Evidence map›Paper›PMID 41634388›Full record

ArticleJournal of gastroenterology2026

YAP1-driven tumor-like cancer-associated fibroblasts modulate biomechanics of pancreatic ductal adenocarcinoma.

Aoran Yang, Chen Pan, Chengli Gu, Baihe Luo, Feng Gao, Yang Hou, Yu Shi

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Article in Journal of gastroenterology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
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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

7 authors.

Aoran Yang *Department of Radiology, Shengjing Hospital, China Medical University, Shenyang, Liaoning Province, China.
Chen Pan *Department of Radiology, Shengjing Hospital, China Medical University, Shenyang, Liaoning Province, China.
Chengli Gu *Department of Radiology, Shengjing Hospital, China Medical University, Shenyang, Liaoning Province, China.
Baihe LuoDepartment of Radiology, Shengjing Hospital, China Medical University, Shenyang, Liaoning Province, China.
Feng GaoDepartment of General Surgery, Shengjing Hospital of China Medical University, Shenyang, Liaoning, China. gaof@sj-hospital.org.
Yang HouDepartment of Radiology, Shengjing Hospital, China Medical University, Shenyang, Liaoning Province, China. houyang1973@163.com.
Yu ShiDepartment of Radiology, Shengjing Hospital, China Medical University, Shenyang, Liaoning Province, China. 20072265@cmu.edu.cn.

Funding

Liaoning Province Science and Technology Joint Plan 2023JH2/101700127Liaoning Provincial Science and Technology Program 2025-BS-0581the Leading Young Talent Program of Xingliao Yingcai in Liaoning Province XLYC2203037the National Natural Science Foundation of China No. 82471971
6 · The paper itself

Abstract

backgroundIn pancreatic ductal adenocarcinoma (PDAC), activation of Yes-associated protein 1 (YAP1) is linked to increased extracellular matrix (ECM) stiffness, yet how YAP1 interacts with cancer-associated fibroblasts (CAFs) and their subtypes to promote stromal remodeling remains unclear.

methodsUtilizing single-cell RNA sequencing (scRNA-seq) data to identify CAF subsets; validating the role of a specific subset, tumor-like CAFs (tCAFs), in YAP1-dependent promotion of ECM stiffness, epithelial-mesenchymal transition (EMT) combining the YAP1 inhibitor verteporfin with gemcitabine in KPC mouse models to assess effects on tCAF function, stromal stiffness, and survival; and employing magnetic resonance elastography (MRE) to quantify tumor stiffness in PDAC patients and mouse models.

resultsscRNA-seq identified a novel CAF subset (tCAFs) enriched in tumors with high YAP1 activity; tCAFs and mCAFs can mutually differentiate, and this process is regulated by YAP1 activity; in KPC mice, the combination of verteporfin and gemcitabine suppressed tCAF function, reduced stromal stiffness, and improved survival; MRE can accurately quantify tumor stiffness in PDAC patients; elevated YAP1 activity induces a stiffer, more highly cross-linked ECM, which is associated with increased tumor aggressiveness and shortened survival.

conclusionsYAP1 and tumor-like CAFs (tCAFs) play a pivotal role in driving desmoplasia in PDAC. YAP1 mediates the conversion of mCAFs to tCAFs and remodels the extracellular matrix (ECM), while high YAP1 activity in tCAFs regulates EMT induction to propel disease progression. Targeting the YAP1-tCAF axis can suppress desmoplasia and improve therapeutic outcomes. Magnetic resonance elastography (MRE) holds significant potential for non-invasive monitoring of stromal mechanics, offering a new perspective for stromal therapies in PDAC.

Indexed as

Adaptor Proteins, Signal TransducingCancer-Associated FibroblastsCarcinoma, Pancreatic DuctalPancreatic NeoplasmsTranscription FactorsAnimalsBiomechanical PhenomenaDeoxycytidineDisease Models, AnimalElasticity Imaging TechniquesEpithelial-Mesenchymal TransitionExtracellular MatrixGemcitabineHumansMiceVerteporfinAdaptor Proteins, Signal TransducingDeoxycytidineGemcitabineTranscription FactorsVerteporfinYAP1 protein, humanYap1 protein, mouseYAP-Signaling ProteinsBiomechanicsCancer-associated fibroblastsPancreatic ductal adenocarcinomaTumor-like CAFsYes-associated protein 1

Identifiers

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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 Socratic graph.