Evidence map›Paper›PMID 41481650›Full record

ArticlePloS one2026

Overexpression of EMT-related transcription factors SNAI1 and ZEB1 is associated with more aggressive clinicopathological features of pancreatic cancer.

Kestutis Urbonas, Gabija Stachneviciute, Aldona Jasukaitiene, Povilas Ignatavicius, Zilvinas Dambrauskas, Antanas Gulbinas, Giedrius Barauskas

Abstract read
In one paragraph

Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Indirect genomic effects shape cancer risk across species.bioRxiv : the preprint server for biology · 2026
    Article
  3. 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

7 authors.

Kestutis UrbonasDepartment of Surgery, Lithuanian University of Health Sciences, Kaunas, Lithuania.ORCID https://orcid.org/0000-0002-8055-3945
Gabija StachneviciuteInstitute for Digestive Research, Laboratory of Surgical Gastroenterology, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Aldona JasukaitieneInstitute for Digestive Research, Laboratory of Surgical Gastroenterology, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Povilas IgnataviciusDepartment of Surgery, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Zilvinas DambrauskasDepartment of Surgery, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Antanas GulbinasInstitute for Digestive Research, Laboratory of Surgical Gastroenterology, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Giedrius BarauskasDepartment of Surgery, Lithuanian University of Health Sciences, Kaunas, Lithuania.ORCID https://orcid.org/0000-0002-4321-7280

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesPancreatic ductal adenocarcinoma (PDAC) is one of the most fatal malignancies due to its aggressive nature and resistance to therapy. The epithelial-mesenchymal transition (EMT) drives cancer progression, regulated by transcription factors (TFs) such as SNAI1, SNAI2, ZEB1, ZEB2, and TWIST. This study evaluates EMT-TF expression in PDAC and its clinical relevance.

methodsPDAC tissues from 45 patients were analyzed using qRT-PCR and Western blot. Clinical features and survival outcomes were statistically examined for correlations with EMT-TF levels.

resultsmRNA levels of SNAI1 (16.4-fold, p = 0.02), SNAI2 (21.8-fold, p = 0.028), ZEB1 (17.2-fold, p = 0.037) were significantly elevated in PDAC tissues compared to healthy controls. TWIST showed 3.75-fold increase in PDAC tissue; however, this elevation was not significant (p = 0.124). Corresponding protein-level increases were observed for Snail1/Slug and Zeb1. High SNAI1 expression correlated with peripancreatic invasion (p = 0.026) while ZEB1 overexpression was significantly associated with shorter survival (15.2 vs. 33.3 months, p = 0.037) and remained an independent prognostic factor in multivariate analysis. ZEB2 mRNA was reduced, however, protein levels were elevated. TWIST mRNA overexpression was not reflected at the protein level.

conclusionsOverexpression of EMT transcription factors SNAI1 and ZEB1 reflect more aggressive histopathological patterns of PDAC. The strong correlation of SNAI1 expression with the expression of other EMT-TFs highlights its' role in peripancreatic invasion, as well as impact on overall survival and may serve as an argument defining the leading role of SNAI1 in this context.

Indexed as

Carcinoma, Pancreatic DuctalEpithelial-Mesenchymal TransitionHomeodomain ProteinsPancreatic NeoplasmsTranscription FactorsAdultAgedFemaleGene Expression Regulation, NeoplasticHumansMaleMiddle AgedPrognosisSnail Family Transcription FactorsTwist-Related Protein 1Zinc Finger E-box-Binding Homeobox 1Homeodomain ProteinsSNAI1 protein, humanSNAI2 protein, humanSnail Family Transcription FactorsTranscription FactorsTwist-Related Protein 1ZEB1 protein, humanZinc Finger E-box-Binding Homeobox 1

Identifiers

PMID41481650
PMCPMC12758774

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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.