Evidence map›Paper›PMID 39025845›Full record

ArticleNature communications2024

Necroptosis enhances 'don't eat me' signal and induces macrophage extracellular traps to promote pancreatic cancer liver metastasis.

Cheng-Yu Liao, Ge Li, Feng-Ping Kang, Cai-Feng Lin, Cheng-Ke Xie, Yong-Ding Wu, Jian-Fei Hu, Hong-Yi Lin, Shun-Cang Zhu, Xiao-Xiao Huang and 8 more

Abstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 1 pooled it
–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

60 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Necroptosis in pancreatic cancer: Molecular mechanisms and therapeutic implications.Apoptosis : an international journal on programmed cell death · 2026
    Pooled it
  2. Review
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  7. Macrophage Extracellular Traps in Immunity and Cancer.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Review
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  9. Article
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  11. Galectin-9Aging cell · 2026
    Article
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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.

Cheng-Yu Liao *Shengli Clinical Medical College of Fujian Medical University, 350001, Fuzhou, China.ORCID 0000-0001-7221-7522
Ge Li *Department of Hepatobiliary Surgery and Fujian Institute of Hepatobiliary Surgery, Fujian Medical University Union Hospital, 350001, Fuzhou, China.
Feng-Ping Kang *Shengli Clinical Medical College of Fujian Medical University, 350001, Fuzhou, China.
Cai-Feng LinShengli Clinical Medical College of Fujian Medical University, 350001, Fuzhou, China.
Cheng-Ke XieShengli Clinical Medical College of Fujian Medical University, 350001, Fuzhou, China.
Yong-Ding WuShengli Clinical Medical College of Fujian Medical University, 350001, Fuzhou, China.
Jian-Fei HuShengli Clinical Medical College of Fujian Medical University, 350001, Fuzhou, China.
Hong-Yi LinShengli Clinical Medical College of Fujian Medical University, 350001, Fuzhou, China.
Shun-Cang ZhuShengli Clinical Medical College of Fujian Medical University, 350001, Fuzhou, China.
Xiao-Xiao HuangShengli Clinical Medical College of Fujian Medical University, 350001, Fuzhou, China.
Jian-Lin LaiShengli Clinical Medical College of Fujian Medical University, 350001, Fuzhou, China.
Li-Qun ChenFuzhou University, 350001, Fuzhou, China.
Yi HuangShengli Clinical Medical College of Fujian Medical University, 350001, Fuzhou, China.
Qiao-Wei LiShengli Clinical Medical College of Fujian Medical University, 350001, Fuzhou, China.
Long HuangShengli Clinical Medical College of Fujian Medical University, 350001, Fuzhou, China.
Zu-Wei WangShengli Clinical Medical College of Fujian Medical University, 350001, Fuzhou, China. drzuwei123@163.com.ORCID 0000-0002-2568-9364
Yi-Feng TianShengli Clinical Medical College of Fujian Medical University, 350001, Fuzhou, China. tianyifeng@fjmu.edu.cn.ORCID 0000-0002-6340-4497
Shi ChenShengli Clinical Medical College of Fujian Medical University, 350001, Fuzhou, China. wawljwalj@163.com.ORCID 0000-0002-8207-7479

Funding

National Natural Science Foundation of China (National Science Foundation of China) 82173250
6 · The paper itself

Abstract

Pancreatic ductal adenocarcinoma (PDAC) is a devastating cancer with dismal prognosis due to distant metastasis, even in the early stage. Using RNA sequencing and multiplex immunofluorescence, here we find elevated expression of mixed lineage kinase domain-like pseudo-kinase (MLKL) and enhanced necroptosis pathway in PDAC from early liver metastasis T-stage (T1M1) patients comparing with non-metastatic (T1M0) patients. Mechanistically, MLKL-driven necroptosis recruits macrophages, enhances the tumor CD47 'don't eat me' signal, and induces macrophage extracellular traps (MET) formation for CXCL8 activation. CXCL8 further initiates epithelial-mesenchymal transition (EMT) and upregulates ICAM-1 expression to promote endothelial adhesion. METs also degrades extracellular matrix, that eventually supports PDAC liver metastasis. Meanwhile, targeting necroptosis and CD47 reduces liver metastasis in vivo. Our study thus reveals that necroptosis facilitates PDAC metastasis by evading immune surveillance, and also suggest that CD47 blockade, combined with MLKL inhibitor GW806742X, may be a promising neoadjuvant immunotherapy for overcoming the T1M1 dilemma and reviving the opportunity for radical surgery.

Indexed as

Carcinoma, Pancreatic DuctalCD47 AntigenEpithelial-Mesenchymal TransitionExtracellular TrapsLiver NeoplasmsMacrophagesNecroptosisPancreatic NeoplasmsProtein KinasesAcrylamidesAnimalsCell Line, TumorFemaleHumansIntercellular Adhesion Molecule-1MaleAcrylamidesCD47 AntigenCD47 protein, humanICAM1 protein, humanIntercellular Adhesion Molecule-1MLKL protein, humanN-(4-(N-(3-methoxypyrazin-2-yl)sulfamoyl)phenyl)-3-(5-nitrothiophene-2-yl)acrylamideProtein KinasesSulfonamides

Identifiers

PMID39025845
PMCPMC11258255

What Socratic holds

Textmetadata
LicenceCC BY
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.