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Targeting PI3Kδ suppresses pancreatic cancer by dual disruption of fibrosis and immune evasion.

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Cell reports 📖 저널 OA 37.7% 2022: 1/1 OA 2024: 6/12 OA 2025: 20/55 OA 2026: 19/54 OA 2022~2026 2026 Vol.45(4) p. 117188
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Garczyk M, Outeiro-Pinho G, Pitaktrairat M, Soares Da Silva BS, Di Conza G, Niewola-Staszkowska K, Deken MA, Johnson Z, Thapa A, Fico F, Rossi Sebastiano M, Reynoso-Moreno I, Pellegata D, Ramadori G, Gloor B, Wartenberg M, Gertsch J, Konstantinidou G

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Pancreatic ductal adenocarcinoma (PDAC) is characterized by dense stromal fibrosis that promotes immune exclusion and treatment resistance, yet the upstream drivers of this pro-fibrotic cascade remain

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APA Garczyk M, Outeiro-Pinho G, et al. (2026). Targeting PI3Kδ suppresses pancreatic cancer by dual disruption of fibrosis and immune evasion.. Cell reports, 45(4), 117188. https://doi.org/10.1016/j.celrep.2026.117188
MLA Garczyk M, et al.. "Targeting PI3Kδ suppresses pancreatic cancer by dual disruption of fibrosis and immune evasion.." Cell reports, vol. 45, no. 4, 2026, pp. 117188.
PMID 41915470 ↗

Abstract

Pancreatic ductal adenocarcinoma (PDAC) is characterized by dense stromal fibrosis that promotes immune exclusion and treatment resistance, yet the upstream drivers of this pro-fibrotic cascade remain poorly defined. Here, we identify phosphoinositide 3-kinase δ (PI3Kδ) as a previously unrecognized driver of fibrosis in PDAC. Pharmacological inhibition of PI3Kδ reduces collagen deposition while enhancing the infiltration of activated CD8 T cells, thereby reprogramming the tumor microenvironment toward an antitumor state. Mechanistically, we reveal that PI3Kδ regulates the biosynthesis of lysophosphatidic acid (LPA), a key lipid mediator of stromal remodeling, by controlling phosphatidylcholine-derived precursors in both cancer cells and stromal fibroblasts. By regulating both LPA-driven stromal remodeling and immune suppression, PI3Kδ emerges as a central regulator of the PDAC tumor microenvironment. Co-inhibition of autotaxin, an enzyme contributing to LPA production, and PI3Kδ further amplifies stromal disruption and improves chemo-immunotherapy efficacy in preclinical PDAC models. These findings position PI3Kδ as a central therapeutic target in PDAC, offering a dual-action strategy to simultaneously dismantle stromal fibrosis and immune suppression.

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