Surgical Resection of Murine PDAC Alters Hepatic Metastases and Immune Microenvironment

Anthony Sorrentino1,2, Carolina Alcantara Hirsch2, Beny Shapiro2

  • 1Department of Surgery, NYU Grossman School of Medicine and NYU Langone Health, New York, NY, USA.

Pancreas
|May 22, 2025
PubMed
Abstract

Insights

Surgical resection of pancreatic ductal adenocarcinoma (PDAC) can worsen liver metastases but triggers protective eosinophilia. This preclinical model reveals how surgery impacts minimal residual disease (MRD) and immune responses in PDAC.

Area of Science:

  • Oncology
  • Immunology
  • Surgical Research

Background:

  • Pancreatic ductal adenocarcinoma (PDAC) is a lethal malignancy.
  • Understanding the impact of surgical resection on minimal residual disease (MRD) is crucial for improving patient outcomes.
  • Existing models for studying PDAC resection and MRD are limited.

Purpose of the Study:

  • To establish a preclinical model for investigating the effects of surgical resection on systemic MRD in PDAC.
  • To analyze how tumor resection influences liver metastases and the tumor microenvironment.
  • To identify immune changes associated with PDAC resection and their impact on metastatic progression.

Main Methods:

  • Orthotopic implantation of PDAC cells in immunocompetent mice to generate pancreatic tumors.
  • Surgical resection via distal pancreatectomy and splenectomy.
  • Analysis of liver metastases and immune cell populations in resected versus non-resected mice.

Main Results:

  • Surgical resection led to increased proliferation and burden of liver metastases.
  • Postoperative immune changes included increased eosinophils and decreased neutrophils.
  • Increased postoperative hepatic eosinophilia correlated with protection against further metastatic progression.
  • Observed trends in the mouse model mirrored findings in human PDAC patients.

Conclusions:

  • A novel preclinical resection model for PDAC was developed to study MRD.
  • Surgical resection impacts metastatic outgrowth and systemic immune responses.
  • Postoperative hepatic eosinophilia demonstrates a protective role against PDAC metastatic progression.

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