Evidence map›Paper›PMID 41647993›Full record

ArticleESMO gastrointestinal oncology2025

Tumor microbiome differences in early-onset versus average-onset pancreatic adenocarcinoma.

T Jayakrishnan, N Sangwan, K G Nair, S D Kamath, M H Patel, D Joyce, M Walsh, R Simon, D Vadehra, R V Iyer and 2 more

Abstract read
In one paragraph

Article in ESMO gastrointestinal oncology, 2025. 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. Article
  2. Article
  3. Yeasts in the gastrointestinal tract.FEMS yeast research · 2026
    Review
  4. 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

12 authors.

T JayakrishnanDepartment of Hematology-Oncology, Taussig Cancer Institute, Cleveland Clinic, Cleveland, USA.
N SangwanLerner Research Institute, Cleveland Clinic, Cleveland, USA.
K G NairDepartment of Hematology-Oncology, Taussig Cancer Institute, Cleveland Clinic, Cleveland, USA.
S D KamathDepartment of Hematology-Oncology, Taussig Cancer Institute, Cleveland Clinic, Cleveland, USA.
M H PatelDepartment of Hematology-Oncology, Taussig Cancer Institute, Cleveland Clinic, Cleveland, USA.
D JoyceDigestive Diseases and Surgery Institute, Cleveland Clinic, Cleveland, USA.
M WalshDigestive Diseases and Surgery Institute, Cleveland Clinic, Cleveland, USA.
R SimonDigestive Diseases and Surgery Institute, Cleveland Clinic, Cleveland, USA.
D VadehraRoswell Park Comprehensive Cancer Center, Buffalo, USA.
R V IyerRoswell Park Comprehensive Cancer Center, Buffalo, USA.
C FountzilasRoswell Park Comprehensive Cancer Center, Buffalo, USA.
A A KhoranaDepartment of Hematology-Oncology, Taussig Cancer Institute, Cleveland Clinic, Cleveland, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Compelling evidence supports the biomarker potential of microbiome in pancreatic adenocarcinoma. Given the knowledge gap on the characteristics and significance of microbiome in early-onset pancreatic ductal adenocarcinoma (eoPDAC, age <50 years), we aimed to evaluate microbiome profiles in resected specimens from individuals with eoPDAC and average-onset PDAC (aoPDAC, age >50 years). Materials and methods: We carried out shotgun metagenomic sequencing in resected specimens from individuals with eoPDAC ( Results: We successfully sequenced several bacteria and fungi in the tumor specimens from 44 individuals with resected PDAC (24 eoPDAC and 20 aoPDAC). The alpha diversity of the bacterial microbiome was higher in eoPDAC tumor tissue compared with aoPDAC ( Conclusions: Shotgun metagenomic sequencing identified bacterial microbiome and fungal mycobiome in tumors from individuals with eoPDAC and aoPDAC. We observed significant differences in alpha and beta diversity and relative abundances of organisms suggesting distinct microbiome signatures. Microbiome associations with survival were observed in eoPDAC indicating unique potential as prognostic biomarker.

Indexed as

biomarkersearly-onset cancermicrobiomemycobiomepancreatic adenocarcinomascreening

Identifiers

PMID41647993
PMCPMC12836659

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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.