Evidence map›Paper›PMID 41596590›Full record

ArticleInternational journal of molecular sciences2026

Prehabilitation as a Biologically Active Intervention Is Associated with the Remodeling of the Pancreatic Tumor-Immune Microenvironment.

Renee Stubbins, Boris Li, Matthew Vasquez, Blythe K Gorman, Joseph Zambelas, Kelvin Allenson, Atiya Dhala, Wenjuan Dong, Hong Zhao, Stephen Wong

Abstract read
In one paragraph

Article in International journal of molecular sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

Renee StubbinsHouston Methodist Neal Cancer Center, Houston, TX 77030, USA.ORCID 0000-0003-3534-0235
Boris LiDepartment of Systems Medicine and Bioengineering, Houston Methodist Research Institute, Houston, TX 77030, USA.
Matthew VasquezAdvanced Cellular and Tissue Microscopy Core, Houston Methodist Research Institute, Houston Methodist Neal Cancer Center, Houston, TX 77030, USA.
Blythe K GormanDepartment of Pathology and Genomic Medicine, Houston Methodist Hospital, Houston, TX 77030, USA.
Joseph ZambelasDepartment of Systems Medicine and Bioengineering, Houston Methodist Research Institute, Houston, TX 77030, USA.
Kelvin AllensonDepartment of Surgery, Houston Methodist Hospital, Houston, TX 77030, USA.
Atiya DhalaDepartment of Surgery, J.C. Walter Jr. Transplant Center, Center for Critical Care, Houston Methodist Hospital, Houston, TX 77030, USA.
Wenjuan DongDepartment of Systems Medicine and Bioengineering, Houston Methodist Research Institute, Houston, TX 77030, USA.
Hong ZhaoHouston Methodist Neal Cancer Center, Houston, TX 77030, USA.ORCID 0000-0001-8991-7824
Stephen WongHouston Methodist Neal Cancer Center, Houston, TX 77030, USA.ORCID 0000-0001-9188-6502

Funding

Dyer Fellowship n/a
6 · The paper itself

Abstract

Pancreatic ductal adenocarcinoma (PDAC) is highly lethal, and many patients cannot undergo curative surgery due to frailty. Multimodal prehabilitation: combining exercise, nutrition, and psychological support improves functional readiness, but its biological impact on the PDAC tumor microenvironment (TME) is unclear. In this exploratory pilot study, we profiled resected PDAC tissues from prehabilitation-treated patients and matched controls using NanoString GeoMx Digital Spatial Profiling across immune, tumor, and stromal compartments (n = 4). Transcriptomic signatures were analyzed via differential expression, pathway enrichment, and MCP-counter deconvolution; protein-level validation used multiplex immunofluorescence (n = 8). Ligand-receptor modeling assessed cell-cell communication, and prognostic relevance was evaluated in TCGA-PDAC (n = 178). Prehabilitation was associated with increased NK-cell cytotoxicity, interferon response, and chemokine recruitment, as well as higher neutrophil signatures (

Indexed as

Carcinoma, Pancreatic DuctalPancreatic NeoplasmsPreoperative CareTumor MicroenvironmentAgedFemaleGene Expression Regulation, NeoplasticHumansMaleMiddle AgedPilot ProjectsPrognosismultimodal prehabilitationpancreatic tumor microenvironmentspatial profiling

Identifiers

PMID41596590
PMCPMC12841739

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.