Evidence map›Paper›PMID 41571832›Full record

ArticleNature genetics2026

Genomic evolution of pancreatic cancer at single-cell resolution.

Haochen Zhang, Palash Sashittal, Elias-Ramzey Karnoub, Akhil Jakatdar, Shigeaki Umeda, Jungeui Hong, Anne Marie Noronha, Agustin Cardenas, Amanda Erakky, Caitlin A McIntyre and 9 more

Abstract read
In one paragraph

Article in Nature genetics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. GATA4 loss promotes mutantbioRxiv : the preprint server for biology · 2026
    Article
  4. 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

19 authors.

Haochen Zhang *Gerstner Sloan Kettering Graduate School of Biomedical Sciences, Memorial Sloan Kettering Cancer Center, New York City, NY, USA.ORCID http://orcid.org/0000-0002-8292-9491
Palash Sashittal *Department of Computer Science, Princeton University, Princeton, NJ, USA.
Elias-Ramzey KarnoubHuman Oncology and Pathogenesis Program, Memorial Sloan Kettering Cancer Center, New York City, NY, USA.ORCID http://orcid.org/0000-0003-0823-1519
Akhil JakatdarDepartment of Computer Science, Princeton University, Princeton, NJ, USA.
Shigeaki UmedaHuman Oncology and Pathogenesis Program, Memorial Sloan Kettering Cancer Center, New York City, NY, USA.ORCID http://orcid.org/0000-0001-5693-1515
Jungeui HongHuman Oncology and Pathogenesis Program, Memorial Sloan Kettering Cancer Center, New York City, NY, USA.
Anne Marie NoronhaMarie-Josée & Henry R. Kravis Center for Molecular Oncology, Memorial Sloan Kettering Cancer Center, New York City, NY, USA.
Agustin CardenasDavid M. Rubenstein Center for Pancreatic Cancer Research, Memorial Sloan Kettering Cancer Center, New York City, NY, USA.
Amanda ErakkyDavid M. Rubenstein Center for Pancreatic Cancer Research, Memorial Sloan Kettering Cancer Center, New York City, NY, USA.ORCID http://orcid.org/0009-0006-7149-4572
Caitlin A McIntyreDepartment of Surgery, Brigham and Women's Hospital, Boston, MA, USA.
Akimasa HayashiDavid M. Rubenstein Center for Pancreatic Cancer Research, Memorial Sloan Kettering Cancer Center, New York City, NY, USA.ORCID http://orcid.org/0000-0002-7424-8127
Nicolas LecomteHuman Oncology and Pathogenesis Program, Memorial Sloan Kettering Cancer Center, New York City, NY, USA.
Marc HilmiDavid M. Rubenstein Center for Pancreatic Cancer Research, Memorial Sloan Kettering Cancer Center, New York City, NY, USA.
Wungki ParkDavid M. Rubenstein Center for Pancreatic Cancer Research, Memorial Sloan Kettering Cancer Center, New York City, NY, USA.ORCID http://orcid.org/0000-0002-8006-3102
Nan PangDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York City, NY, USA.
Eileen M O'ReillyDavid M. Rubenstein Center for Pancreatic Cancer Research, Memorial Sloan Kettering Cancer Center, New York City, NY, USA.ORCID http://orcid.org/0000-0002-8076-9199
Alice C WeiDavid M. Rubenstein Center for Pancreatic Cancer Research, Memorial Sloan Kettering Cancer Center, New York City, NY, USA.ORCID http://orcid.org/0000-0002-2505-959X
Benjamin J RaphaelDepartment of Computer Science, Princeton University, Princeton, NJ, USA. braphael@princeton.edu.ORCID http://orcid.org/0000-0003-1274-048X
Christine A Iacobuzio-DonahueHuman Oncology and Pathogenesis Program, Memorial Sloan Kettering Cancer Center, New York City, NY, USA. iacobuzc@mskcc.org.ORCID http://orcid.org/0000-0002-4672-3023

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
Total Neoadjuvant Therapy (TNT) for Borderline Resectable and Locally Advanced Pancreatic AdenocarcinomaP50CA257881 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI Christine A Iacobuzio-Donahue · 2022 to 2026
$14.3M
Interrogating the Evolutionary Dynamics of Cancer for Clinical Benefit and ActionabilityR35CA220508 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI IACOBUZIO-DONAHUE, CHRISTINE A · 2018 to 2024
$6.9M
Comprehensive and Robust Tools for Analysis of Tumor Heterogeneity and EvolutionU24CA248453 · NCI · PRINCETON UNIVERSITY · PI Benjamin Raphael · 2020 to 2026
$4.7M
NCI NIH HHS P30 CA008748NCI NIH HHS P50 CA257881NCI NIH HHS R35 CA220508NCI NIH HHS U24 CA248453
6 · The paper itself

Abstract

Most evolutionary studies on pancreatic cancer rely on bulk sequencing, yet clonal evolution happens at the single-cell level. We used single-nucleus DNA sequencing to study 137,491 single nuclei from 24 pancreatic neoplasms reflecting various clinical scenarios. We found higher frequencies of somatic alterations to driver genes that bulk studies indicate; many manifest as copy number alterations and account for the majority of spatial heterogeneity. In pancreatic cancers with canonical KRAS oncogenic mutations, we found likely varied dependence on the genotype that may signify differential response to KRAS inhibition. In pancreatic cancers with germline heterozygous BRCA2 mutations, we discovered varied mechanisms and timing of inactivation of the wild-type allele that sculpted differential evolutionary trajectories. Inactivation of tumor-intrinsic response to transforming growth factor-β happens through various mechanisms, takes place after oncogenesis and coincides with invasion and metastasis, reflecting increasing selective pressure for the phenotype later in pancreatic ductal adenocarcinoma development.

Indexed as

Carcinoma, Pancreatic DuctalEvolution, MolecularPancreatic NeoplasmsSingle-Cell AnalysisBRCA2 ProteinClonal EvolutionDNA Copy Number VariationsGenomicsGerm-Line MutationHumansMutationProto-Oncogene Proteins p21(ras)BRCA2 ProteinBRCA2 protein, humanKRAS protein, humanProto-Oncogene Proteins p21(ras)

Identifiers

PMID41571832
PMCPMC12900634

What OpenQuestion holds

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Registered trials

None linked

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.