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Publication Name World Journal of Clinical Oncology
Manuscript ID 121085
Country China
Category Oncology
Manuscript Type Review
Article Title Prominent crosstalks between perineural invasion and immunosuppressive tumor microenvironment in pancreatic ductal adenocarcinoma
Manuscript Source Unsolicited Manuscript
All Author List Shuai Sun, Rong-Jing Zhou, Si-Lin Xiang, Ting-Ting Zhang, Jun-Jun Du, Hai-Fei Zhao, Yan-Zhen Xu, Xin Pan, Xiang-Yun He and Zhi-Bo Zuo
Funding Agency and Grant Number
Corresponding Author Shuai Sun, Department of Pathology, Hangzhou Cancer Hospital, No. 34 Yanguan Lane, Shangcheng District, Hangzhou 310002, Zhejiang Province, China. sunshuai005@gmail.com
Key Words Pancreatic ductal adenocarcinoma; Perineural invasion; Tumor immune microenvironment; Metastasis; Chemotherapy
Core Tip Perineural invasion is a bidirectional program in pancreatic ductal adenocarcinoma. It is sustained by crosstalks between tumor cells, nerves, and the immunosuppressive tumor microenvironment. The cellular compartments in tumor microenvironment collectively establish an immunosuppressive perineural niche. This niche enables neural dissemination, chemotherapy resistance, and cancer-associated pain. Adrenergic and cholinergic signaling amplifies this immunosuppression. Schwann cells actively guide tumor migration along nerve trunks. Therapeutic strategies targeting the neural-immune axis hold transformative potential for pancreatic ductal adenocarcinoma management.
Citation Sun S, Zhou RJ, Xiang SL, Zhang TT, Du JJ, Zhao HF, Xu YZ, Pan X, He XY, Zuo ZB. Prominent crosstalks between perineural invasion and immunosuppressive tumor microenvironment in pancreatic ductal adenocarcinoma. World J Clin Oncol 2026; In press
Received
2026-03-16 02:17
Peer-Review Started
2026-03-16 02:18
First Decision by Editorial Office Director
2026-04-10 09:05
Return for Revision
2026-04-10 09:05
Revised
2026-04-28 00:03
Publication Fee Transferred
Second Decision by Editor
2026-06-03 02:36
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-06-04 02:04
Articles in Press
2026-06-04 02:04
Edit the Manuscript by Language Editor
Typeset the Manuscript
ISSN 2218-4333 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Copyright ©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
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