Evidence map›Paper›PMID 41775703›Full record

ArticleNature communications2026

Clonal evolutionary analysis reveals patterns of malignant transformation of Intraductal Papillary Mucinous Neoplasms of the pancreas.

Antonio Pea, Xiaotong He, Rosie Upstill-Goddard, Claudio Luchini, Leonor Patricia Schubert Santana, Stephan Dreyer, Fraser Duthie, Nigel B Jamieson, Colin J McKay, Euan J Dickson and 12 more

Abstract read
In one paragraph

Article in Nature communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

22 authors.

Antonio Pea *Unit of Pancreatic Surgery, University of Verona Hospital Trust, Verona, Italy. antonio.pea@univr.it.ORCID http://orcid.org/0000-0002-0509-6756
Xiaotong He *Manchester Cancer Research Centre, Manchester, UK.ORCID http://orcid.org/0000-0003-4017-2037
Rosie Upstill-GoddardSchool of Cancer Sciences, University of Glasgow, Glasgow, Scotland, UK.
Claudio LuchiniDepartment of Diagnostics and Public Health, Section of Pathology, University of Verona Hospital Trust, Verona, Italy.ORCID http://orcid.org/0000-0003-4901-4908
Leonor Patricia Schubert SantanaSchool of Cancer Sciences, University of Glasgow, Glasgow, Scotland, UK.
Stephan DreyerSchool of Cancer Sciences, University of Glasgow, Glasgow, Scotland, UK.
Fraser DuthieDepartment of Pathology, Laboratory Medicine Building, Queen Elizabeth University Hospital Greater Glasgow & Clyde NHS, Glasgow, UK.
Nigel B JamiesonSchool of Cancer Sciences, University of Glasgow, Glasgow, Scotland, UK.ORCID http://orcid.org/0000-0002-9552-4725
Colin J McKayWest of Scotland HPB Unit, Glasgow Royal Infirmary, Glasgow, Scotland, UK.
Euan J DicksonWest of Scotland HPB Unit, Glasgow Royal Infirmary, Glasgow, Scotland, UK.
Alessandra PulvirentiDepartment of Surgery, Oncology and Gastroenterology, University of Padua, Padua, Italy.ORCID http://orcid.org/0000-0001-9542-9165
Selma RebusSchool of Cancer Sciences, University of Glasgow, Glasgow, Scotland, UK.
Paola PiccoliDepartment of Diagnostics and Public Health, Section of Pathology, University of Verona Hospital Trust, Verona, Italy.
Nicola SperandioARC-Net Research center, University of Verona, Verona, Italy.
Rita T LawlorDepartment of Engineering for Innovation Medicine, University of Verona Hospital Trust, Verona, Italy.ORCID http://orcid.org/0000-0003-3160-0634
Michele MilellaDepartment of Engineering for Innovation Medicine, University of Verona Hospital Trust, Verona, Italy.
Fieke E M FroelingSchool of Cancer Sciences, University of Glasgow, Glasgow, Scotland, UK.ORCID http://orcid.org/0000-0002-8653-8164
Roberto SalviaUnit of Pancreatic Surgery, University of Verona Hospital Trust, Verona, Italy.
Aldo ScarpaManchester Cancer Research Centre, Manchester, UK.ORCID http://orcid.org/0000-0003-1678-739X
Andrew V BiankinSchool of Cancer Sciences, University of Glasgow, Glasgow, Scotland, UK.ORCID http://orcid.org/0000-0002-0362-5597
David C WedgeManchester Cancer Research Centre, Manchester, UK. David.Wedge@manchester.ac.uk.ORCID http://orcid.org/0000-0002-7572-3196
David K ChangSchool of Cancer Sciences, University of Glasgow, Glasgow, Scotland, UK. David.Chang@glasgow.ac.uk.ORCID http://orcid.org/0000-0002-4821-3078

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intraductal papillary mucinous neoplasms (IPMNs) are critical precursors to pancreatic ductal adenocarcinoma, a highly lethal cancer characterized by late detection and rapid progression. Here we integrate multi-region whole-genome and transcriptome sequencing to trace the evolution of IPMN, constructing detailed phylogenetic trees to provide insights into subclonal architectures and progression pathways. Our analysis identifies two distinct evolutionary trajectories: one driven by a single ancestral clone, and another involving multiple independent ancestral clones. We further explore the roles of mutational signatures and structural variants in promoting clonal evolution and the emergence of new subclones. Complementing these genomic findings, our transcriptomic analysis reveals unique gene expression profiles and variations in the immune landscape that correlate with different progression stages of IPMN. These insights reveal the complex molecular dynamics of IPMN heterogeneity and progression, highlighting the need to refine early detection and treatment strategies.

Indexed as

Adenocarcinoma, MucinousCarcinoma, Pancreatic DuctalCell Transformation, NeoplasticClonal EvolutionPancreatic Intraductal NeoplasmsPancreatic NeoplasmsDisease ProgressionGene Expression ProfilingGene Expression Regulation, NeoplasticHumansMutationPhylogenyTranscriptome

Identifiers

PMID41775703
PMCPMC13076896

What OpenQuestion holds

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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.