Evidence map›Paper›PMID 42209505›Full record

ArticleNature communications2026

Metabolic characterization of the tumor microenvironment orchestrates therapeutic strategies and clinical outcomes in pancreatic cancer.

Rong Tang, Yangyi Li, Cong Zhou, Chunbin Zhu, Chen Chen, Liquan Jin, Yueyue Chen, Yingna Liao, Yuan Liu, Qiong Du and 8 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. 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

18 authors.

Rong Tang *Department of Pancreatic Surgery, Fudan University Shanghai Cancer Center, Shanghai, China.
Yangyi Li *Shanghai Pancreatic Cancer Institute, Shanghai, China.
Cong Zhou *Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China.
Chunbin Zhu *Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China.
Chen ChenShanghai Pancreatic Cancer Institute, Shanghai, China.
Liquan JinDepartment of Pancreatic Surgery, Fudan University Shanghai Cancer Center, Shanghai, China.
Yueyue ChenShanghai Pancreatic Cancer Institute, Shanghai, China.
Yingna LiaoShanghai Key Laboratory of Precision Medicine for Pancreatic Cancer, Shanghai, China.
Yuan LiuDepartment of Endoscopy, Fudan University Shanghai Cancer Center, Shanghai, China.
Qiong DuDepartment of Pharmacy, Fudan University Shanghai Cancer Center, Shanghai, China.
Yubin LeiKey Laboratory of Growth Regulation and Translational Research of Zhejiang Province, School of Life Sciences, Westlake University, Hangzhou, China.ORCID http://orcid.org/0000-0002-4468-8076
Zijian WuDepartment of General Surgery, Xuanwu Hospital, Capital Medical University, Beijing, China.
Jin XuDepartment of Pancreatic Surgery, Fudan University Shanghai Cancer Center, Shanghai, China.
Wei WangShanghai Pancreatic Cancer Institute, Shanghai, China.
Xiaoyu YinDepartment of Pancreato-Biliary Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China. yinxy@mail.sysu.edu.cn.ORCID http://orcid.org/0000-0002-5518-5984
Chenghao ShaoDepartment of Pancreatic-Biliary Surgery, Second Affiliated Hospital of Naval Medical University, Shanghai, China. shaochenghao_czyy@163.com.
Si ShiShanghai Pancreatic Cancer Institute, Shanghai, China. shisi@fudanpci.org.ORCID http://orcid.org/0000-0002-6652-0629
Xianjun YuDepartment of Pancreatic Surgery, Fudan University Shanghai Cancer Center, Shanghai, China. yuxianjun@fudan.edu.cn.ORCID http://orcid.org/0000-0002-6697-7143

Funding

National Natural Science Foundation of China (National Science Foundation of China) 92374102
6 · The paper itself

Abstract

Metabolic reprogramming and immunosuppressive tumor microenvironment (TME) are hallmark features driving pancreatic ductal adenocarcinoma (PDAC) progression. Despite the therapeutic potential of targeting immunometabolism, effective strategies remain scarce in clinical practice, likely due to cell-specific metabolic heterogeneity within PDAC TME. Here, we show integration of three algorithms to estimate metabolic fluxomes and pathways using scRNA-seq data, generating a comprehensive cell type-specific metabolic atlas. Leveraging 460 PDAC samples, we establish a TME-metabolism subtyping system, classifying PDAC into three subtypes (TMS1-3) with distinct immune-metabolic profiles and clinical outcomes. TMS1, characterized by low immune infiltrates, is susceptible to ferroptosis inducers. TMS2, enriched in macrophages, responds to chemoimmunotherapy with inhibition of glutamine synthetase. TMS3, characterized by matrix remodeling, responds to glycolysis inhibitors and albumin-paclitaxel. Finally, we develop a computational classifier for subtype discrimination. Together, this study delineates the metabolic heterogeneity of the PDAC TME and proposes a classification system that suggests promising therapeutic targets.

Indexed as

Carcinoma, Pancreatic DuctalPancreatic NeoplasmsTumor MicroenvironmentAlgorithmsAnimalsGene Expression Regulation, NeoplasticHumansImmunotherapyMetabolic Reprogramming

Identifiers

PMID42209505
PMCPMC13391501

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.