Evidence map›Paper›PMID 40999053›Full record

ArticleNature cancer2025

SMAD4 induces opposite effects on metastatic growth from pancreatic tumors depending on the organ of residence.

Kaloyan M Tsanov, Francisco M Barriga, Yu-Jui Ho, Direna Alonso-Curbelo, Geulah Livshits, Sha Tian, Richard P Koche, Timour Baslan, Janelle Simon, Alexandra N Wuest and 13 more

Abstract read
In one paragraph

Article in Nature cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Itaconate and its derivatives in human health and diseases.Signal transduction and targeted therapy · 2026
    Review
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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

23 authors.

Kaloyan M TsanovCancer Biology & Genetics Program, Sloan Kettering Institute, Memorial Sloan Kettering Cancer Center, New York, NY, USA. ktsanov@uchicago.edu.ORCID http://orcid.org/0000-0001-9007-4844
Francisco M BarrigaCancer Biology & Genetics Program, Sloan Kettering Institute, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0002-0996-7707
Yu-Jui HoCancer Biology & Genetics Program, Sloan Kettering Institute, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Direna Alonso-CurbeloCancer Biology & Genetics Program, Sloan Kettering Institute, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0001-6674-3059
Geulah LivshitsCancer Biology & Genetics Program, Sloan Kettering Institute, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Sha TianCancer Biology & Genetics Program, Sloan Kettering Institute, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Richard P KocheCenter for Epigenetics Research, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0002-6820-5083
Timour BaslanCancer Biology & Genetics Program, Sloan Kettering Institute, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Janelle SimonCancer Biology & Genetics Program, Sloan Kettering Institute, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Alexandra N WuestCancer Biology & Genetics Program, Sloan Kettering Institute, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
José ReyesCancer Biology & Genetics Program, Sloan Kettering Institute, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Jin ParkComputational & Systems Biology Program, Sloan Kettering Institute, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Wei LuanCancer Biology & Genetics Program, Sloan Kettering Institute, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
John E WilkinsonDepartment of Pathology, University of Michigan School of Medicine, Ann Arbor, MI, USA.
Umesh BhanotPathology Core Facility, Department of Pathology and Laboratory Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0001-6656-1239
Jordana Ray-KirtonPathology Core Facility, Department of Pathology and Laboratory Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Ignas MasilionisComputational & Systems Biology Program, Sloan Kettering Institute, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Nevenka DimitrovaCancer Biology & Genetics Program, Sloan Kettering Institute, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Christine A Iacobuzio-DonahueDavid M. Rubenstein Center for Pancreatic Cancer Research, Department of Pathology and Laboratory Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0002-4672-3023
Ronan ChalignéComputational & Systems Biology Program, Sloan Kettering Institute, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0003-4332-3291
Dana Pe'erComputational & Systems Biology Program, Sloan Kettering Institute, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Joan MassaguéCancer Biology & Genetics Program, Sloan Kettering Institute, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0001-9324-8408
Scott W LoweCancer Biology & Genetics Program, Sloan Kettering Institute, Memorial Sloan Kettering Cancer Center, New York, NY, USA. lowes@mskcc.org.ORCID http://orcid.org/0000-0002-5284-9650

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
VIRAL TRANSACTIVATIONP01CA013106 · NCI · COLD SPRING HARBOR LABORATORY · PI William Richard McCombie · 1985 to 2026
$116.8M
The TGF Beta Signaling Pathway in Development and CancerR35CA252978 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI JOAN MASSAGUE · 2020 to 2026
$7.3M
Translational Research in Oncology Training ProgramT32CA160001 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI SAWYERS, CHARLES L. · 2011 to 2020
$2.0M
Elucidating determinants of metastasis suppression in pancreatic cancerR00CA266939 · NCI · UNIVERSITY OF CHICAGO · PI Kaloyan M. Tsanov · 2025 to 2026
$493k
Elucidating determinants of metastasis suppression in pancreatic cancerK99CA266939 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI TSANOV, KALOYAN M. · 2022 to 2023
$271k
Mechanisms of tumor suppression by epigenetic regulators in pancreatic cancerF32CA177072 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI LIVSHITS, GEULAH YEVGENIYA · 2013 to 2016
$168k
American Cancer Society (American Cancer Society, Inc.) PF-13-037-01-DMCDamon Runyon Cancer Research Foundation (Cancer Research Fund of the Damon Runyon-Walter Winchell Foundation) DRG-2383-19Edward P. Evans Foundation 101041659"la Caixa" Foundation (Caixa Foundation) LCF/BQ/PI20/11760006NCI NIH HHS F32 CA177072NCI NIH HHS K99 CA266939NCI NIH HHS P01 CA013106NCI NIH HHS P30 CA008748NCI NIH HHS R00 CA266939NCI NIH HHS R35 CA252978NCI NIH HHS T32 CA160001U.S. Department of Defense (United States Department of Defense) W81XWH-22-1-0911U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) F32CA177072U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) K99CA266939U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) P01CA13106U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) P30CA08748U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) R35CA252978U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) T32CA160001
6 · The paper itself

Abstract

The role of driver gene mutations in sustaining tumor growth at metastatic sites is poorly understood. SMAD4 inactivation is a paradigm of such mutations and a hallmark of pancreatic ductal adenocarcinoma (PDAC). To determine whether metastatic tumors are dependent on SMAD4 inactivation, we developed a mouse model of PDAC that enables spatiotemporal control of Smad4 expression. While Smad4 inactivation in the premalignant pancreas facilitated the formation of primary tumors, Smad4 reactivation in metastatic disease suppressed liver metastases but promoted lung metastases. These divergent effects were underpinned by organ-biased differences in the tumor cells' chromatin state that emerged in the premalignant pancreas and were distinguished by the dominance of KLF4 versus RUNX1 transcription factors. Our results show how epigenetic states favored by the organ of residence can influence the output of driver mutations in metastatic tumors, which has implications for interpreting tumor genetics and therapeutically targeting metastatic disease.

Indexed as

Carcinoma, Pancreatic DuctalLiver NeoplasmsLung NeoplasmsPancreatic NeoplasmsSmad4 ProteinAnimalsDisease Models, AnimalGene Expression Regulation, NeoplasticHumansKruppel-Like Factor 4Kruppel-Like Transcription FactorsMiceMutationNeoplasm MetastasisKLF4 protein, humanKlf4 protein, mouseKruppel-Like Factor 4Kruppel-Like Transcription FactorsSmad4 ProteinSMAD4 protein, humanSmad4 protein, mouse

Identifiers

PMID40999053
PMCPMC12643927

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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.