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August 1, 2026Clinical Medicine Insights OncologyOpen Access

CXCL12 Expression and Clinicopathological Features at the Invasive Front of Pancreatic Cancer

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Authors

SIShunsuke ImamuraTUTakeshi UeharaMIMai Iwaya

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Overview

Retrospective study reveals stromal CXCL12 correlates with reduced venous invasion in pancreatic ductal adenocarcinoma, suggesting its potential role as a favorable prognostic biomarker.

Key Points

  • To evaluate the clinical significance and spatial distribution of stromal CXCL12 expression at the invasive front of pancreatic ductal adenocarcinoma.
  • Retrospective analysis of CXCL12 expression using RNAscope in situ hybridization in 66 pancreatic ductal adenocarcinoma tissue samples infiltrating peripancreatic fat.
  • Categorized RNA expression into high and low groups to assess associations with clinicopathological characteristics and patient survival outcomes.
  • Single-cell RNA sequencing (scRNA-seq) performed to identify the cellular sources of CXCL12 and its receptor CXCR4.
  • CXCL12-positive staining was observed in 88% of samples, localized predominantly to stromal fibroblasts and endothelial cells, while CXCR4 was expressed mainly on immune cells (T cells, B cells, and myeloid cells).
  • High CXCL12 expression was significantly associated with lower rates of venous invasion compared to low expression (P = 0.019).
  • Overall survival did not differ significantly between high and low CXCL12 groups (P = 0.233), but relapse-free survival trended toward being longer in the high CXCL12 group (P = 0.0673).

Cite This Study

Imamura et al. (2026) studied this question.

synapsesocial.com/papers/6a8505e65c0b46d4e29911e8https://doi.org/10.1177/11795549261473797
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Immunohistochemical analysis and scRNA-Seq identifies vascular endothelial CXCR4 expression as a predictor of poor prognosis in pancreatic ductal adenocarcinoma2026
  2. 2CXCL12 <sup>+</sup> pericytes as drivers of lymphatic dissemination in pancreatic cancer: Integrated single-cell and spatial analysis.2026
  3. 3CXCL11 recruits immunosuppressive cells to form a barrier at the invasive front of pancreatic cancer by activating the NF-κB/CCL2 axis2026
  4. 4High Claudin 18.2 Expression Predicts Favorable Outcomes in Pancreatic Ductal Adenocarcinoma After Curative Resection2025 · 5 citations
  5. 5Prevalence and prognostic value of Claudin 18.2 expression in pancreatic ductal adenocarcinoma.2026 · 1 citations