Evidence map›Paper›PMID 41760660›Full record

ArticleNature communications2026

Beta cell-derived cholecystokinin drives obesity-associated pancreatic adenocarcinoma development.

Cathy C Garcia, Aarthi Venkat, Daniel C McQuaid, Sherry S Agabiti, Alexander Tong, Boby Mathew, Rebecca L Cardone, Rebecca Starble, Christian F Ruiz, Christy Zheng and 6 more

Abstract read
In one paragraph

Article in Nature communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

Cathy C Garcia *Department of Genetics, Yale University School of Medicine, New Haven, CT, USA.
Aarthi Venkat *Computational Biology and Bioinformatics Program, Yale University, New Haven, CT, USA.
Daniel C McQuaid *Department of Genetics, Yale University School of Medicine, New Haven, CT, USA.
Sherry S AgabitiDepartment of Genetics, Yale University School of Medicine, New Haven, CT, USA.
Alexander TongDepartment of Computer Science, Yale University, New Haven, CT, USA.
Boby MathewDepartment of Comparative Medicine, Yale University School of Medicine, New Haven, CT, USA.
Rebecca L CardoneDepartment of Internal Medicine, Section of Endocrinology, Yale University School of Medicine, New Haven, CT, USA.
Rebecca StarbleDepartment of Pathology, Yale University School of Medicine, New Haven, CT, USA.ORCID http://orcid.org/0000-0002-7724-0761
Christian F RuizDepartment of Genetics, Yale University School of Medicine, New Haven, CT, USA.
Christy ZhengDepartment of Genetics, Yale University School of Medicine, New Haven, CT, USA.
Akin SogunroDepartment of Genetics, Yale University School of Medicine, New Haven, CT, USA.
Jeremy B JacoxYale Cancer Biology Institute, Yale University, West Haven, CT, USA.ORCID http://orcid.org/0000-0001-9187-7374
Ken H LohDepartment of Comparative Medicine, Yale University School of Medicine, New Haven, CT, USA.ORCID http://orcid.org/0000-0002-2901-0750
Richard G KibbeyDepartment of Internal Medicine, Section of Endocrinology, Yale University School of Medicine, New Haven, CT, USA.
Smita KrishnaswamyDepartment of Genetics, Yale University School of Medicine, New Haven, CT, USA. smita.krishnaswamy@yale.edu.ORCID http://orcid.org/0000-0001-5823-1985
Mandar Deepak MuzumdarDepartment of Genetics, Yale University School of Medicine, New Haven, CT, USA. mandar.muzumdar@yale.edu.ORCID http://orcid.org/0000-0001-7424-7223

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007205 · NIGMS · YALE UNIVERSITY · PI KAZMIERCZAK, BARBARA I · 1985 to 2019
$42.9M
Institutional Career Development CoreKL2TR001862 · NCATS · YALE UNIVERSITY · PI CANTLEY, LLOYD G, EDELMAN, E. JENNIFER · 2016 to 2025
$12.2M
Mitochondrial ADP privation: A unifying model for glucose-induced insulin secretion.R01DK127637 · NIDDK · YALE UNIVERSITY · PI KIBBEY, RICHARD G, MERRINS, MATTHEW J. · 2021 to 2025
$3.4M
Yale Cancer Center Advanced Training Program for Physician-Scientists (YCC-ATPP)T32CA233414 · NCI · YALE UNIVERSITY · PI Eric P. Winer · 2019 to 2026
$3.2M
Predoctoral Training Program in GeneticsT32GM148332 · NIGMS · YALE UNIVERSITY · PI John R Carlson, Mandar Deepak Muzumdar · 2023 to 2026
$3.0M
Dietary fatty acids drive pancreatic cancer developmentR01CA276108 · NCI · YALE UNIVERSITY · PI Mandar Deepak Muzumdar · 2023 to 2026
$2.6M
Defining tumor cell and host adaptations in cancer progressionDP2CA248136 · NCI · YALE UNIVERSITY · PI MUZUMDAR, MANDAR DEEPAK · 2019 to 2019
$2.5M
Targeting pancreatic endocrine-exocrine signaling in cancer development with incretin mimeticsR01CA296916 · NCI · YALE UNIVERSITY · PI Mandar Deepak Muzumdar · 2025 to 2026
$1.4M
Mechanisms underlying autonomic innervation plasticity in regulating energy balanceR00DK129712 · NIDDK · YALE UNIVERSITY · PI LOH, HUAI JIN KEN LEON · 2022 to 2024
$720k
Elucidating mechanisms of endocrine-exocrine signaling in obesity-driven pancreatic cancerF31CA268845 · NCI · YALE UNIVERSITY · PI GARCIA, CATHY · 2022 to 2024
$85k
American Cancer Society (American Cancer Society, Inc.) IRG-21-132-60Conquer Cancer Foundation (Conquer Cancer Foundation of the American Society of Clinical Oncology) ASCO YIA in Memory of John R. DurrantDamon Runyon Cancer Research Foundation (Cancer Research Fund of the Damon Runyon-Walter Winchell Foundation) 66-21/66S-21Lustgarten Foundation (Lustgarten Foundation for Pancreatic Cancer Research) Therapeutics Focused Research ProgramNational Science Foundation (NSF) Career grant 2047856National Science Foundation (NSF) CISE grant 2403317National Science Foundation (NSF) DMS grant 2327211NCATS NIH HHS KL2 TR001862NCI NIH HHS DP2 CA248136NCI NIH HHS F31 CA268845NCI NIH HHS R01 CA276108NCI NIH HHS R01 CA296916NCI NIH HHS T32 CA233414NIDDK NIH HHS R00 DK129712NIDDK NIH HHS R01 DK127637NIGMS NIH HHS T32 GM007205NIGMS NIH HHS T32 GM148332U.S. Department of Defense (United States Department of Defense) HT9425-24-1-0954U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) F31-CA268845U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) P30-CA016359U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) R01-CA276108U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) R01-CA276108-03S1U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) R01-CA292936U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) T32-CA193200U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) T32-CA233414U.S. Department of Health & Human Services | NIH | National Center for Advancing Translational Sciences (NCATS) KL2-TR001862U.S. Department of Health & Human Services | NIH | National Institute of Diabetes and Digestive and Kidney Diseases (National Institute of Diabetes & Digestive & Kidney Diseases) 1R01-DK127637U.S. Department of Health & Human Services | NIH | National Institute of Diabetes and Digestive and Kidney Diseases (National Institute of Diabetes & Digestive & Kidney Diseases) R00-DK129712U.S. Department of Health & Human Services | NIH | National Institute of General Medical Sciences (NIGMS) 5T32-GM007205U.S. Department of Health & Human Services | NIH | National Institute of General Medical Sciences (NIGMS) 5T32-GM148332U.S. Department of Health & Human Services | NIH | National Institute on Drug Abuse (NIDA) P30-DA018343U.S. Department of Health & Human Services | NIH | NIH Office of the Director (OD) DP2-CA248136Yale Cancer Center Cheryl and Allen Lipson Neuroendocrine Tumor Fund Seed GrantYale University (Yale) Gruber Science Fellowship
6 · The paper itself

Abstract

Pancreatic endocrine-exocrine crosstalk plays a key role in normal physiology and disease and can be altered by host metabolic states, such as obesity. Classically, endocrine islet beta (β) cell secretion of insulin is thought to promote the development of obesity-associated pancreatic adenocarcinoma (PDAC), an exocrine cell-derived tumor. Here, we show that β cell expression of the peptide hormone cholecystokinin (CCK) is necessary and sufficient for obesity-associated PDAC progression in mice and that CCK expression - rather than insulin - correlates strongly with enhanced tumorigenesis. Single-cell RNA-sequencing, in silico latent-space archetypal and trajectory analysis, and experimental lineage tracing in vivo reveal that obesity induces the expansion of postnatal immature β cells, which adapt to express CCK via stress-responsive JNK/cJun signaling. Finally, obesity perturbs CCK-dependent peri-islet exocrine cell transcriptional states and enhances islet-proximal tumor formation. These results define endocrine-exocrine CCK signaling as a bona fide driver of obesity-associated PDAC development and uncover avenues to target the endocrine pancreas to subvert exocrine tumorigenesis.

Indexed as

AdenocarcinomaCarcinoma, Pancreatic DuctalCholecystokininInsulin-Secreting CellsObesityPancreatic NeoplasmsAnimalsCarcinogenesisFemaleGene Expression Regulation, NeoplasticHumansInsulinMaleMiceMice, Inbred C57BLSignal TransductionCholecystokininInsulin

Identifiers

PMID41760660
PMCPMC13066563

What Socratic holds

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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.