Evidence map›Paper›PMID 41936041›Full record

ArticleJournal of surgical oncology2026

Serotonin Expression and β-Cell Phenotype Are Associated With Indolent Behavior in Pancreatic Neuroendocrine Tumors With Sclerosing Morphology.

Annika L Windon, Frank Revetta, Wei Chen, Chanjuan Shi

Abstract read
In one paragraph

Article in Journal of surgical oncology, 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

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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

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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

4 authors.

Annika L WindonDepartment of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID https://orcid.org/0009-0001-3265-7563
Frank RevettaDepartment of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Wei ChenDepartment of Pathology, Duke University Medical Center, Durham, North Carolina, USA.
Chanjuan ShiDepartment of Pathology, Duke University Medical Center, Durham, North Carolina, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesARX and PDX1 transcription factors have been considered indicators of the cell of origin for pancreatic neuroendocrine tumors (PanNETs). Some PanNETs show dense fibrosis (sclerosing morphology) and an association with serotonin expression. This study aimed to explore ARX and PDX1 expression in these tumors.

methodsPathology archives were searched from 2005 to 2019 for PanNETs with dense stromal fibrosis. Immunohistochemical stains for ARX, PDX1, and serotonin were performed and reviewed with pertinent clinical findings.

resultsFifty-one PanNETs were evaluated. Serotonin expression was identified in 19 (37%) tumors. The mean tumor size was smaller in the serotonin-expressing group compared to the non-expressing group (1.7 ± 1.1 vs. 2.5 ± 1.2 cm, p = 0.03). Serotonin-expressing tumors demonstrated a β-cell phenotype with absence of ARX expression in the majority of tumors (n = 16; 84.2%), while the non-expressing tumors demonstrated an α-cell phenotype with ARX expression (n = 24, 75%, p < 0.01). Synchronous/metachronous liver metastasis was more frequent in the serotonin non-expressing tumors (p = 0.020). Serotonin expression was associated with a better disease-free survival.

conclusionsSerotonin-expressing PanNETs more commonly showed a β-cell phenotype, while non-expressing tumors favored an α-cell phenotype with more frequent liver metastasis. The expression of serotonin suggests more indolent behavior in this variant of PanNETs.

Indexed as

Biomarkers, TumorNeuroendocrine TumorsPancreatic NeoplasmsSerotoninAdultAgedFemaleHomeodomain ProteinsHumansLiver NeoplasmsMaleMiddle AgedPhenotypePrognosisRetrospective StudiesSclerosisBiomarkers, TumorHomeodomain Proteinspancreatic and duodenal homeobox 1 proteinSerotoninTrans-ActivatorsTranscription Factorsneuroendocrine tumorpancreassclerosing morphologyserotonin expressionα‐phenotypeβ‐phenotype

Identifiers

PMID41936041
PMCPMC13352224

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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.