Evidence map›Paper›PMID 42738909›Full record

ArticleCells2026

N-Acetyl Aspartic Acid (NAA) Attenuates Stemness and Epithelial-Mesenchymal Transition and Enhances Radio- and Chemo-Sensitivity in Pancreatic Ductal Adenocarcinoma.

Fabiana Crispo, Rosa Lioy, Rosalia Dieli, Mara Martinelli, Carlo Calabrese, Antonella Bianculli, Vincenzo De Fina, Grazia Lazzari, Vito Metallo, Donatella Telesca and 4 more

Abstract read
In one paragraph

Article in Cells, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

14 authors.

Fabiana CrispoLaboratory of Preclinical and Translational Research, IRCCS-CROB, Centro Di Riferimento Oncologico della Basilicata, 85028 Rionero in Vulture, PZ, Italy.
Rosa LioyLaboratory of Preclinical and Translational Research, IRCCS-CROB, Centro Di Riferimento Oncologico della Basilicata, 85028 Rionero in Vulture, PZ, Italy.ORCID 0009-0007-2199-6838
Rosalia DieliLaboratory of Preclinical and Translational Research, IRCCS-CROB, Centro Di Riferimento Oncologico della Basilicata, 85028 Rionero in Vulture, PZ, Italy.ORCID 0009-0005-7061-0749
Mara MartinelliLaboratory of Preclinical and Translational Research, IRCCS-CROB, Centro Di Riferimento Oncologico della Basilicata, 85028 Rionero in Vulture, PZ, Italy.ORCID 0009-0002-4831-3252
Carlo CalabreseLaboratory of Preclinical and Translational Research, IRCCS-CROB, Centro Di Riferimento Oncologico della Basilicata, 85028 Rionero in Vulture, PZ, Italy.
Antonella BianculliPhysic Unit, IRCCS-CROB, Centro Di Riferimento Oncologico della Basilicata, 85028 Rionero in Vulture, PZ, Italy.ORCID 0000-0002-0643-5684
Vincenzo De FinaPhysic Unit, IRCCS-CROB, Centro Di Riferimento Oncologico della Basilicata, 85028 Rionero in Vulture, PZ, Italy.ORCID 0009-0007-7961-6973
Grazia LazzariRadiation Oncology Unit, IRCCS-CROB, Centro Di Riferimento Oncologico della Basilicata, 85028 Rionero in Vulture, PZ, Italy.ORCID 0000-0002-9137-2007
Vito MetalloRadiation Oncology Unit, IRCCS-CROB, Centro Di Riferimento Oncologico della Basilicata, 85028 Rionero in Vulture, PZ, Italy.ORCID 0009-0009-7389-4109
Donatella TelescaHospital Pharmacy, IRCCS-CROB, Centro Di Riferimento Oncologico della Basilicata, 85028 Rionero in Vulture, PZ, Italy.
Gennaro LausDepartment of Services, IRCCS-CROB, Centro Di Riferimento Oncologico della Basilicata, 85028 Rionero in Vulture, PZ, Italy.ORCID 0009-0000-0299-6145
Simona LoperteInstitute of Methodologies for Environmental Research, National Research Council of Italy, 85050 Tito Scalo, PZ, Italy.
Rosa LeroseHospital Pharmacy, IRCCS-CROB, Centro Di Riferimento Oncologico della Basilicata, 85028 Rionero in Vulture, PZ, Italy.
Carmela MazzoccoliHospital Pharmacy, IRCCS-CROB, Centro Di Riferimento Oncologico della Basilicata, 85028 Rionero in Vulture, PZ, Italy.

Funding

Ministero della Salute
6 · The paper itself

Abstract

Pancreatic ductal adenocarcinoma (PDAC) is characterized by poor clinical outcomes and limited responsiveness to conventional treatments. Beyond delayed diagnosis, its high mortality is linked to limited treatment choices and resistance to chemotherapy. Neoplastic cells characterized by stem-like features and epithelial-mesenchymal transition (EMT) activation are crucial drivers of drug resistance and metastatic progression. Consequently, targeting these cellular programs could represent a promising therapeutic strategy for PDAC. N-acetyl-L-aspartic acid (NAA) is an endogenous metabolite, mainly localized in the central nervous system, where it facilitates acetate storage for lipid metabolism. Previous studies established its antineoplastic effect in neuroblastoma, promoting a more differentiated phenotype of cancer cells. Here we investigated the effects of NAA on BxPC-3 pancreatic cancer cells using both 2D and 3D models. NAA treatment induced a dose-dependent reduction in cell proliferation and led to a significant downregulation of stemness-associated surface markers, with concomitant upregulation of E-cadherin. Furthermore, NAA significantly enhanced cellular radiosensitization with a reduction in caveolin-1 and increased efficacy of gemcitabine in PDAC cells. Collectively, these results confirmed the anticancer activity of NAA and provide a rationale for further investigation of its synergistic effects with radiotherapy to yield better PDAC treatments.

Indexed as

Aspartic AcidCarcinoma, Pancreatic DuctalEpithelial-Mesenchymal TransitionNeoplastic Stem CellsPancreatic NeoplasmsRadiation ToleranceCell Line, TumorCell ProliferationDeoxycytidineDrug Resistance, NeoplasmGemcitabineHumansAspartic AcidDeoxycytidineGemcitabineN-acetylaspartatedrug resistanceepithelial–mesenchymal transitionN-acetylaspartic acidpancreatic ductal adenocarcinomaradiosensitizationstemness

Identifiers

PMID42738909
PMCPMC13565298

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.