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Publication Name World Journal of Gastrointestinal Oncology
Manuscript ID 124427
Country China
Category Oncology
Manuscript Type Minireviews
Article Title Perineural invasion in pancreatic ductal adenocarcinoma: Molecular mechanisms and clinical significance
Manuscript Source Unsolicited Manuscript
All Author List Rong Hu, Hong-Chen Zhang and Xiao-Feng Zhang
Funding Agency and Grant Number
Funding Agency Grant Number
Construction Fund of Key Medical Disciplines of Hangzhou No. 2025HZGF05
Zhejiang Provincial Key Research and Development Program No. 2024C03048
Zhejiang Provincial Key Discipline of Integrated Traditional Chinese and Western Medicine (Digestive Diseases) No. 2024-XK-61
Corresponding Author Xiao-Feng Zhang, Department of Gastroenterology, Affiliated Hangzhou First People’s Hospital, School of Medicine, Westlake University; Hangzhou Institute of Digestive Diseases; Key Laboratory of Integrated Traditional Chinese and Western Medicine for Biliary and Pancreatic Diseases of Zhejiang Province; Key Laboratory of Clinical Cancer Pharmacology and Toxicology Research of Zhejiang Province, Affiliated Hangzhou First People’s Hospital, No. 261, Huansha Road, Hangzhou 310006, Zhejiang Province, China. zhangxiaofeng@hospital.westlake.edu.cn
Key Words Pancreatic ductal adenocarcinoma; Perineural invasion; Tumor microenvironment; Neurotrophic factors; Spatial omics; Targeted therapy
Core Tip This article organizes perineural invasion in pancreatic ductal adenocarcinoma around a spatially organized neural-invasion niche, integrating neural-immune-stromal-metabolic crosstalk while preserving differences in evidence strength. Its key contribution is to connect this niche framework with a dual pain model that distinguishes mechanical injury and compression from chemical and neuroimmune sensitization. Clinical implications remain evidence-bounded: Spatial omics is research-stage, and diagnostic or therapeutic translation requires prospective validation with perineural invasion-specific endpoints.
Citation Hu R, Zhang HC, Zhang XF. Perineural invasion in pancreatic ductal adenocarcinoma: Molecular mechanisms and clinical significance. World J Gastrointest Oncol 2026; In press
Received
2026-06-15 09:09
Peer-Review Started
2026-06-15 09:10
First Decision by Editorial Office Director
Return for Revision
2026-07-29 02:28
Revised
2026-08-12 02:15
Publication Fee Transferred
2026-08-20 14:27
Second Decision by Editor
2026-09-21 02:40
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-09-21 09:40
Articles in Press
2026-09-21 09:40
Edit the Manuscript by Language Editor
Typeset the Manuscript
ISSN 1948-5204 (online)
Open Access This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Copyright ©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
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