Evidence map›Paper›PMID 37865092›Full record

ArticleCell reports. Medicine2023

Desmoplastic stromal signatures predict patient outcomes in pancreatic ductal adenocarcinoma.

Shamik Mascharak, Jason L Guo, Deshka S Foster, Anum Khan, Michael F Davitt, Alan T Nguyen, Austin R Burcham, Malini S Chinta, Nicholas J Guardino, Michelle Griffin and 8 more

Abstract read
In one paragraph

Article in Cell reports. Medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing 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

38 citing papers in PubMed.

  1. Understanding and targeting the tumour matrisome.Nature reviews. Clinical oncology · 2026
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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

18 authors.

Shamik MascharakHagey Laboratory of Pediatric Regenerative Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA.
Jason L GuoHagey Laboratory of Pediatric Regenerative Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA.
Deshka S FosterHagey Laboratory of Pediatric Regenerative Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA.
Anum KhanCell Sciences Imaging Facility, Stanford University, Stanford, CA 94305, USA.
Michael F DavittHagey Laboratory of Pediatric Regenerative Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA.
Alan T NguyenHagey Laboratory of Pediatric Regenerative Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA.
Austin R BurchamHagey Laboratory of Pediatric Regenerative Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA.
Malini S ChintaHagey Laboratory of Pediatric Regenerative Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA.
Nicholas J GuardinoHagey Laboratory of Pediatric Regenerative Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA.
Michelle GriffinHagey Laboratory of Pediatric Regenerative Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA.
David M LopezHagey Laboratory of Pediatric Regenerative Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA.
Elisabeth MillerDepartment of Pathology, University of Virginia School of Medicine, Charlottesville, VA 22903, USA.
Michael JanuszykHagey Laboratory of Pediatric Regenerative Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA.
Shyam S RaghavanDepartment of Pathology, University of Virginia School of Medicine, Charlottesville, VA 22903, USA.
Teri A LongacreDepartment of Pathology, Stanford University School of Medicine, Stanford, CA 94305, USA.
Daniel J DelittoHagey Laboratory of Pediatric Regenerative Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA.
Jeffrey A NortonHagey Laboratory of Pediatric Regenerative Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA. Electronic address: janorton@stanford.edu.
Michael T LongakerHagey Laboratory of Pediatric Regenerative Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA. Electronic address: longaker@stanford.edu.

Funding

Mechanoresponsive Engrailed-1-negative fibroblasts activate Engrailed-1 to promote fibrosis in wound healingR01GM136659 · NIGMS · STANFORD UNIVERSITY · PI LONGAKER, MICHAEL T · 2020 to 2023
$1.3M
Elucidating the role of mechanical forces in diabetic wound healingK08DK134871 · NIDDK · STANFORD UNIVERSITY · PI Michael Januszyk · 2023 to 2026
$600k
Spatiotemporal Atlas of Cellular Networks and Ultrastructural States Mediating the Progression and Resolution of Pulmonary FibrosisF32HL167318 · NHLBI · STANFORD UNIVERSITY · PI GUO, JASON LIWEI · 2023 to 2024
$146k
NHLBI NIH HHS F32 HL167318NIDDK NIH HHS K08 DK134871NIGMS NIH HHS R01 GM136659
6 · The paper itself

Abstract

Pancreatic ductal adenocarcinoma (PDAC) is projected to become the second leading cause of cancer-related death. Hallmarks include desmoplasia with variable extracellular matrix (ECM) architecture and a complex microenvironment with spatially defined tumor, stromal, and immune populations. Nevertheless, the role of desmoplastic spatial organization in patient/tumor variability remains underexplored, which we elucidate using two technologies. First, we quantify ECM patterning in 437 patients, revealing architectures associated with disease-free and overall survival. Second, we spatially profile the cellular milieu of 78 specimens using codetection by indexing, identifying an axis of pro-inflammatory cell interactions predictive of poorer outcomes. We discover that clinical characteristics, including neoadjuvant chemotherapy status, tumor stage, and ECM architecture, correlate with differential stromal-immune organization, including fibroblast subtypes with distinct niches. Lastly, we define unified signatures that predict survival with areas under the receiver operating characteristic curve (AUCs) of 0.872-0.903, differentiating survivorship by 655 days. Overall, our findings establish matrix ultrastructural and cellular organizations of fibrosis linked to poorer outcomes.

Indexed as

Carcinoma, Pancreatic DuctalPancreatic NeoplasmsExtracellular MatrixHumansTumor Microenvironmentarchitecturecancercell interactionscell networkscodexdesmoplasiafibrosismachine learningpancreatic ductal adenocarcinomaspatial biology

Identifiers

PMID37865092
PMCPMC10694604

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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 Socratic graph.