and converting macrophages from the M2 to the M1 phenotype. In addition, we found that GSDMD is highly expressed in tumour tissues and that overexpression of GSDMD in PC might suggest increased resistance to chemotherapy and the potential benefits of local therapy. We further confirmed that PDOs with higher GSDMD expression are less sensitive to a chemotherapeutic agent (5-Fluorouracil) than PDOs with lower GSDMD expression, making GSDMD a new biomarker for identifying patients who may benefit from PTT.

conclusionsIn this work, c-di-GMP was used as an immune adjuvant for PTT to treat PC for the first time, and the results provide clues for the development of novel combination immunotherapies that simultaneously suppress primary tumours and distant metastases. GSDMD has great potential as a new biomarker for the selection of individualized treatment modalities.

Indexed as

Biomarkers, TumorIntracellular Signaling Peptides and ProteinsMembrane ProteinsPancreatic NeoplasmsPhosphate-Binding ProteinsPyroptosisAnimalsCaspase 1Cell Line, TumorCombined Modality TherapyDendritic CellsFemaleGasderminsHumansMiceSTING ProteinBiomarkers, TumorCaspase 1GasderminsGSDMD protein, humanIntracellular Signaling Peptides and ProteinsMembrane ProteinsPhosphate-Binding ProteinsSTING1 protein, humanSTING ProteinGSDMDPancreatic cancerPhotothermal therapyPyroptosisSTING agonist

Identifiers

PMID40038726
PMCPMC11877846

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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.