<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.2 20190208//EN" "http://jats.nlm.nih.gov/publishing/1.2/JATS-journalpublishing1.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="research-article" dtd-version="1.2" xml:lang="en">
    <front>
        <journal-meta>
            <journal-id journal-id-type="pmc">F1000Research</journal-id>
            <journal-title-group>
                <journal-title>F1000Research</journal-title>
            </journal-title-group>
            <issn pub-type="epub">2046-1402</issn>
            <publisher>
                <publisher-name>F1000 Research Limited</publisher-name>
                <publisher-loc>London, UK</publisher-loc>
            </publisher>
        </journal-meta>
        <article-meta>
            <article-id pub-id-type="doi">10.12688/f1000research.172407.1</article-id>
            <article-categories>
                <subj-group subj-group-type="heading">
                    <subject>Research Article</subject>
                </subj-group>
                <subj-group>
                    <subject>Articles</subject>
                </subj-group>
            </article-categories>
            <title-group>
                <article-title>Bioinformatics-based Investigation to Unveiling The miRNA-Immunity Axis in The Tumor Microenvironment of Pancreatic Cancer</article-title>
                <fn-group content-type="pub-status">
                    <fn>
                        <p>[version 1; peer review: 2 approved with reservations]</p>
                    </fn>
                </fn-group>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>AL-Janaby</surname>
                        <given-names>Mohammed Salih</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Conceptualization</role>
                    <role content-type="http://credit.niso.org/">Formal Analysis</role>
                    <role content-type="http://credit.niso.org/">Methodology</role>
                    <uri content-type="orcid">https://orcid.org/0000-0002-9175-1787</uri>
                    <xref ref-type="aff" rid="a1">1</xref>
                </contrib>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>Mannoush</surname>
                        <given-names>Salah H.</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Data Curation</role>
                    <role content-type="http://credit.niso.org/">Investigation</role>
                    <role content-type="http://credit.niso.org/">Methodology</role>
                    <uri content-type="orcid">https://orcid.org/0009-0001-0613-0493</uri>
                    <xref ref-type="aff" rid="a1">1</xref>
                </contrib>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>Al-Janabi</surname>
                        <given-names>Saif S.</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Investigation</role>
                    <role content-type="http://credit.niso.org/">Visualization</role>
                    <xref ref-type="aff" rid="a1">1</xref>
                </contrib>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>Suleiman</surname>
                        <given-names>Ahmed AbdulJabbar</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Data Curation</role>
                    <role content-type="http://credit.niso.org/">Resources</role>
                    <uri content-type="orcid">https://orcid.org/0000-0001-7427-4483</uri>
                    <xref ref-type="aff" rid="a1">1</xref>
                </contrib>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>Abdulkareem</surname>
                        <given-names>Ali Hazim</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Investigation</role>
                    <role content-type="http://credit.niso.org/">Validation</role>
                    <xref ref-type="aff" rid="a1">1</xref>
                </contrib>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>Alalwani</surname>
                        <given-names>Anmar Kamil</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Formal Analysis</role>
                    <role content-type="http://credit.niso.org/">Software</role>
                    <role content-type="http://credit.niso.org/">Visualization</role>
                    <xref ref-type="aff" rid="a1">1</xref>
                </contrib>
                <contrib contrib-type="author" corresp="yes">
                    <name>
                        <surname>Fahad</surname>
                        <given-names>Mustafa M.</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Project Administration</role>
                    <role content-type="http://credit.niso.org/">Supervision</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Original Draft Preparation</role>
                    <uri content-type="orcid">https://orcid.org/0009-0002-7769-0989</uri>
                    <xref ref-type="corresp" rid="c1">a</xref>
                    <xref ref-type="aff" rid="a2">2</xref>
                </contrib>
                <aff id="a1">
                    <label>1</label>Department of biotechnology, College of science, University of Anbar, Al-Anbar, Al_Ramadi, 31001, Iraq</aff>
                <aff id="a2">
                    <label>2</label>Center of Desert Studies, University of Anbar, Al-Anbar, Al_Ramadi, 31001, Iraq</aff>
            </contrib-group>
            <author-notes>
                <corresp id="c1">
                    <label>a</label>
                    <email xlink:href="mailto:mustafa.moh@uoanbar.edu.iq">mustafa.moh@uoanbar.edu.iq</email>
                </corresp>
                <fn fn-type="conflict">
                    <p>No competing interests were disclosed.</p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>16</day>
                <month>12</month>
                <year>2025</year>
            </pub-date>
            <pub-date pub-type="collection">
                <year>2025</year>
            </pub-date>
            <volume>14</volume>
            <elocation-id>1404</elocation-id>
            <history>
                <date date-type="accepted">
                    <day>9</day>
                    <month>12</month>
                    <year>2025</year>
                </date>
            </history>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2025 AL-Janaby MS et al.</copyright-statement>
                <copyright-year>2025</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <self-uri content-type="pdf" xlink:href="https://f1000research.com/articles/14-1404/pdf"/>
            <abstract>
                <sec>
                    <title>Background</title>
                    <p>In this Bioinformatics study, we took in account the cell types variation of tumor microenvironment (TME) in Pancreatic Ductal Adenocarcinoma (PDAC), with a particular attention to miRNAs dysregulated pathways influencing immune responses, and especially memory CD4+ T cells.</p>
                </sec>
                <sec>
                    <title>Methods</title>
                    <p>For cell types and differentially expressed genes in memory CD4+ T cells, scRNA-seq was conducted on PDAC and non-tumoral pancreas samples. Putative miRNA targeting sequences on downregulated genes were investigated by three prediction databases, MiRWalk, TargetScan, and miRDB, and compared to GSE207345&#x2019;s differential expression with creation of Affymetrix Multispecies miRNA-4 Array. The miRNA&#x2013;mRNA interaction network was established in Cytoscape.</p>
                </sec>
                <sec>
                    <title>Results</title>
                    <p>Memory CD4+ T cells were significantly enriched in PDAC TME. At the same time, we observed genotype-specific repression of major immune and metabolic genes in these cells. Some miRNAs were significantly overexpressed in PDAC, and hsa-miR-1207-5p, hsa-miR-6805-5p, and hsa-miR-149-3p might target many immune-related or pancreatic enzyme-associated genes. Of these, a core of CLPS, NR4A2, and SOCS3 was most frequently targeted, which likely indicated the importance of these genes in immune evasion.</p>
                </sec>
                <sec>
                    <title>Conclusions</title>
                    <p>While memory CD4+ T cells exist within the PDAC TME, their activity is suppressed by miRNA-associated gene dysregulation. These data suggest candidate therapeutic approaches in which targeting of miRNAs could be used to normalize immune cells and promote anti-tumor immunity.</p>
                </sec>
            </abstract>
            <kwd-group kwd-group-type="author">
                <kwd>Pancreatic cancer</kwd>
                <kwd>immunotherapy</kwd>
                <kwd>tumor microenvironment</kwd>
                <kwd>immune suppression</kwd>
                <kwd>Memory CD4+ T-cell modulation</kwd>
            </kwd-group>
            <funding-group>
                <award-group id="fund-1">
                    <funding-source>The authors received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.</funding-source>
                    <award-id>N/A</award-id>
                </award-group>
                <funding-statement>The author(s) declared that no grants were involved in supporting this work.</funding-statement>
            </funding-group>
        </article-meta>
    </front>
    <body>
        <sec id="sec5" sec-type="intro">
            <title>Introduction</title>
            <p>PDAC, more than 90% of pancreatic cancer cases, possesses a less than 10% survival rate at five years due to late clinical presentations and fast progression. Despite the fact that it accounts for just 2% of cancer altogether, pancreatic cancer contributes to 5% of all U. S. cancer deaths and an annualized increase in its fatality rate at approximately 1%. PDAC is estimated to be the 2nd most fatal cancer by 2030. The surgical technique should be based on the tumor stage: surgery cures for non-metastasized cases, however not more than 20% of patients can receive radical intervention due to the advanced stage and relapses.
                <sup>
                    <xref ref-type="bibr" rid="ref1">1</xref>
                </sup>
            </p>
            <p>The PDAC TME is known to be highly immunosuppressive and non-immunogenic, presenting a major challenge for elicitation of successful immune responses. It comprises of the tumor cells, stromal support cells, immune cells and dense extracellular matrix. Desmoplasia, a fibrosis-like matrix deposition wherein stromal-tumor crosstalk directs aberrant tissue structure, is a hallmark of PDAC, contributing to hypoxia, progression and immune tolerance.
                <sup>
                    <xref ref-type="bibr" rid="ref2">2</xref>&#x2013;
                    <xref ref-type="bibr" rid="ref4">4</xref>
                </sup>
            </p>
            <p>Even that PDAC tissues are presented with CD4
                <sup>+</sup> and CD8
                <sup>+</sup> T cells, most of them are inactivated by TME-induced immunosuppression. Although increased T-cell levels are associated with improved survival in certain scenarios,
                <sup>
                    <xref ref-type="bibr" rid="ref5">5</xref>
                </sup> the TME immobilizes their efficacy. Inhibitory constituencies, such as T_reg cells, myeloid-derived suppressor cells (MDSCs), and tumor-associated macrophages produce inhibitory molecules including TGF-&#x03b2;, IL-6, and ARG-1,
                <sup>
                    <xref ref-type="bibr" rid="ref6">6</xref>
                </sup> which also inhibit T-cell activation. Furthermore, cancer associated fibroblasts facilitate evasion of the immune response, angiogenesis and metastasis. These mechanisms disable infiltrating T cells and promote PDAC&#x2019;s immune resistance.
                <sup>
                    <xref ref-type="bibr" rid="ref7">7</xref>
                </sup> Dysregulation of microRNA (miRNA) in T cells
                <sup>
                    <xref ref-type="bibr" rid="ref8">8</xref>
                </sup> can modulate anti-tumor immunity.
                <sup>
                    <xref ref-type="bibr" rid="ref9">9</xref>
                </sup> MiRNAs are a family of small non-coding RNAs that control more than 60% of protein- coding genes, which include many genes related to immune response.
                <sup>
                    <xref ref-type="bibr" rid="ref10">10</xref>
                </sup> Bird, Springer and colleagues talked in language that was even more humanlike: &#x201c;With the genetics of CD4+ T cells finally decoded, we would have a set list with which to disrupt activation/differentiation/function by modulating gene expression.&#x201d; OncomiRs including miR-155 and miR-21, overexpressed in PDAC, have been shown to target genes involved in cytokine signaling and immune synapse formation.
                <sup>
                    <xref ref-type="bibr" rid="ref11">11</xref>
                </sup> miR-21 induces PI3K/AKT/mTOR signaling which enhances tumor cell survival and chemoresistance, while miR-146a targets NF-kB, thereby disturbing T-cell activation. MiRNAs control the ratio of pro-inflammatory T cells and regulatory T-cells (Tregs), and thus, play an essential role in immune suppression in PDAC. Clusters like miR-10a and miR-17-92 favour Treg differentiation and suppress CD8
                <sup>+</sup> T cell function. miR-29b and miR-155 have also been reported to modulate immune checkpoint pathways, leading to an impairment of T-cell activity. miR-155 promotes immune evasion through targeting SOCS1 to activate STAT3, thereby mediating MDSC expansion.
                <sup>
                    <xref ref-type="bibr" rid="ref12">12</xref>
                </sup> The immunosuppressive profile of PDAC is improved by miR-7b-5p which facilitates glycolysis-mediated immune evasion. Moreover, miR-10a-5p,
                <sup>
                    <xref ref-type="bibr" rid="ref7">7</xref>,
                    <xref ref-type="bibr" rid="ref13">13</xref>
                </sup> which is overexpressed in gemcitabine-resistant PDAC, promotes tumor migration and invasion. miR-17-5p regulates tumorigenesis and chemosensitivity through RBL2.
                <sup>
                    <xref ref-type="bibr" rid="ref14">14</xref>
                </sup>
            </p>
            <p>The research explores the differences at a cellular level between the tumor microenvironment (TME) of PDAC and non-tumor tissue by using single-cell RNA sequencing (scRNA-seq). It pinpoints immune subtypes and downregulated markers, which are overlapped with dysregulated miRNAs in microarray. This analysis reveals cell type-specific miRNA-mRNA networks that further our understanding of immune regulation in PDAC at the cellular level.</p>
        </sec>
        <sec id="sec6" sec-type="methods">
            <title>Methods</title>
            <sec id="sec7">
                <title>Ethical considerations</title>
                <p>This study utilized publicly available data from the National Center for Biotechnology Information (NCBI) Gene Expression Omnibus (GEO) (
                    <ext-link ext-link-type="uri" xlink:href="https://www.ncbi.nlm.nih.gov/gds">https://www.ncbi.nlm.nih.gov/gds</ext-link>), a platform for high-throughput genomics and gene expression datasets. Data usage complied with the original researchers&#x2019; guidelines on sharing, privacy, and publication.</p>
            </sec>
            <sec id="sec8">
                <title>Type of sampling and reasons for selection</title>
                <p>A tissue-specific sampling approach was applied using PDAC and matched non-tumor tissues. Sectioned tissue samples enabled detailed analysis of the tumor microenvironment (TME), immune cell populations, dysregulated miRNAs, and metabolic alterations. Focusing on tissue specificity reduced confounding effects common in systemic sampling methods.</p>
            </sec>
            <sec id="sec9">
                <title>Patient consent statement</title>
                <p>This study did not involve human participants directly and therefore did not require informed consent or IRB approval.</p>
            </sec>
            <sec id="sec10">
                <title>Inclusion criteria</title>
                <p>Included datasets featured pancreatic ductal adenocarcinoma (PDAC) and adjacent normal tissues, all with high-quality metadata. Only datasets using single-cell RNA sequencing (scRNA-seq) of PDAC and healthy pancreatic tissues were considered. Additionally, miRNA expression profiles used were either experimentally validated or high-confidence predictions, minimizing error risks and supporting robust analysis of cell-specific regulatory patterns.</p>
            </sec>
            <sec id="sec11">
                <title>Single-cell RNA-sequencing data processing</title>
                <p>Preprocessed scRNA-seq data for PDAC were obtained from the NCBI Gene Expression Omnibus (GEO, 
                    <ext-link ext-link-type="uri" xlink:href="https://www.ncbi.nlm.nih.gov/gds">https://www.ncbi.nlm.nih.gov/gds</ext-link>), a public database for high-throughput genomic datasets. The dataset GSE155698 includes 41 samples (tissue and PBMC), from which 19 pancreatic tissue samples (16 PDAC, 3 normal) were selected for analysis. Seurat v4.4.0 was used for quality control and downstream processing.
                    <sup>
                        <xref ref-type="bibr" rid="ref15">15</xref>
                    </sup>
                </p>
                <p>Low-quality cells were excluded based on gene count, UMI content, and mitochondrial gene percentage. Specifically, cells with &gt;6000 genes (possible doublets), &lt;200 genes (low quality), mitochondrial reads &gt;10%, or nCount_RNA &lt;1000 were filtered out. Normalization was applied using the &#x201c;LogNormalize&#x201d; method, followed by data scaling and identification of 2000 highly variable genes using Seurat&#x2019;s &#x201c;FindVariableFeatures&#x201d;. Dimensionality reduction was conducted via t-SNE using the first 20 principal components, and cells were clustered using the Louvain algorithm. Cell type annotation was performed using the scType R package and a validated pancreas marker database (
                    <ext-link ext-link-type="uri" xlink:href="https://sctype.app/">https://sctype.app/</ext-link>).
                    <sup>
                        <xref ref-type="bibr" rid="ref16">16</xref>
                    </sup> Immune cell subsets were further subclustered to refine resolution and characterize immune diversity within the PDAC tumor microenvironment.</p>
            </sec>
            <sec id="sec12">
                <title>Cell type proportion and differential expression analysis</title>
                <p>To assess differences in cell type proportions between PDAC and healthy pancreatic tissue, percentages were calculated and visualized using ggplot2, with statistical significance determined via t-test using the ggpubr package.
                    <sup>
                        <xref ref-type="bibr" rid="ref17">17</xref>
                    </sup> Memory CD4
                    <sup>+</sup> T cells, showing significant differences in abundance, were selected for further analysis. Differential expression was assessed using the Wilcoxon test; genes with logFC &gt; 0.25 or &lt; -0.25 and p &lt; 0.05 were considered significant. Downregulated marker scores were calculated using AddModuleScore in Seurat, and grouped by cell type for comparison between PDAC and healthy samples.</p>
            </sec>
            <sec id="sec13">
                <title>Prediction of miRNA targets of immunological markers</title>
                <p>Downregulated genes in Memory CD4
                    <sup>+</sup> T cells were analyzed for potential miRNA targets using three tools: MiRWalk 
                    <bold>(</bold>

                    <ext-link ext-link-type="uri" xlink:href="http://mirwalk.umm.uni-heidelberg.de/">http://mirwalk.umm.uni-heidelberg.de/</ext-link>

                    <bold>)</bold>, TargetScan 
                    <bold>(</bold>

                    <ext-link ext-link-type="uri" xlink:href="https://www.targetscan.org/vert_80/">https://www.targetscan.org/vert_80/</ext-link>

                    <bold>)</bold>, and miRDB 
                    <bold>(</bold>

                    <ext-link ext-link-type="uri" xlink:href="https://mirdb.org/">https://mirdb.org/</ext-link>

                    <bold>)</bold>. These tools predict miRNA-mRNA interactions based on conservation, experimental validation, or high-throughput data.
                    <sup>
                        <xref ref-type="bibr" rid="ref18">18</xref>
                    </sup> Predicted interactions were filtered using pandas in Python, retaining miRNAs with binding probability = 1, energy score &#x2264; -25, and AU content &lt; 0.6 in the 30-nucleotide flanking regions. De novo miRNAs predicted by MiRWalk were also included. The final shortlist comprised miRNAs meeting all criteria across tools for further downstream analysis.</p>
            </sec>
            <sec id="sec14">
                <title>MiRNA differential expression analysis in PDAC tumor</title>
                <p>MicroRNAs (miRNAs) exhibit tissue-specific expression patterns and are involved in gene regulation under both normal and pathological conditions. To identify dysregulated miRNAs in pancreatic ductal adenocarcinoma (PDAC) relative to normal pancreatic tissue, differential expression analysis was conducted using GEO2R (
                    <ext-link ext-link-type="uri" xlink:href="https://www.ncbi.nlm.nih.gov/geo/geo2r">https://www.ncbi.nlm.nih.gov/geo/geo2r</ext-link>) on dataset GSE207345, which includes 7 PDAC tumor samples and 6 adjacent normal tissue samples. This dataset was generated using the Affymetrix Multispecies miRNA-4 Array. miRNAs with a p-value &lt; 0.05 and a log fold change (logFC) &lt; -1.0 or &gt; 1.0 were classified as significantly dysregulated and selected for further evaluation.</p>
                <p>To integrate this miRNA analysis with transcriptomic findings from single-cell RNA sequencing (scRNA-seq), we focused on genes that were downregulated in memory CD4
                    <sup>+</sup> T cells from PDAC samples. These were cross-referenced with the list of upregulated miRNAs identified in the tumor dataset. Only miRNAs that were both upregulated and predicted to target these downregulated genes were retained, highlighting their possible roles in suppressing immune functions in the tumor microenvironment.</p>
            </sec>
            <sec id="sec15">
                <title>MiRNA-mRNA network analysis</title>
                <p>We used Cytoscape (
                    <ext-link ext-link-type="uri" xlink:href="https://cytoscape.org/">https://cytoscape.org/</ext-link>) to construct and visualize miRNA-mRNA interaction networks.
                    <sup>
                        <xref ref-type="bibr" rid="ref19">19</xref>
                    </sup> Each miRNA and its target genes were represented as nodes connected by interaction edges. This visualization helped identify key regulatory miRNAs. Cytoscape also provided network analysis tools to detect highly connected nodes and functional modules, enhancing interpretation of miRNA regulatory roles in PDAC pathogenesis.
                    <sup>
                        <xref ref-type="bibr" rid="ref20">20</xref>
                    </sup>
                </p>
            </sec>
            <sec id="sec16">
                <title>Statistical analysis</title>
                <p>Multiple statistical methods were applied in this study. Cell type proportions in PDAC and healthy tissues were compared using t-tests and visualized with ggplot2. Memory CD4
                    <sup>+</sup> T cells were analyzed via Wilcoxon test, considering genes with logFC &gt; 0.25 or &lt; -0.25 and p &lt; 0.05 as significant. Seurat&#x2019;s AddModuleScore function was used to assess downregulated markers, with results visualized using ggpubr. Differentially expressed miRNAs were identified via GEO2R, using thresholds of logFC &lt; -1.0 or &gt; 1.0 and p &lt; 0.05. miRNA-mRNA interactions were predicted using MiRWalk, TargetScan, and miRDB, filtered based on binding score, energy, and AU content. Network visualization was performed using Cytoscape.</p>
            </sec>
        </sec>
        <sec id="sec17" sec-type="results">
            <title>Results</title>
            <sec id="sec18">
                <title>Distinct cellular composition and immune cell enrichment in the PDAC tumor microenvironment</title>
                <p>The PDAC scRNA-seq dataset initially includ ed32,738 RNA features and 107,298 cells. Following quality control, 71,232 high-quality cells were retained by removing dead cells and those with abnormal gene profiles. Using highly variable genes and dimensionality reduction methods, a total of 31 distinct clusters were identified and annotated (
                    <xref ref-type="fig" rid="f1">
Figure 1A</xref>). Most clusters were broadly represented across samples, though clusters 22, 30, 29, 23, 6, 11, and 21 were predominantly composed of cells from healthy tissues (
                    <xref ref-type="fig" rid="f1">
Figure 1B&#x2013;C</xref>). Additionally, cluster 4 was found to consist entirely of cells from sample P13 (
                    <xref ref-type="fig" rid="f2">
Figure 2E</xref>).</p>
                <fig fig-type="figure" id="f1" orientation="portrait" position="float">
                    <label>
Figure 1. </label>
                    <caption>
                        <title>Illustrates the overall clustering of cells in PDAC and healthy samples using UMAP.</title>
                        <p>Panel (A) shows the clusters based on gene expression profiles, while (B) and (C) compare clustering by condition&#x2014;PDAC (chocolate) vs. healthy (teal). Panel (D) visualizes clusters by donor sample ID.</p>
                    </caption>
                    <graphic id="gr1" orientation="portrait" position="float" xlink:href="https://f1000research-files.f1000.com/manuscripts/190129/4a62803c-36c2-48c0-ad84-7c0347a1c0c5_figure1.gif"/>
                </fig>
                <fig fig-type="figure" id="f2" orientation="portrait" position="float">
                    <label>
Figure 2. </label>
                    <caption>
                        <title>Expands on donor-based clustering and cell type annotation.</title>
                        <p>Panel (E) depicts cluster identity per donor, and (F) annotates each cluster by specific pancreatic cell types. Panel (G) presents differences in the proportions of these cell types across all samples, and (H) compares abundances by condition, highlighting the shift in cellular composition in PDAC.</p>
                    </caption>
                    <graphic id="gr2" orientation="portrait" position="float" xlink:href="https://f1000research-files.f1000.com/manuscripts/190129/4a62803c-36c2-48c0-ad84-7c0347a1c0c5_figure2.gif"/>
                </fig>
                <p>Pancreatic cell types were identified, including acinar, alpha, beta, ductal, gamma (PP), mast cell, stellate cells and progenitor and immune cells (
                    <xref ref-type="fig" rid="f2">
Figure 2F</xref>). Of interest, the unidentified cells comprised a greater portion (65%) of patient P9 and all other subpopulation were less represented including mast, ductal and acinar cells, immune cells accounted for (20%) similar to in their sample. Similar to P2, small proportions of CREB3L3-expressing cells were also present in other samples (&lt;5%), with the exception of P11B showing higher proportion (~18%) (
                    <xref ref-type="fig" rid="f2">
Figure 2G</xref>).</p>
                <p>Acinar cells were the predominant cell type in controls C2 and C3 at approximately 75%, while that of C1 was substantially less (15%). Ductal and immune cells were well-represented in control and PDAC samples. Gamma (PP) cells were observed in samples P1, P10, and P11B. Of interest, specimen P16rapresented the highest concentration of ductal ceIIs as achieved in specimen_P11A. Mast cells were identified in every sample, to different degrees.</p>
            </sec>
            <sec id="sec19">
                <title>Immune cell distribution in PDAC tumor microenvironment</title>
                <p>When comparing PDAC and healthy samples collectively, immune cells were the most abundant in PDAC, accounting for approximately 45% of the total population versus ~20% in healthy tissue. Conversely, acinar cells were more frequent in healthy samples (~35%) but dropped to ~2% in PDAC. Ductal cells increased in PDAC (~25%) compared to ~5% in controls (
                    <xref ref-type="fig" rid="f2">
Figure 2H</xref>). The distribution of some cell types was uneven across individual samples (
                    <xref ref-type="fig" rid="f2">
Figure 2G</xref>). Statistical analysis confirmed that immune cells were significantly more prevalent in PDAC, underlining their central role in the tumor microenvironment (
                    <xref ref-type="fig" rid="f3">
Figure 3A</xref>).</p>
                <fig fig-type="figure" id="f3" orientation="portrait" position="float">
                    <label>
Figure 3. </label>
                    <caption>
                        <title>Focuses on immune cell enrichment.</title>
                        <p>Panel (A) shows statistical analysis of immune cell abundance between groups. Panels (B) and (C) visualize immune-specific clusters by condition. Panel (D) details shifts in proportions of individual immune cell types between PDAC and healthy tissues.</p>
                    </caption>
                    <graphic id="gr3" orientation="portrait" position="float" xlink:href="https://f1000research-files.f1000.com/manuscripts/190129/4a62803c-36c2-48c0-ad84-7c0347a1c0c5_figure3.gif"/>
                </fig>
            </sec>
            <sec id="sec20">
                <title>Differential abundance and sub classification of immune cells in PDAC tumor microenvironment</title>
                <p>Due to the statistically significant difference in immune cell abundance between PDAC and healthy samples, immune system cells were subsetted and subclustered to identify their subtypes. Using the scType database with immune markers, the following cell types were annotated: CD8
                    <sup>+</sup> NKT-like cells, Classical Monocytes, Macrophages, Memory CD4
                    <sup>+</sup> T cells, Plasma B cells, Pre-B cells, and Progenitor cells (
                    <xref ref-type="fig" rid="f3">
Figure 3B</xref>).</p>
                <p>Overall, macrophages, plasma B cells, classical monocytes, pre-B cells, CD8
                    <sup>+</sup> NKT-like cells, and memory CD4
                    <sup>+</sup> T cells were found at higher proportions in PDAC than in healthy samples (
                    <xref ref-type="fig" rid="f3">
Figure 3C&#x2013;D</xref>). However, this might partially reflect the lower number of healthy controls. Memory CD4
                    <sup>+</sup> T cells were slightly more abundant in control samples individually, but collectively more enriched in PDAC. Macrophages appeared across all samples, except for P10 and P6, where they were below 5%. CD8
                    <sup>+</sup> NKT-like cells were present in all PDAC samples (5&#x2013;35%) and in only one healthy sample (C1) at a concentration of ~50% (
                    <xref ref-type="fig" rid="f4">
Figure 4E</xref>). A Wilcoxon test confirmed that memory CD4
                    <sup>+</sup> T cells were significantly more abundant in PDAC samples, with a p-value of 0.0021 (
                    <xref ref-type="fig" rid="f4">
Figure 4F</xref>).</p>
                <fig fig-type="figure" id="f4" orientation="portrait" position="float">
                    <label>
Figure 4. </label>
                    <caption>
                        <title>Breaks down immune subpopulations.</title>
                        <p>Panel (E) illustrates differences in abundance across all immune cell types, while (F) presents statistical evidence of elevated memory CD4+ T cells in PDAC. Panels (G) and (H) display module scores showing reduced expression of digestion- and immune-related genes in PDAC memory CD4+ T cells.</p>
                    </caption>
                    <graphic id="gr4" orientation="portrait" position="float" xlink:href="https://f1000research-files.f1000.com/manuscripts/190129/4a62803c-36c2-48c0-ad84-7c0347a1c0c5_figure4.gif"/>
                </fig>
            </sec>
            <sec id="sec21">
                <title>Impact of PDAC on memory CD4+ T cells reveals key alterations in immune and metabolic gene expression</title>
                <p>The effects of PDAC on memory CD4
                    <sup>+</sup> T cells was detected by differential expression analysis using the Wilcoxon test in Seurat. D. The analysis was successful in finding 4 upregulated genes and 115 downregulated genes. Among them, RPS26, RPS20, HBA2 and HBB were up-regulated. These genes are not only involved in ribosomal function, but also in oxygen transport underlining higher protein biosynthesis and modified redox processes in PDAC.</p>
                <p>The increased expression levels of RPS26 and RPS20 could suggest an increase in the protein synthesis capacity as a putative nutrient metabolic adaptation to the tumor microenvironment. In addition, HBA2 and HBB, which also contribute to hemoglobin production, could indicate a dysregulation in oxygen transportation and the tumor hypoxic state response.</p>
                <p>Some of the pancreatic enzyme genes such as PNLIP, PRSS1/PRSS2 AMY2A CLPS CELA 2A CPA1 PLA2G1B CELA3B CTRC were markedly repressed. These are genes that usually aid in releasing digestive enzymes and their inhibition indicates exocrine dysfunction in PDAC. In addition, SPINK1, a tissue-protector gene of pancreatitis, was also down-regulated. Several immune-regulatory genes such as SOCS3, CD69 and CXCR4 were down regulated that may limit the signaling pathway/transduction of the activation and migration of immune cells. Reduction of AREG and C4BPA, also known mediators of inflammation and immune regulation, additionally underscores the immuno-suppression characteristic of the PDAC TME.</p>
                <p>Transcription regulating genes like JUN, FOS, NR4A2, HES7 and JUNB were downregulated leading to negative regulation of proliferation/survival/stress/inflammation/apoptosis. And the expression levels of metabolic stress response genes, DUSP1, DDIT4 and MT1A were down-regulated. These genes are involved in the adaptation to oxidative stress and regulation of metal ion homeostasis. Module score analysis validated these results, which also exhibited lower expression levels of genes in PDAC than in normal samples (
                    <xref ref-type="fig" rid="f4">
Figure 4G-H</xref>, 
                    <xref ref-type="fig" rid="f3">
Figure 3A-B</xref>).</p>
            </sec>
            <sec id="sec22">
                <title>Integrative profiling of miRNA expression and target interactions in PDAC</title>
                <p>We identified 18 downregulated miRNAs and 593 upregulated miRNAs by the differential expression analysis of PDAC tumor samples with paired adjacent healthy tissues (
                    <xref ref-type="fig" rid="f3">Figure 3C</xref>). The previously extracted downregulated genes, and the miRNA targets (strong or weak interactions), were integrated for correlation to predict the miRNA-mRNA interactions. Starting from an initial number of 9,279 interactions (without refined nodes), the set of upregulated miRNAs was maintained and thus the network reduced to 2,094 relationships.</p>
                <p>Sequential stringency cut-off was imposed: binding &lt; -25 and AU content &lt; 0.6. This narrowed the list to 1,052 high confidence interactions. Ten miRNAs were hot candidates for downstream analysis: hsa-miR-1207-5p, hsa-miR-6805-5p, hsa-miR-149&#x2013;3p, hsa-miR-762, hsa-miR-6846&#x2013;5p, hsamiR-7109-5p, hsami-R-5787, hsa-mi R-6848&#x2013;5 p, hsa -mi R -197 most of which had logFC values ranging from 1.4 to 1.6 (
                    <xref ref-type="fig" rid="f3">
Figure 3 D</xref>).</p>
                <p>Functionally, the miRNAs target major genes responsible for immune suppression, inflammation, tumor advancement as well as stress evasion. For instance, hsa-miR-1207-5p targets with AREG, CLPS, CTRC, SPINK1 and SOCS3; whereas hsa-miR-6805-5p interplays with FOS, JUN, PNLIP and NR4A2 which were all essential for immune signaling. hsa-miR-149-3p also targets CXCR4, SOCS3 and CHAC1, thereby affecting migration and stress regulation. In addition, hsa-miR-762 targets DDIT4, DUSP1, NR4A2 and other inflammation- and metabolism-associated genes. These data emphasize heterogeneity of the PDAC regulatory landscape, in which induced miRNAs may serve as master regulators controlling immune evasion and tumor resistance. Targeting these miRNAs may potentially provide novel therapeutic approaches to restore immune responses and inhibit the progression of PDAC.</p>
            </sec>
            <sec id="sec23">
                <title>Functional clustering of miRNAs and their target genes</title>
                <p>Additionally, hsa-miR-6846-5p targets CHAC1, CLPS, CPA1, FOS, HES7, NR4A2, SPINK1, and SYCN&#x2014;genes involved in cellular stress response, apoptosis, and proliferation. Four other miRNAs&#x2014;hsa-miR-7109-5p, hsa-miR-5787, hsa-miR-6848-5p, and hsa-miR-197-5p&#x2014;also regulate genes implicated in immune modulation, inflammatory signaling, and cellular stress, hsa-miR-7109-5p targets C4BPA, CEL, CHAC1, CLPS, CXCR4, DDIT4, NR4A2, and SOCS3, which are crucial for immune cell migration and signaling. Similarly, hsa-miR-5787 regulates CLPS, CTRC, DDIT4, FOS, INS, PRSS3, and SPINK1, all of which are important in stress and inflammatory pathways. hsa-miR-6848-5p is predicted to target AREG, BTG1, CTRB2, INS, NR4A2, REG1A, and SPINK1, while hsa-miR-197-5p interacts with CHAC1, CPA1, GP2, INS, JUNB, and SYCN&#x2014;genes related to immune cell behavior and oxidative stress responses. These interactions are detailed in 
                    <xref ref-type="table" rid="T1">
Table 1</xref>.</p>
                <table-wrap id="T1" orientation="portrait" position="float">
                    <label>
Table 1. </label>
                    <caption>
                        <title>Top upregulated miRNAs in PDAC and their target interactions.</title>
                    </caption>
                    <table content-type="article-table" frame="hsides">
                        <thead>
                            <tr>
                                <th align="left" colspan="1" rowspan="1" valign="top">miRNA ID</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Interactions</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">
Genes</th>
                            </tr>
                        </thead>
                        <tbody>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">hsa-miR-1207-5p</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">9</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">AREG, CLPS, CTRB2, CTRC, HES7, JUNB, NR4A2, PRSS3, SPINK1</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">hsa-miR-6805-5p</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">9</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">CLPS, FOS, JUN, JUNB, NR4A2, PNLIP, PRSS3, SOCS3, SYCN</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">hsa-miR-149-3p</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">8</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">BTG1, CHAC1, CTRB1, CTRB2, CXCR4, HES7, SOCS3, SYCN</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">hsa-miR-762</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">8</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">CLPS, CTRC, DDIT4, DUSP1, GP2, INS, NR4A2, PRSS3</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">hsa-miR-6846-5p</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">8</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">CHAC1, CLPS, CPA1, FOS, HES7, NR4A2, SPINK1, SYCN</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">hsa-miR-7109-5p</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">8</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">C4BPA, CEL, CHAC1, CLPS, CXCR4, DDIT4, NR4A2, SOCS3</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">hsa-miR-5787</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">7</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">CLPS, CTRC, DDIT4, FOS, INS, PRSS3, SPINK1</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">hsa-miR-6848-5p</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">7</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">AREG, BTG1, CTRB2, INS, NR4A2, REG1A, SPINK1</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">hsa-miR-197-5p</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">6</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">CHAC1, CPA1, GP2, INS, JUNB, SYCN</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">hsa-miR-6778-5p</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">6</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">CTRB2, CTRC, DDIT4, HES7, JUNB, SOCS3</td>
                            </tr>
                        </tbody>
                    </table>
                </table-wrap>
                <p>Interestingly, many miRNAs converge on the same targets, emphasizing their central regulatory roles. For example, CLPS, NR4A2, PRSS3, SPINK1, and CTRC are common targets of multiple miRNAs, underlining their involvement in inflammation, immune signaling, and enzyme regulation. CLPS is co-targeted by hsa-miR-1207-5p, hsa-miR-6805-5p, and hsa-miR-762, while NR4A2 is regulated by hsa-miR-6805-5p, hsa-miR-762, and hsa-miR-7109-5p. PRSS3 and SPINK1 are also recurrent targets of several immune-modulating miRNAs such as hsa-miR-1207-5p, hsa-miR-5787, and hsa-miR-7109-5p. 
                    <xref ref-type="fig" rid="f3">
Figure 3E</xref> illustrates this overlap.</p>
                <p>The top upregulated miRNAs in PDAC and their predicted target interactions are summarized in 
                    <xref ref-type="table" rid="T1">
Table 1</xref>.</p>
                <p>The overall clustering of PDAC and healthy cells was visualized using UMAP (
                    <xref ref-type="fig" rid="f1">
Figure 1</xref>).</p>
                <p>Donor-based clustering and pancreatic cell type annotation are shown in (
                    <xref ref-type="fig" rid="f2">
Figure 2</xref>).</p>
                <p>Immune cell enrichment between PDAC and healthy tissues is presented in (
                    <xref ref-type="fig" rid="f3">
Figure 3</xref>).</p>
                <p>Differences in immune subpopulations, particularly elevated memory CD4+ T cells, are highlighted in (
                    <xref ref-type="fig" rid="f4">
Figure 4</xref>).</p>
                <p>The effects of miRNAs, including a volcano plot and interaction network, are illustrated in (
                    <xref ref-type="fig" rid="f5">
Figure 5</xref>).</p>
                <fig fig-type="figure" id="f5" orientation="portrait" position="float">
                    <label>
Figure 5. </label>
                    <caption>
                        <title>Examines miRNA effects.</title>
                        <p>Panels (A-B) show reduced metabolic and transcription factor activity in PDAC memory CD4+ T cells. Panel (C) presents a volcano plot of differentially expressed miRNAs. Panel (D) lists significantly upregulated miRNAs with high logFC values, and (E) displays the interaction network between miRNAs and downregulated mRNA targets.</p>
                    </caption>
                    <graphic id="gr5" orientation="portrait" position="float" xlink:href="https://f1000research-files.f1000.com/manuscripts/190129/4a62803c-36c2-48c0-ad84-7c0347a1c0c5_figure5.gif"/>
                </fig>
            </sec>
        </sec>
        <sec id="sec24" sec-type="discussion">
            <title>Discussion</title>
            <p>This article presents a powerful cellular roadmap of the PDAC TME, with many cell subtypes and interactions. Interestingly, immune cells also account for a prominent fraction of PDAC tissue mass and are believed to have an important effect on the TME, making them ideal targets for drug therapy.
                <sup>
                    <xref ref-type="bibr" rid="ref4">4</xref>
                </sup> Previous reports support the predominance of immune cells in PDAC, which can induce tumor progression by driving immunosuppression, extracellular matrix (ECM) remodeling and cytokine production. In addition, T cell expression of PD-1 and TIGIT
                <sup>
                    <xref ref-type="bibr" rid="ref16">16</xref>
                </sup> is associated with a state of T cell dysfunction, for which dual checkpoint blockade has been suggested as an attractive therapy approach.
                <sup>
                    <xref ref-type="bibr" rid="ref21">21</xref>
                </sup>
            </p>
            <p>A dramatic loss of acinar cells in the samples derived from PDAC was also observed, suggesting massive tissue reorganization. In contrast, an increased proportion of ductal cells could be a compensatory or pathologic response to tumor development. The diversity of cell-type proportions among the individuals highlights the complex and personalized nature of PDAC, which requires individual therapy.
                <sup>
                    <xref ref-type="bibr" rid="ref22">22</xref>
                </sup> The progression of PDAC is characterized by acinar-to-ductal metaplasia (ADM) that results in transformation of acinar cells into duct-like cells and, which are induced by KRAS mutations. This conversion aids in the development of fibrotic stroma and assists in immune cell exclusion by mixed specialization of physical blockade with hypoxia. The derecruitment of acinar identity and increase in ductal cells distorts the immune homeostasis allowing the recruitment of regulatory T cells (Tregs) and M2 macrophages, which further promotes tumor progression and immune evasion.
                <sup>
                    <xref ref-type="bibr" rid="ref23">23</xref>
                </sup>
            </p>
            <p>PDAC samples were enriched for memory CD4 + T cells. This suggests that active immune infiltrate at superficial levels -observed by our initial digital quantification- is paradoxically in parallel with very extensive immune failure, with global immunometabolic gene suppression. The existence of these cells may be a recruited inflammatory, but with its disables a function it involves blocks the tumor suppression mechanisms and is working.
                <sup>
                    <xref ref-type="bibr" rid="ref24">24</xref>
                </sup> Cellular heterogeneity is one of the major characteristics of PDAC where multiple populations of cancer, immune and stromal cells interact with each other that limit the treatment modalities. Several targeted therapies are now focused on reprogramming macrophage polarization, reversing T cell exhaustion and altering tumor vasculature and for precision medicine strategies to profile the microbiome.
                <sup>
                    <xref ref-type="bibr" rid="ref25">25</xref>,
                    <xref ref-type="bibr" rid="ref26">26</xref>
                </sup> Metabolic dysfunction seems to be critical. For instance, genes like RPS26 and RPS20 are upregulated in memory CD4+ T cells which may be a sign of enhanced protein synthesis due to tumor related metabolic stress. In the same vein, increased levels of HBA2 and HBB might reflect adaptation to hypoxic tumor microenvironment.
                <sup>
                    <xref ref-type="bibr" rid="ref25">25</xref>
                </sup> Nevertheless, this adaptation might also lead to immune exhaustion and thus to decreased capability of those cells to mediate an anti-tumor reaction.
                <sup>
                    <xref ref-type="bibr" rid="ref27">27</xref>
                </sup>
            </p>
            <p>These results highlight the fact that while memory CD4+ T cells are abundant in PDAC, their potential functionality is hampered because of metabolic rewiring and immune suppression in tumor stroma.</p>
            <p>The down-regulation of SOCS3, CD69 and CXCR4 suggests that signaling, pinpoints at inefficient stimulation of the memory cells resulting in impeded activation and migration of the memory CD4 T-cells.
                <sup>
                    <xref ref-type="bibr" rid="ref28">28</xref>,
                    <xref ref-type="bibr" rid="ref29">29</xref>
                </sup> Key to maintain tissue integrity and immune suppression such as SPINK1 and AREG are also highly down-regulated, attenuating PDAC&#x2019;s defense system.
                <sup>
                    <xref ref-type="bibr" rid="ref30">30</xref>,
                    <xref ref-type="bibr" rid="ref31">31</xref>
                </sup> With their expansion, however, such T cells become hypofunctional and are thought to contribute to tumor immune evasion as well as progression.
                <sup>
                    <xref ref-type="bibr" rid="ref29">29</xref>
                </sup> Global miRNA profiling of PDAC identified 593 upregulated versus 18 downregulated miRNAs, indicating wide-ranging post-transcriptional regulation in support of a repressive immune response. For example, hsa-miR-1207-5p targets SOCS3, SPINK1 and AREG, which interferes with pathways that are crucial for immunosuppression regulation and tumor progression. hsa-miR-6805-5p also targets CXCR4, SOCS3, and JUN, known to control migration and signaling of immune cells.</p>
            <p>Furthermore, hsa-miR-149-3p also targets CHAC1, CXCR4 and SOCS3 leading to an immune cell homing and stress response defect.
                <sup>
                    <xref ref-type="bibr" rid="ref32">32</xref>
                </sup> Convergence of number of miRNAs upon critical immune genes demonstrates a potent regulation mechanism behind immune repression in PDAC.
                <sup>
                    <xref ref-type="bibr" rid="ref33">33</xref>
                </sup> In particular, SOCS3, a negative regulator of the JAK/STAT pathway is targeted by several miRNAs and among them by miRNA-203 to enhance STAT3 activity and contribute to immune evasion.
                <sup>
                    <xref ref-type="bibr" rid="ref34">34</xref>,
                    <xref ref-type="bibr" rid="ref35">35</xref>
                </sup>
            </p>
            <p>The persistent downregulation of SOCS3 and immune checkpoint disruption indicate that miRNA targeting of immune genes is a key mechanism underlying the immune-evasive phenotype observed in PDAC. CD69, a surface marker of early activation on T cells, commonly suggests vigorous immune activation. Yet, in pancreatic ductal adenocarcinoma (PDAC), the coexpression of LAG3 with inhibitory checkpoint receptors as PD-1 and TIGIT indicates a landscape of T cell exhaustion suggesting a multifaceted abnormal regulation of immunity. Reduced expression of CXCR4, which is essential for recruitment of T cells, may also hinder the homing process of immune cells to the tumor microenvironment, compromising immune surveillance and suppressing anti-tumor immune response.
                <sup>
                    <xref ref-type="bibr" rid="ref36">36</xref>
                </sup>
            </p>
            <p>This suppression is also supported by the upregulation of miRNA in PDAC like hsa-miR-762, hsa-miR-7109-5p and hsamiR197-5p that act through direct binding to key target genes related with stress response mechanism, transcriptional regulation
                <sup>
                    <xref ref-type="bibr" rid="ref37">37</xref>
                </sup> and immune activating pathways.
                <sup>
                    <xref ref-type="bibr" rid="ref38">38</xref>
                </sup> These miRNAs go against key genes &#x201c;modulators of immune cell adjustment for stress (e.g., DUSP1, DDIT4 and NR4A2)&#x201d; responsible for the capacitating memory adaptability and functionality of CD4 T cells under in tumor conditions.
                <sup>
                    <xref ref-type="bibr" rid="ref39">39</xref>
                </sup> Transcriptional factors JUN, JUNB and FOS that are critical for T-cell expansion, differentiation and activation also appear to be highly inhibited. The down-modulation was likely reflecting tumor-mediated T cell effector dysfunction and closely resembled the immune exhausted phenotype. Although their specific roles in PDAC-memory CD4+ T cells remain poorly characterized, the inhibition of these adaptations highlights a broader failure in metabolic adjustments related to tumor-induced stress.
                <sup>
                    <xref ref-type="bibr" rid="ref24">24</xref>
                </sup> In addition, the immune cells present in the TME suffer from severe metabolic limitations in PDAC. Downregulation of regulators of oxidative stress and mTOR signaling, MT1A and DDIT4, is indicative for the loss in metabolic adaptation to suppression and this indeed has a profound effect on the suppressed capacity of these T cells.</p>
            <p>Strategies to overcome immune suppression in pancreatic ductal adenocarcinoma (PDAC) are likely to be greatly enhanced by restoring the function of memory CD4+ T cells.
                <sup>
                    <xref ref-type="bibr" rid="ref40">40</xref>
                </sup> Improving their immune competence might boost anti-tumor responses. One functional consequence of inhibiting the upregulated miRNAs, such as hsa-miR-1207-5p and hsa-miR-6805-5p, will be to alleviate repression on key immune-regulatory genes (e.g., SOCS3, NR4A2, or SPINK1-like), which in-turn may reactivate immune signaling pathways. This is a strong foundation for the development of miRNA-targeted therapeutics&#x2014;e.g., antagomiRs or miRNA sponges&#x2014;to rescue immune cell function. Such approaches could be combined with the existing immunotherapies to &#x201c;re-tune&#x201d; the complicated immunosuppressive milieu of PDAC tumor microenvironment.</p>
            <p>This work illustrates a comprehensive cellular/molecular portrait of the PDAC TME, highlighting altered miRNA-target gene interaction in memory CD4+ TIL. Nonetheless, even though the links between dysregulated miRNA profiles and disruption of immunity are well-documented, causality has not been verified.</p>
            <p>The miRNAs have not yet been validated experimentally. The roles of these proteins were deduced from bioinformatics predictions and had not been functionally confirmed. While ChIP-qPCR and pull-down assays can provide preliminary evidence, further validation with PDAC models of miRNA knockdown or overexpression is required to establish their role in immunosuppression and tumorigenesis. The authors concede these shortcomings and pose them as subjects for further research. Such studies will be critical for increasing our understanding of immune regulation in PDAC and informing novel and targeted therapies.</p>
            <p>Single-cell RNA sequencing (scRNA-seq) is critical in dissecting cellular heterogeneity, however batch effects and technical noise may debilitate the accurate comparison of differentially expressed genes and miRNA-mRNA interaction analysis. While substandard cells were removed and normalization was performed, there may be some existing batch effects, caused largely by the use of public data. These challenges might be addressed in future studies by using more sophisticated tools, such as Harmony or Seurat&#x2019;s integration functions. To increase the clinical interpretation of miRNAs, we should integrate Transcriptomic findings together with patient outcomes: survival time, progression of tumour, or patients&#x2019; response to immunotherapies. For example, it is possible to further enhance the predictive ability by evaluating whether hsa-miR-1207-5p or hsa-miR-6805-5p can combine with clinical outcomes to predict poor prognosis. However, these datasets are not well-annotated in terms of clinical information, and we cannot obtain such insights. The authors acknowledge this limitation and suggest that future studies will integrate miRNA information with clinical indexes in order to search for biomarkers and facilitate personalized treatments.</p>
        </sec>
        <sec id="sec25" sec-type="conclusion">
            <title>Conclusion</title>
            <p>This study provides increased insight into the immunosuppressive mechanisms operating in the tumor microenvironment of pancreatic ductal adenocarcinoma. Although the PDAC TME is found to have memory CD4+ T cells, their functionality is largely compromised by widespread downregulation of key immune and metabolic genes. The downregulation observed is probably orchestrated by the upregulation of specific microRNAs, such as hsa-miR-1207-5p, hsa-miR-6805-5p, and hsa-miR-149-3p, targeting a plethora of genes related to immune regulation, inflammation, and pancreatic enzyme production. Genes like CLPS, NR4A2, and SOCS3, targeted by several microRNAs, emerge as key players in the immune suppression associated with PDAC. These results suggest that the mechanism of immune evasion in PDAC is rather complex and involves miRNAs playing a central role in the inhibition of the functionality of memory CD4+ T cells, impeding anti-tumor immunity and fostering tumor progression.</p>
            <sec id="sec26">
                <title>Outcomes of the study</title>
                <p>This work revealed profound immune deficiency in the PDAC tumor milieu and identified memory CD4+ T cells as the main target of suppression. This paper confirms profound suppression of immune and metabolic genes in these cells accompanied by upregulated miRNAs hsa-miR-1207-5p and hsa-miR-6805-5p. Promising observations reported are that the study of miRNA-mRNA pairs emphasizes potential avenues to replenish the immunologic capacity in PDAC.</p>
            </sec>
            <sec id="sec27">
                <title>Rationale of the study</title>
                <p>Pancreatic ductal adenocarcinoma is still one of the major causes of cancer death as it is highly invasive, rapidly progressing and has low Immunogenicity. This issue generally lacks an explanation of the mechanism of how miRNAs regulate immune suppression in the context of PDAC tumor microenvironment with regard to memory CD4+ T cells. The analyses of scRNA-seq data with miRNA level information provide a multi-layered picture of immune dysregulation and point to tangible targets for immunomodulation.</p>
            </sec>
            <sec id="sec28">
                <title>Limitations of the study</title>
                <p>Therefore, some variability can arise due to the differences in sample handling and sequencing methodologies from those that were used in this study but originated from public repositories. Real-time exclusion of systemic samples such as blood reduces potential understanding of general immune processes. Since the interaction between miRNA and mRNA, as well as the identified therapeutic targets, need further experimental validation, the conclusions are derived from computational predictions.</p>
            </sec>
        </sec>
        <sec id="sec29">
            <title>Ethical considerations</title>
            <p>This study did not involve human participants or animals; and therefore ethical approval was not required.</p>
        </sec>
    </body>
    <back>
        <sec id="sec32" sec-type="data-availability">
            <title>Data availability</title>
            <p>The datasets analyzed during the current study are publicly available in the NCBI Gene Expression Omnibus (GEO) database under accession number GSE207345 (
                <ext-link ext-link-type="uri" xlink:href="https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE207345">https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE207345</ext-link>).
                <sup>
                    <xref ref-type="bibr" rid="ref41">41</xref>
                </sup>
            </p>
            <p>Data are available under the terms of the 
                <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/publicdomain/zero/1.0/">Creative Commons Zero (No rights reserved)</ext-link> data waiver (CC0 1.0 Public domain dedication).</p>
            <p>Dataset citation: GSE207345. Single-cell RNA-seq analysis of pancreatic ductal adenocarcinoma and adjacent normal tissue. NCBI GEO. Available at: 
                <ext-link ext-link-type="uri" xlink:href="https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE207345">https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE207345</ext-link>.</p>
            <sec id="sec33">
                <title>Reporting guidelines</title>
                <p>This study complied with the STROBE guidelines for observational studies.</p>
            </sec>
        </sec>
        <ack>
            <title>Acknowledgements</title>
            <p>Not applicable.</p>
        </ack>
        <ref-list>
            <title>References</title>
            <ref id="ref1">
                <label>1</label>
                <mixed-citation publication-type="journal">
                    <person-group person-group-type="author">

                        <name name-style="western">
                            <surname>Evan</surname>
                            <given-names>T</given-names>
                        </name>

                        <name name-style="western">
                            <surname>Wang</surname>
                            <given-names>VMY</given-names>
                        </name>

                        <name name-style="western">
                            <surname>Behrens</surname>
                            <given-names>A</given-names>
                        </name>
</person-group>:
                    <article-title>The roles of intratumour heterogeneity in the biology and treatment of pancreatic ductal adenocarcinoma.</article-title>
                    <source>

                        <italic toggle="yes">Oncogene.</italic>
</source>
                    <year>2022</year>;<volume>41</volume>(<issue>42</issue>):<fpage>4686</fpage>&#x2013;<lpage>4695</lpage>.
                    <pub-id pub-id-type="pmid">36088504</pub-id>
                    <pub-id pub-id-type="doi">10.1038/s41388-022-02448-x</pub-id>
                    <pub-id pub-id-type="pmcid">PMC9568427</pub-id>
                </mixed-citation>
            </ref>
            <ref id="ref2">
                <label>2</label>
                <mixed-citation publication-type="journal">
                    <person-group person-group-type="author">

                        <name name-style="western">
                            <surname>Xu</surname>
                            <given-names>Y</given-names>
                        </name>
</person-group>:
                    <article-title>Reconstitution of human PDAC using primary cells reveals oncogenic transcriptomic features at tumor onset.</article-title>
                    <source>

                        <italic toggle="yes">Nat. Commun.</italic>
</source>
                    <year>2024</year>;<volume>15</volume>(<issue>1</issue>):<fpage>818</fpage>.
                    <pub-id pub-id-type="pmid">38280869</pub-id>
                    <pub-id pub-id-type="doi">10.1038/s41467-024-45097-2</pub-id>
                    <pub-id pub-id-type="pmcid">PMC10821902</pub-id>
                </mixed-citation>
            </ref>
            <ref id="ref3">
                <label>3</label>
                <mixed-citation publication-type="journal">
                    <person-group person-group-type="author">

                        <name name-style="western">
                            <surname>Boyd</surname>
                            <given-names>LNC</given-names>
                        </name>

                        <name name-style="western">
                            <surname>Andini</surname>
                            <given-names>KD</given-names>
                        </name>

                        <name name-style="western">
                            <surname>Peters</surname>
                            <given-names>GJ</given-names>
                        </name>

                        <etal/>
</person-group>:
                    <article-title>Heterogeneity and plasticity of cancer-associated fibroblasts in the pancreatic tumor microenvironment.</article-title>
                    <source>

                        <italic toggle="yes">Semin. Cancer Biol.</italic>
</source>
                    <year>2022</year>;<volume>82</volume>:<fpage>184</fpage>&#x2013;<lpage>196</lpage>. Elsevier.
                    <pub-id pub-id-type="doi">10.1016/j.semcancer.2021.03.006</pub-id>
                </mixed-citation>
            </ref>
            <ref id="ref4">
                <label>4</label>
                <mixed-citation publication-type="journal">
                    <person-group person-group-type="author">

                        <name name-style="western">
                            <surname>Byeon</surname>
                            <given-names>S</given-names>
                        </name>
</person-group>:
                    <article-title>Heterogeneous tumor microenvironment in pancreatic ductal adenocarcinoma: An emerging role of single-cell analysis.</article-title>
                    <source>

                        <italic toggle="yes">Cancer Med.</italic>
</source>
                    <year>2023</year>;<volume>12</volume>(<issue>17</issue>):<fpage>18020</fpage>&#x2013;<lpage>18031</lpage>.
                    <pub-id pub-id-type="pmid">37537839</pub-id>
                    <pub-id pub-id-type="doi">10.1002/cam4.6407</pub-id>
                    <pub-id pub-id-type="pmcid">PMC10523961</pub-id>
                </mixed-citation>
            </ref>
            <ref id="ref5">
                <label>5</label>
                <mixed-citation publication-type="journal">
                    <person-group person-group-type="author">

                        <name name-style="western">
                            <surname>Goulart</surname>
                            <given-names>MR</given-names>
                        </name>

                        <name name-style="western">
                            <surname>Stasinos</surname>
                            <given-names>K</given-names>
                        </name>

                        <name name-style="western">
                            <surname>Fincham</surname>
                            <given-names>REA</given-names>
                        </name>

                        <etal/>
</person-group>:
                    <article-title>T cells in pancreatic cancer stroma.</article-title>
                    <source>

                        <italic toggle="yes">World J. Gastroenterol.</italic>
</source>
                    <year>2021</year>;<volume>27</volume>(<issue>46</issue>):<fpage>7956</fpage>&#x2013;<lpage>7968</lpage>.
                    <pub-id pub-id-type="pmid">35046623</pub-id>
                    <pub-id pub-id-type="doi">10.3748/wjg.v27.i46.7956</pub-id>
                    <pub-id pub-id-type="pmcid">PMC8678814</pub-id>
                </mixed-citation>
            </ref>
            <ref id="ref6">
                <label>6</label>
                <mixed-citation publication-type="journal">
                    <person-group person-group-type="author">

                        <name name-style="western">
                            <surname>Al-Janaby</surname>
                            <given-names>MS</given-names>
                        </name>

                        <name name-style="western">
                            <surname>Al-Ani</surname>
                            <given-names>MQ</given-names>
                        </name>

                        <name name-style="western">
                            <surname>Rasheed</surname>
                            <given-names>MN</given-names>
                        </name>
</person-group>:
                    <article-title>RELATIONSHIP BETWEEN SOME IMMUNOLOGICAL FACTORS AND TYPE 2 DIABETES MELLITUS IN IRAQI PATIENTS.</article-title>
                    <source>

                        <italic toggle="yes">Asian J. Pharm. Clin. Res.</italic>
</source>
                    <year>2018</year>;<volume>11</volume>(<issue>6</issue>):<fpage>489</fpage>&#x2013;<lpage>492</lpage>.
                    <pub-id pub-id-type="doi">10.22159/ajpcr.2018.v11i6.25881</pub-id>
                </mixed-citation>
            </ref>
            <ref id="ref7">
                <label>7</label>
                <mixed-citation publication-type="journal">
                    <person-group person-group-type="author">

                        <name name-style="western">
                            <surname>Vahabi</surname>
                            <given-names>M</given-names>
                        </name>

                        <name name-style="western">
                            <surname>Dehni</surname>
                            <given-names>B</given-names>
                        </name>

                        <name name-style="western">
                            <surname>Antom&#x00e1;s</surname>
                            <given-names>I</given-names>
                        </name>

                        <etal/>
</person-group>:
                    <article-title>Targeting miRNA and using miRNA as potential therapeutic options to bypass resistance in pancreatic ductal adenocarcinoma.</article-title>
                    <source>

                        <italic toggle="yes">Cancer Metastasis Rev.</italic>
</source>
                    <year>2023</year>;<volume>42</volume>(<issue>3</issue>):<fpage>725</fpage>&#x2013;<lpage>740</lpage>.
                    <pub-id pub-id-type="pmid">37490255</pub-id>
                    <pub-id pub-id-type="doi">10.1007/s10555-023-10127-w</pub-id>
                    <pub-id pub-id-type="pmcid">PMC10584721</pub-id>
                </mixed-citation>
            </ref>
            <ref id="ref8">
                <label>8</label>
                <mixed-citation publication-type="journal">
                    <person-group person-group-type="author">

                        <name name-style="western">
                            <surname>Husseini</surname>
                            <given-names>NM</given-names>
                        </name>

                        <name name-style="western">
                            <surname>Mohamadnia</surname>
                            <given-names>A</given-names>
                        </name>

                        <name name-style="western">
                            <surname>Hosseini</surname>
                            <given-names>F</given-names>
                        </name>

                        <etal/>
</person-group>:
                    <article-title>Molecular detection of Chlamydia pneumoniae, Haemophilus influenza, and Streptococcus pneumoniae and expression of miR-146, miR-16, and miR-221 in patients with chronic obstructive pulmonary diseases.</article-title>
                    <source>

                        <italic toggle="yes">Biomedical and Biotechnology Research Journal.</italic>
</source>
                    <year>2024</year>;<volume>8</volume>(<issue>3</issue>):<fpage>356</fpage>&#x2013;<lpage>362</lpage>.
                    <pub-id pub-id-type="doi">10.4103/bbrj.bbrj_246_24</pub-id>
                </mixed-citation>
            </ref>
            <ref id="ref9">
                <label>9</label>
                <mixed-citation publication-type="journal">
                    <person-group person-group-type="author">

                        <name name-style="western">
                            <surname>Mok</surname>
                            <given-names>ETY</given-names>
                        </name>

                        <name name-style="western">
                            <surname>Chitty</surname>
                            <given-names>JL</given-names>
                        </name>

                        <name name-style="western">
                            <surname>Cox</surname>
                            <given-names>TR</given-names>
                        </name>
</person-group>:
                    <article-title>miRNAs in pancreatic cancer progression and metastasis.</article-title>
                    <source>

                        <italic toggle="yes">Clin. Exp. Metastasis.</italic>
</source>
                    <year>2024</year>;<volume>41</volume>:<fpage>163</fpage>&#x2013;<lpage>186</lpage>.
                    <pub-id pub-id-type="pmid">38240887</pub-id>
                    <pub-id pub-id-type="doi">10.1007/s10585-023-10256-0</pub-id>
                    <pub-id pub-id-type="pmcid">PMC11213741</pub-id>
                </mixed-citation>
            </ref>
            <ref id="ref10">
                <label>10</label>
                <mixed-citation publication-type="journal">
                    <person-group person-group-type="author">

                        <name name-style="western">
                            <surname>Nguyen</surname>
                            <given-names>L</given-names>
                        </name>
</person-group>:
                    <article-title>The emerging role of miRNAs for the radiation treatment of pancreatic cancer.</article-title>
                    <source>

                        <italic toggle="yes">Cancers (Basel).</italic>
</source>
                    <year>2020</year>;<volume>12</volume>(<issue>12</issue>):<fpage>3703</fpage>.
                    <pub-id pub-id-type="pmid">33317198</pub-id>
                    <pub-id pub-id-type="doi">10.3390/cancers12123703</pub-id>
                    <pub-id pub-id-type="pmcid">PMC7763922</pub-id>
                </mixed-citation>
            </ref>
            <ref id="ref11">
                <label>11</label>
                <mixed-citation publication-type="journal">
                    <person-group person-group-type="author">

                        <name name-style="western">
                            <surname>Saka</surname>
                            <given-names>D</given-names>
                        </name>
</person-group>:
                    <article-title>Mechanisms of T-cell exhaustion in pancreatic cancer.</article-title>
                    <source>

                        <italic toggle="yes">Cancers (Basel).</italic>
</source>
                    <year>2020</year>;<volume>12</volume>(<issue>8</issue>):<fpage>2274</fpage>.
                    <pub-id pub-id-type="pmid">32823814</pub-id>
                    <pub-id pub-id-type="doi">10.3390/cancers12082274</pub-id>
                    <pub-id pub-id-type="pmcid">PMC7464444</pub-id>
                </mixed-citation>
            </ref>
            <ref id="ref12">
                <label>12</label>
                <mixed-citation publication-type="journal">
                    <person-group person-group-type="author">

                        <name name-style="western">
                            <surname>Tesfaye</surname>
                            <given-names>AA</given-names>
                        </name>

                        <name name-style="western">
                            <surname>Azmi</surname>
                            <given-names>AS</given-names>
                        </name>

                        <name name-style="western">
                            <surname>Philip</surname>
                            <given-names>PA</given-names>
                        </name>
</person-group>:
                    <article-title>miRNA and gene expression in pancreatic ductal adenocarcinoma.</article-title>
                    <source>

                        <italic toggle="yes">Am. J. Pathol.</italic>
</source>
                    <year>2019</year>;<volume>189</volume>(<issue>1</issue>):<fpage>58</fpage>&#x2013;<lpage>70</lpage>.
                    <pub-id pub-id-type="pmid">30558723</pub-id>
                    <pub-id pub-id-type="doi">10.1016/j.ajpath.2018.10.005</pub-id>
                    <pub-id pub-id-type="pmcid">PMC6854437</pub-id>
                </mixed-citation>
            </ref>
            <ref id="ref13">
                <label>13</label>
                <mixed-citation publication-type="journal">
                    <person-group person-group-type="author">

                        <name name-style="western">
                            <surname>Koustas</surname>
                            <given-names>E</given-names>
                        </name>
</person-group>:
                    <article-title>The emerging role of microRNAs and autophagy mechanism in pancreatic cancer progression: future therapeutic approaches.</article-title>
                    <source>

                        <italic toggle="yes">Genes (Basel).</italic>
</source>
                    <year>2022</year>;<volume>13</volume>(<issue>10</issue>):<fpage>1868</fpage>.
                    <pub-id pub-id-type="pmid">36292753</pub-id>
                    <pub-id pub-id-type="doi">10.3390/genes13101868</pub-id>
                    <pub-id pub-id-type="pmcid">PMC9602304</pub-id>
                </mixed-citation>
            </ref>
            <ref id="ref14">
                <label>14</label>
                <mixed-citation publication-type="journal">
                    <person-group person-group-type="author">

                        <name name-style="western">
                            <surname>Al-janaby</surname>
                            <given-names>MS</given-names>
                        </name>

                        <name name-style="western">
                            <surname>Lafta</surname>
                            <given-names>FM</given-names>
                        </name>

                        <name name-style="western">
                            <surname>Al-ani</surname>
                            <given-names>MQ</given-names>
                        </name>
</person-group>:
                    <article-title>Investigating the Impact of miR-21 rs1292037: T &gt; C, miR-449b rs10061133: A &gt; G and PDCD4 rs6585018: G &gt; A Haplotype Polymorphism in Iraqi Breast Cancer Patients.</article-title>
                    <source>

                        <italic toggle="yes">Medical Journal of Babylon.</italic>
</source>
                    <year>2021</year>;<volume>4</volume>(<issue>4</issue>):<fpage>13</fpage>.</mixed-citation>
            </ref>
            <ref id="ref15">
                <label>15</label>
                <mixed-citation publication-type="other">
                    <person-group person-group-type="author">

                        <name name-style="western">
                            <surname>Srivastava</surname>
                            <given-names>A</given-names>
                        </name>

                        <name name-style="western">
                            <surname>Vinod</surname>
                            <given-names>PK</given-names>
                        </name>
</person-group>:
                    <article-title>A Single-Cell Network Approach to Decode Metabolic Regulation in Gynecologic and Breast Cancers.</article-title>
                    <year>2024</year>.
                    <pub-id pub-id-type="doi">10.1038/s41540-025-00506-0</pub-id>
                </mixed-citation>
            </ref>
            <ref id="ref16">
                <label>16</label>
                <mixed-citation publication-type="journal">
                    <person-group person-group-type="author">

                        <name name-style="western">
                            <surname>Nader</surname>
                            <given-names>K</given-names>
                        </name>
</person-group>:
                    <article-title>ScType enables fast and accurate cell type identification from spatial transcriptomics data.</article-title>
                    <source>

                        <italic toggle="yes">Bioinformatics.</italic>
</source>
                    <year>2024</year>;<volume>40</volume>(<issue>7</issue>):<fpage>btae426</fpage>.
                    <pub-id pub-id-type="pmid">38936341</pub-id>
                    <pub-id pub-id-type="doi">10.1093/bioinformatics/btae426</pub-id>
                    <pub-id pub-id-type="pmcid">PMC11236089</pub-id>
                </mixed-citation>
            </ref>
            <ref id="ref17">
                <label>17</label>
                <mixed-citation publication-type="journal">
                    <person-group person-group-type="author">

                        <name name-style="western">
                            <surname>Cheng</surname>
                            <given-names>Q</given-names>
                        </name>

                        <name name-style="western">
                            <surname>Chen</surname>
                            <given-names>X</given-names>
                        </name>

                        <name name-style="western">
                            <surname>Wu</surname>
                            <given-names>H</given-names>
                        </name>

                        <etal/>
</person-group>:
                    <article-title>Three hematologic/immune system-specific expressed genes are considered as the potential biomarkers for the diagnosis of early rheumatoid arthritis through bioinformatics analysis.</article-title>
                    <source>

                        <italic toggle="yes">J. Transl. Med.</italic>
</source>
                    <year>2021</year>;<volume>19</volume>:<fpage>15</fpage>&#x2013;<lpage>18</lpage>.
                    <pub-id pub-id-type="pmid">33407587</pub-id>
                    <pub-id pub-id-type="doi">10.1186/s12967-020-02689-y</pub-id>
                    <pub-id pub-id-type="pmcid">PMC7789535</pub-id>
                </mixed-citation>
            </ref>
            <ref id="ref18">
                <label>18</label>
                <mixed-citation publication-type="journal">
                    <person-group person-group-type="author">

                        <name name-style="western">
                            <surname>Sticht</surname>
                            <given-names>C</given-names>
                        </name>

                        <name name-style="western">
                            <surname>De La Torre</surname>
                            <given-names>C</given-names>
                        </name>

                        <name name-style="western">
                            <surname>Parveen</surname>
                            <given-names>A</given-names>
                        </name>

                        <etal/>
</person-group>:
                    <article-title>miRWalk: an online resource for prediction of microRNA binding sites.</article-title>
                    <source>

                        <italic toggle="yes">PLoS One.</italic>
</source>
                    <year>2018</year>;<volume>13</volume>(<issue>10</issue>):<fpage>e0206239</fpage>.
                    <pub-id pub-id-type="pmid">30335862</pub-id>
                    <pub-id pub-id-type="doi">10.1371/journal.pone.0206239</pub-id>
                    <pub-id pub-id-type="pmcid">PMC6193719</pub-id>
                </mixed-citation>
            </ref>
            <ref id="ref19">
                <label>19</label>
                <mixed-citation publication-type="journal">
                    <person-group person-group-type="author">

                        <name name-style="western">
                            <surname>Przybyszewski</surname>
                            <given-names>O</given-names>
                        </name>

                        <name name-style="western">
                            <surname>Mik</surname>
                            <given-names>M</given-names>
                        </name>

                        <name name-style="western">
                            <surname>Nowicki</surname>
                            <given-names>M</given-names>
                        </name>

                        <etal/>
</person-group>:
                    <article-title>Using microRNAs Networks to Understand Pancreatic Cancer&#x2014;A Literature Review.</article-title>
                    <source>

                        <italic toggle="yes">Biomedicine.</italic>
</source>
                    <year>2024</year>;<volume>12</volume>(<issue>8</issue>):<fpage>1713</fpage>.
                    <pub-id pub-id-type="pmid">39200178</pub-id>
                    <pub-id pub-id-type="doi">10.3390/biomedicines12081713</pub-id>
                    <pub-id pub-id-type="pmcid">PMC11351910</pub-id>
                </mixed-citation>
            </ref>
            <ref id="ref20">
                <label>20</label>
                <mixed-citation publication-type="journal">
                    <person-group person-group-type="author">

                        <name name-style="western">
                            <surname>Khatri</surname>
                            <given-names>A</given-names>
                        </name>

                        <name name-style="western">
                            <surname>Singh</surname>
                            <given-names>VK</given-names>
                        </name>

                        <name name-style="western">
                            <surname>Prasad</surname>
                            <given-names>R</given-names>
                        </name>

                        <etal/>
</person-group>:
                    <article-title>In Silico Functional Network Analysis for the Identification of Novel Target Associated with SCN1A Gene.</article-title>
                    <source>

                        <italic toggle="yes">Biomedical and Biotechnology Research Journal.</italic>
</source>
                    <year>2023</year>;<volume>7</volume>(<issue>2</issue>):<fpage>163</fpage>&#x2013;<lpage>169</lpage>.
                    <pub-id pub-id-type="doi">10.4103/bbrj.bbrj_46_23</pub-id>
                </mixed-citation>
            </ref>
            <ref id="ref21">
                <label>21</label>
                <mixed-citation publication-type="journal">
                    <person-group person-group-type="author">

                        <name name-style="western">
                            <surname>Jiang</surname>
                            <given-names>M</given-names>
                        </name>

                        <name name-style="western">
                            <surname>Lin</surname>
                            <given-names>C</given-names>
                        </name>

                        <name name-style="western">
                            <surname>Liu</surname>
                            <given-names>F</given-names>
                        </name>

                        <etal/>
</person-group>:
                    <article-title>Pancreatic cancer cells hijack tumor suppressive microRNA-26a to promote radioresistance and potentiate tumor repopulation.</article-title>
                    <source>

                        <italic toggle="yes">Heliyon.</italic>
</source>
                    <year>2024</year>;<volume>10</volume>(<issue>10</issue>):<fpage>e31346</fpage>.
                    <pub-id pub-id-type="pmid">38807872</pub-id>
                    <pub-id pub-id-type="doi">10.1016/j.heliyon.2024.e31346</pub-id>
                    <pub-id pub-id-type="pmcid">PMC11130661</pub-id>
                </mixed-citation>
            </ref>
            <ref id="ref22">
                <label>22</label>
                <mixed-citation publication-type="journal">
                    <person-group person-group-type="author">

                        <name name-style="western">
                            <surname>Mi</surname>
                            <given-names>H</given-names>
                        </name>
</person-group>:
                    <article-title>Quantitative spatial profiling of immune populations in pancreatic ductal adenocarcinoma reveals tumor microenvironment heterogeneity and prognostic biomarkers.</article-title>
                    <source>

                        <italic toggle="yes">Cancer Res.</italic>
</source>
                    <year>2022</year>;<volume>82</volume>(<issue>23</issue>):<fpage>4359</fpage>&#x2013;<lpage>4372</lpage>.
                    <pub-id pub-id-type="pmid">36112643</pub-id>
                    <pub-id pub-id-type="doi">10.1158/0008-5472.CAN-22-1190</pub-id>
                    <pub-id pub-id-type="pmcid">PMC9716253</pub-id>
                </mixed-citation>
            </ref>
            <ref id="ref23">
                <label>23</label>
                <mixed-citation publication-type="journal">
                    <person-group person-group-type="author">

                        <name name-style="western">
                            <surname>Xu</surname>
                            <given-names>Y</given-names>
                        </name>

                        <name name-style="western">
                            <surname>Liu</surname>
                            <given-names>J</given-names>
                        </name>

                        <name name-style="western">
                            <surname>Nipper</surname>
                            <given-names>M</given-names>
                        </name>

                        <etal/>
</person-group>:
                    <article-title>Ductal vs. acinar? Recent insights into identifying cell lineage of pancreatic ductal adenocarcinoma.</article-title>
                    <source>

                        <italic toggle="yes">Annals of Pancreatic Cancer.</italic>
</source>
                    <year>2019</year>;<volume>2</volume>:<fpage>11</fpage>.
                    <pub-id pub-id-type="pmid">31528855</pub-id>
                    <pub-id pub-id-type="doi">10.21037/apc.2019.06.03</pub-id>
                    <pub-id pub-id-type="pmcid">PMC6746423</pub-id>
                </mixed-citation>
            </ref>
            <ref id="ref24">
                <label>24</label>
                <mixed-citation publication-type="journal">
                    <person-group person-group-type="author">

                        <name name-style="western">
                            <surname>Lynn</surname>
                            <given-names>RC</given-names>
                        </name>
</person-group>:
                    <article-title>c-Jun overexpression in CAR T cells induces exhaustion resistance.</article-title>
                    <source>

                        <italic toggle="yes">Nature.</italic>
</source>
                    <year>2019</year>;<volume>576</volume>(<issue>7786</issue>):<fpage>293</fpage>&#x2013;<lpage>300</lpage>.
                    <pub-id pub-id-type="pmid">31802004</pub-id>
                    <pub-id pub-id-type="doi">10.1038/s41586-019-1805-z</pub-id>
                    <pub-id pub-id-type="pmcid">PMC6944329</pub-id>
                </mixed-citation>
            </ref>
            <ref id="ref25">
                <label>25</label>
                <mixed-citation publication-type="journal">
                    <person-group person-group-type="author">

                        <name name-style="western">
                            <surname>Yodhaanjali</surname>
                            <given-names>JR</given-names>
                        </name>

                        <name name-style="western">
                            <surname>Achar</surname>
                            <given-names>RR</given-names>
                        </name>
</person-group>:
                    <article-title>Molecular facets and biochemical cross-talk of angiogenesis: Potential therapeutic targets.</article-title>
                    <source>

                        <italic toggle="yes">Biomedical and Biotechnology Research Journal.</italic>
</source>
                    <year>2022</year>;<volume>6</volume>(<issue>2</issue>):<fpage>159</fpage>&#x2013;<lpage>163</lpage>.
                    <pub-id pub-id-type="doi">10.4103/bbrj.bbrj_248_21</pub-id>
                </mixed-citation>
            </ref>
            <ref id="ref26">
                <label>26</label>
                <mixed-citation publication-type="journal">
                    <person-group person-group-type="author">

                        <name name-style="western">
                            <surname>Stelekati</surname>
                            <given-names>E</given-names>
                        </name>
</person-group>:
                    <article-title>MicroRNA-29a attenuates CD8 T cell exhaustion and induces memory-like CD8 T cells during chronic infection.</article-title>
                    <source>

                        <italic toggle="yes">Proc. Natl. Acad. Sci.</italic>
</source>
                    <year>2022</year>;<volume>119</volume>(<issue>17</issue>):<fpage>e2106083119</fpage>.
                    <pub-id pub-id-type="pmid">35446623</pub-id>
                    <pub-id pub-id-type="doi">10.1073/pnas.2106083119</pub-id>
                    <pub-id pub-id-type="pmcid">PMC9169946</pub-id>
                </mixed-citation>
            </ref>
            <ref id="ref27">
                <label>27</label>
                <mixed-citation publication-type="journal">
                    <person-group person-group-type="author">

                        <name name-style="western">
                            <surname>He</surname>
                            <given-names>JY</given-names>
                        </name>
</person-group>:
                    <article-title>Dysregulation of CD4+ and CD8+ resident memory T, myeloid, and stromal cells in steroid-experienced, checkpoint inhibitor colitis.</article-title>
                    <source>

                        <italic toggle="yes">J. Immunother. Cancer.</italic>
</source>
                    <year>2024</year>;<volume>12</volume>(<issue>4</issue>):<fpage>e008628</fpage>.
                    <pub-id pub-id-type="pmid">38642938</pub-id>
                    <pub-id pub-id-type="doi">10.1136/jitc-2023-008628</pub-id>
                    <pub-id pub-id-type="pmcid">PMC11033653</pub-id>
                </mixed-citation>
            </ref>
            <ref id="ref28">
                <label>28</label>
                <mixed-citation publication-type="journal">
                    <person-group person-group-type="author">

                        <name name-style="western">
                            <surname>Dai</surname>
                            <given-names>L</given-names>
                        </name>
</person-group>:
                    <article-title>SOCS3 acts as an onco-immunological biomarker with value in assessing the tumor microenvironment, pathological staging, histological subtypes, therapeutic effect, and prognoses of several types of cancer.</article-title>
                    <source>

                        <italic toggle="yes">Front. Oncol.</italic>
</source>
                    <year>2022</year>;<volume>12</volume>:<fpage>881801</fpage>.
                    <pub-id pub-id-type="pmid">35600392</pub-id>
                    <pub-id pub-id-type="doi">10.3389/fonc.2022.881801</pub-id>
                    <pub-id pub-id-type="pmcid">PMC9122507</pub-id>
                </mixed-citation>
            </ref>
            <ref id="ref29">
                <label>29</label>
                <mixed-citation publication-type="journal">
                    <person-group person-group-type="author">

                        <name name-style="western">
                            <surname>Fortunato</surname>
                            <given-names>O</given-names>
                        </name>
</person-group>:
                    <article-title>CXCR4 inhibition counteracts immunosuppressive properties of metastatic NSCLC stem cells.</article-title>
                    <source>

                        <italic toggle="yes">Front. Immunol.</italic>
</source>
                    <year>2020</year>;<volume>11</volume>:<fpage>2168</fpage>.
                    <pub-id pub-id-type="pmid">33123122</pub-id>
                    <pub-id pub-id-type="doi">10.3389/fimmu.2020.02168</pub-id>
                    <pub-id pub-id-type="pmcid">PMC7566588</pub-id>
                </mixed-citation>
            </ref>
            <ref id="ref30">
                <label>30</label>
                <mixed-citation publication-type="journal">
                    <person-group person-group-type="author">

                        <name name-style="western">
                            <surname>Gorabi</surname>
                            <given-names>AM</given-names>
                        </name>
</person-group>:
                    <article-title>The pivotal role of CD69 in autoimmunity.</article-title>
                    <source>

                        <italic toggle="yes">J. Autoimmun.</italic>
</source>
                    <year>2020</year>;<volume>111</volume>:<fpage>102453</fpage>.
                    <pub-id pub-id-type="pmid">32291138</pub-id>
                    <pub-id pub-id-type="doi">10.1016/j.jaut.2020.102453</pub-id>
                </mixed-citation>
            </ref>
            <ref id="ref31">
                <label>31</label>
                <mixed-citation publication-type="journal">
                    <person-group person-group-type="author">

                        <name name-style="western">
                            <surname>Li</surname>
                            <given-names>Y</given-names>
                        </name>
</person-group>:
                    <article-title>CD69 is a promising immunotherapy and prognosis prediction target in cancer.</article-title>
                    <source>

                        <italic toggle="yes">ImmunoTargets and Therapy.</italic>
</source>
                    <year>2024</year>;<volume>13</volume>:<fpage>1</fpage>&#x2013;<lpage>14</lpage>.
                    <pub-id pub-id-type="pmid">38223406</pub-id>
                    <pub-id pub-id-type="doi">10.2147/ITT.S439969</pub-id>
                    <pub-id pub-id-type="pmcid">PMC10787557</pub-id>
                </mixed-citation>
            </ref>
            <ref id="ref32">
                <label>32</label>
                <mixed-citation publication-type="journal">
                    <person-group person-group-type="author">

                        <name name-style="western">
                            <surname>Khosravi</surname>
                            <given-names>N</given-names>
                        </name>

                        <name name-style="western">
                            <surname>Mohamadnia</surname>
                            <given-names>A</given-names>
                        </name>

                        <name name-style="western">
                            <surname>Zadeh</surname>
                            <given-names>CA</given-names>
                        </name>

                        <etal/>
</person-group>:
                    <article-title>Sarcoidosis and Non-Small Cell Lung Cancer: Expression of miR-145, miR-301, and miR-449.</article-title>
                    <source>

                        <italic toggle="yes">Biomedical and Biotechnology Research Journal.</italic>
</source>
                    <year>2024</year>;<volume>8</volume>(<issue>4</issue>):<fpage>517</fpage>&#x2013;<lpage>523</lpage>.
                    <pub-id pub-id-type="doi">10.4103/bbrj.bbrj_349_24</pub-id>
                </mixed-citation>
            </ref>
            <ref id="ref33">
                <label>33</label>
                <mixed-citation publication-type="journal">
                    <person-group person-group-type="author">

                        <name name-style="western">
                            <surname>Franzese</surname>
                            <given-names>O</given-names>
                        </name>
</person-group>:
                    <article-title>Tumor Microenvironment Drives the Cross-Talk Between Co-Stimulatory and Inhibitory Molecules in Tumor-Infiltrating Lymphocytes: Implications for Optimizing Immunotherapy Outcomes.</article-title>
                    <source>

                        <italic toggle="yes">Int. J. Mol. Sci.</italic>
</source>
                    <year>2024</year>;<volume>25</volume>(<issue>23</issue>):<fpage>12848</fpage>.
                    <pub-id pub-id-type="pmid">39684559</pub-id>
                    <pub-id pub-id-type="doi">10.3390/ijms252312848</pub-id>
                    <pub-id pub-id-type="pmcid">PMC11641238</pub-id>
                </mixed-citation>
            </ref>
            <ref id="ref34">
                <label>34</label>
                <mixed-citation publication-type="journal">
                    <person-group person-group-type="author">

                        <name name-style="western">
                            <surname>Lu</surname>
                            <given-names>X</given-names>
                        </name>

                        <name name-style="western">
                            <surname>Jing</surname>
                            <given-names>L</given-names>
                        </name>

                        <name name-style="western">
                            <surname>Liu</surname>
                            <given-names>S</given-names>
                        </name>

                        <etal/>
</person-group>:
                    <article-title>miR-149-3p Is a Potential Prognosis Biomarker and Correlated with Immune Infiltrates in Uterine Corpus Endometrial Carcinoma.</article-title>
                    <source>

                        <italic toggle="yes">Int. J. Endocrinol.</italic>
</source>
                    <year>2022</year>;<volume>2022</volume>(<issue>1</issue>):<fpage>1</fpage>&#x2013;<lpage>15</lpage>.
                    <pub-id pub-id-type="pmid">35719192</pub-id>
                    <pub-id pub-id-type="doi">10.1155/2022/5006123</pub-id>
                    <pub-id pub-id-type="pmcid">PMC9200575</pub-id>
                </mixed-citation>
            </ref>
            <ref id="ref35">
                <label>35</label>
                <mixed-citation publication-type="journal">
                    <person-group person-group-type="author">

                        <name name-style="western">
                            <surname>Zhang</surname>
                            <given-names>M</given-names>
                        </name>
</person-group>:
                    <article-title>miR-149-3p reverses CD8+ T-cell exhaustion by reducing inhibitory receptors and promoting cytokine secretion in breast cancer cells.</article-title>
                    <source>

                        <italic toggle="yes">Open Biol.</italic>
</source>
                    <year>2019</year>;<volume>9</volume>(<issue>10</issue>):<fpage>190061</fpage>.
                    <pub-id pub-id-type="pmid">31594465</pub-id>
                    <pub-id pub-id-type="doi">10.1098/rsob.190061</pub-id>
                    <pub-id pub-id-type="pmcid">PMC6833224</pub-id>
                </mixed-citation>
            </ref>
            <ref id="ref36">
                <label>36</label>
                <mixed-citation publication-type="journal">
                    <person-group person-group-type="author">

                        <name name-style="western">
                            <surname>Cibri&#x00e1;n</surname>
                            <given-names>D</given-names>
                        </name>

                        <name name-style="western">
                            <surname>S&#x00e1;nchez-Madrid</surname>
                            <given-names>F</given-names>
                        </name>
</person-group>:
                    <article-title>CD69: from activation marker to metabolic gatekeeper.</article-title>
                    <source>

                        <italic toggle="yes">Eur. J. Immunol.</italic>
</source>
                    <year>2017</year>;<volume>47</volume>(<issue>6</issue>):<fpage>946</fpage>&#x2013;<lpage>953</lpage>.
                    <pub-id pub-id-type="pmid">28475283</pub-id>
                    <pub-id pub-id-type="doi">10.1002/eji.201646837</pub-id>
                    <pub-id pub-id-type="pmcid">PMC6485631</pub-id>
                </mixed-citation>
            </ref>
            <ref id="ref37">
                <label>37</label>
                <mixed-citation publication-type="journal">
                    <person-group person-group-type="author">

                        <name name-style="western">
                            <surname>Pande</surname>
                            <given-names>A</given-names>
                        </name>
</person-group>:
                    <article-title>Co-regulatory network of transcription factor and microRNA: A key player of gene regulation.</article-title>
                    <source>

                        <italic toggle="yes">Biomedical and Biotechnology Research Journal.</italic>
</source>
                    <year>2021</year>;<volume>5</volume>(<issue>4</issue>):<fpage>374</fpage>&#x2013;<lpage>379</lpage>.
                    <pub-id pub-id-type="doi">10.4103/bbrj.bbrj_182_21</pub-id>
                </mixed-citation>
            </ref>
            <ref id="ref38">
                <label>38</label>
                <mixed-citation publication-type="journal">
                    <person-group person-group-type="author">

                        <name name-style="western">
                            <surname>Fattahi</surname>
                            <given-names>F</given-names>
                        </name>
</person-group>:
                    <article-title>High expression of DNA damage-inducible transcript 4 (DDIT4) is associated with advanced pathological features in the patients with colorectal cancer.</article-title>
                    <source>

                        <italic toggle="yes">Sci. Rep.</italic>
</source>
                    <year>2021</year>;<volume>11</volume>(<issue>1</issue>):<fpage>13626</fpage>.
                    <pub-id pub-id-type="pmid">34211002</pub-id>
                    <pub-id pub-id-type="doi">10.1038/s41598-021-92720-z</pub-id>
                    <pub-id pub-id-type="pmcid">PMC8249407</pub-id>
                </mixed-citation>
            </ref>
            <ref id="ref39">
                <label>39</label>
                <mixed-citation publication-type="journal">
                    <person-group person-group-type="author">

                        <name name-style="western">
                            <surname>Tajik</surname>
                            <given-names>F</given-names>
                        </name>
</person-group>:
                    <article-title>Nuclear overexpression of DNA damage-inducible transcript 4 (DDIT4) is associated with aggressive tumor behavior in patients with pancreatic tumors.</article-title>
                    <source>

                        <italic toggle="yes">Sci. Rep.</italic>
</source>
                    <year>2023</year>;<volume>13</volume>(<issue>1</issue>):<fpage>19403</fpage>.
                    <pub-id pub-id-type="pmid">37938616</pub-id>
                    <pub-id pub-id-type="doi">10.1038/s41598-023-46484-3</pub-id>
                    <pub-id pub-id-type="pmcid">PMC10632485</pub-id>
                </mixed-citation>
            </ref>
            <ref id="ref40">
                <label>40</label>
                <mixed-citation publication-type="journal">
                    <person-group person-group-type="author">

                        <name name-style="western">
                            <surname>Gaur</surname>
                            <given-names>P</given-names>
                        </name>

                        <name name-style="western">
                            <surname>Bhattacharya</surname>
                            <given-names>S</given-names>
                        </name>

                        <name name-style="western">
                            <surname>Kant</surname>
                            <given-names>S</given-names>
                        </name>

                        <etal/>
</person-group>:
                    <article-title>Review on role of CD4 T-cells in patients with respiratory illness and human immunodeficiency virus infection.</article-title>
                    <source>

                        <italic toggle="yes">Biomedical and Biotechnology Research Journal.</italic>
</source>
                    <year>2020</year>;<volume>4</volume>(<issue>2</issue>):<fpage>90</fpage>&#x2013;<lpage>94</lpage>.
                    <pub-id pub-id-type="doi">10.4103/bbrj.bbrj_5_20</pub-id>
                </mixed-citation>
            </ref>
            <ref id="ref41">
                <label>41</label>
                <mixed-citation publication-type="data">
                    <data-title>GSE207345. Single-cell RNA-seq analysis of pancreatic ductal adenocarcinoma and adjacent normal tissue. NCBI Gene Expression Omnibus (GEO).</data-title>[dataset].
                    <ext-link ext-link-type="uri" xlink:href="https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE207345">Reference Source</ext-link>
                </mixed-citation>
            </ref>
        </ref-list>
    </back>
    <sub-article article-type="reviewer-report" id="report444705">
        <front-stub>
            <article-id pub-id-type="doi">10.5256/f1000research.190129.r444705</article-id>
            <title-group>
                <article-title>Reviewer response for version 1</article-title>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author">
                    <name>
                        <surname>Kleeff</surname>
                        <given-names>J&#x00f6;rg</given-names>
                    </name>
                    <xref ref-type="aff" rid="r444705a1">1</xref>
                    <role>Referee</role>
                    <uri content-type="orcid">https://orcid.org/0000-0003-3432-6669</uri>
                </contrib>
                <aff id="r444705a1">
                    <label>1</label>Martin-Luther-University Halle-Wittenberg, University Medical Center Halle, Halle, Germany</aff>
            </contrib-group>
            <author-notes>
                <fn fn-type="conflict">
                    <p>
                        <bold>Competing interests: </bold>No competing interests were disclosed.</p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>25</day>
                <month>4</month>
                <year>2026</year>
            </pub-date>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2026 Kleeff J</copyright-statement>
                <copyright-year>2026</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access peer review report distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <related-article ext-link-type="doi" id="relatedArticleReport444705" related-article-type="peer-reviewed-article" xlink:href="10.12688/f1000research.172407.1"/>
            <custom-meta-group>
                <custom-meta>
                    <meta-name>recommendation</meta-name>
                    <meta-value>approve-with-reservations</meta-value>
                </custom-meta>
            </custom-meta-group>
        </front-stub>
        <body>
            <p>This study analyzed the tumor microenvironment of pancreatic ductal adenocarcinoma (PDAC) with a focus on memory CD4+ T cells and how their function is affected by microRNAs (miRNAs). Using single-cell RNA sequencing online data, the authors found that memory CD4+ T cells are more abundant in PDAC tumors than in normal pancreas tissue, but key immune and metabolic genes in these cells are suppressed. Bioinformatic analyses identified several overexpressed miRNAs&#x2014;particularly hsa-miR-1207-5p, hsa-miR-6805-5p, and hsa-miR-149-3p&#x2014;that likely target immune-related and pancreatic enzyme-associated genes. A core set of genes (CLPS, NR4A2, and SOCS3) was frequently targeted, suggesting a role in immune evasion. Overall, the findings indicate that although memory CD4+ T cells are present in PDAC, miRNA-driven gene repression limits their activity, highlighting miRNAs as potential therapeutic targets to restore anti-tumor immune responses.</p>
            <p> The topic of this manuscript&#x2014;namely, the tumor-suppressive microenvironment in pancreatic cancer&#x2014;is timely, relevant, and worthy of investigation. The authors employ publicly available datasets to explore this question, and the statistical analyses appear sound and appropriate. However, a major limitation of the study is its exclusive reliance on online databases, without validation in independent patient cohorts or experimental confirmation, which restricts the overall robustness of the conclusions. In addition, the level of novelty is limited, as several of the presented findings have already been reported in previous studies. Consequently, while the analysis is methodologically solid, its impact is constrained by the lack of external validation and incremental novelty.</p>
            <p> There are also conceptual misconceptions in the interpretation of some results. First, the authors state that pancreatic enzyme genes are markedly repressed. However, this observation does not reflect true gene repression or regulatory mechanisms. Instead, it is a consequence of tissue composition: during pancreatic cancer progression, normal pancreatic tissue&#x2014;predominantly composed of acinar cells&#x2014;is replaced by cancer cells and a pronounced stromal reaction. Consequently, tumor tissue samples naturally contain few or no acinar cells, and reduced expression of acinar enzyme genes is therefore expected. The manuscript and the subsequent discussion should be carefully revised to reflect this distinction.</p>
            <p> In a similar vein, the authors suggest that an increased proportion of ductal cells may represent a compensatory or pathological response to tumor development. This interpretation is misleading. Pancreatic ductal adenocarcinoma inherently expresses ductal cell markers; thus, bioinformatic classification of a substantial fraction of tumor cells as having a ductal phenotype likely reflects malignant cells rather than normal ductal cells. This issue should also be addressed and corrected throughout the manuscript.</p>
            <p> Furthermore, the analysis consistently compares tumor tissue with normal pancreatic tissue. While this is informative, it would have been particularly interesting to compare the immune microenvironment across different pancreatic cancer subtypes, such as classical versus squamous PDAC, which could provide more biologically relevant insights.</p>
            <p> As minor points, the Results section concludes with only very brief summary statements (e.g., &#x201c;Donor-based clustering and pancreatic cell type annotation are shown in ( Figure 2)&#x201d;; or &#x201c;Immune cell enrichment between PDAC and healthy tissues is presented in ( Figure 3)&#x201d;), which do not adequately synthesize the findings. A more integrative summary would strengthen this section. Additionally, the manuscript contains some awkward expressions e.g. &#x201c;&#x2026;talked in language that was even more humanlike&#x201d;.</p>
            <p>Is the work clearly and accurately presented and does it cite the current literature?</p>
            <p>Partly</p>
            <p>If applicable, is the statistical analysis and its interpretation appropriate?</p>
            <p>I cannot comment. A qualified statistician is required.</p>
            <p>Are all the source data underlying the results available to ensure full reproducibility?</p>
            <p>Yes</p>
            <p>Is the study design appropriate and is the work technically sound?</p>
            <p>Partly</p>
            <p>Are the conclusions drawn adequately supported by the results?</p>
            <p>Partly</p>
            <p>Are sufficient details of methods and analysis provided to allow replication by others?</p>
            <p>Yes</p>
            <p>Reviewer Expertise:</p>
            <p>NA</p>
            <p>I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard, however I have significant reservations, as outlined above.</p>
        </body>
    </sub-article>
    <sub-article article-type="reviewer-report" id="report448999">
        <front-stub>
            <article-id pub-id-type="doi">10.5256/f1000research.190129.r448999</article-id>
            <title-group>
                <article-title>Reviewer response for version 1</article-title>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author">
                    <name>
                        <surname>Lafta</surname>
                        <given-names>Fadehl</given-names>
                    </name>
                    <xref ref-type="aff" rid="r448999a1">1</xref>
                    <xref ref-type="aff" rid="r448999a2">2</xref>
                    <role>Referee</role>
                </contrib>
                <aff id="r448999a1">
                    <label>1</label>Institute of Laser for Postgraduate Studies, University of Baghdad, Baghdad, Baghdad Governorate, Iraq</aff>
                <aff id="r448999a2">
                    <label>2</label>Department of Biology, College of Science, University of Baghdad, Baghdad, Baghdad Governorate, Iraq</aff>
            </contrib-group>
            <author-notes>
                <fn fn-type="conflict">
                    <p>
                        <bold>Competing interests: </bold>No competing interests were disclosed.</p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>22</day>
                <month>1</month>
                <year>2026</year>
            </pub-date>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2026 Lafta F</copyright-statement>
                <copyright-year>2026</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access peer review report distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <related-article ext-link-type="doi" id="relatedArticleReport448999" related-article-type="peer-reviewed-article" xlink:href="10.12688/f1000research.172407.1"/>
            <custom-meta-group>
                <custom-meta>
                    <meta-name>recommendation</meta-name>
                    <meta-value>approve-with-reservations</meta-value>
                </custom-meta>
            </custom-meta-group>
        </front-stub>
        <body>
            <p>The submitted manuscript provides a key insight to the miRNA alterations in the context of pancreatic cancer that could be utilized in the development of targeted therapies.</p>
            <p> The study is well-designed and drafted; however, addressing the following point could improve the manuscript quality. 
                <list list-type="order">
                    <list-item>
                        <p>How memory CD4 T cells contribute to the altered PDAC tumor microenvironment.</p>
                    </list-item>
                    <list-item>
                        <p>Gene names should be written in an Italic style.</p>
                    </list-item>
                    <list-item>
                        <p>Some abbreviations need to be written in full terms.</p>
                    </list-item>
                </list>
            </p>
            <p>Is the work clearly and accurately presented and does it cite the current literature?</p>
            <p>Yes</p>
            <p>If applicable, is the statistical analysis and its interpretation appropriate?</p>
            <p>I cannot comment. A qualified statistician is required.</p>
            <p>Are all the source data underlying the results available to ensure full reproducibility?</p>
            <p>Yes</p>
            <p>Is the study design appropriate and is the work technically sound?</p>
            <p>Yes</p>
            <p>Are the conclusions drawn adequately supported by the results?</p>
            <p>Yes</p>
            <p>Are sufficient details of methods and analysis provided to allow replication by others?</p>
            <p>Yes</p>
            <p>Reviewer Expertise:</p>
            <p>Cancer molecular genetics</p>
            <p>I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard, however I have significant reservations, as outlined above.</p>
        </body>
        <sub-article article-type="response" id="comment15327-448999">
            <front-stub>
                <contrib-group>
                    <contrib contrib-type="author">
                        <name>
                            <surname>Fahad</surname>
                            <given-names>Mustafa</given-names>
                        </name>
                        <aff>Center of Desert Studies, University of Anbar, Ramadi, Al Anbar Governorate, Iraq</aff>
                    </contrib>
                </contrib-group>
                <author-notes>
                    <fn fn-type="conflict">
                        <p>
                            <bold>Competing interests: </bold>No competing interests were disclosed.</p>
                    </fn>
                </author-notes>
                <pub-date pub-type="epub">
                    <day>23</day>
                    <month>1</month>
                    <year>2026</year>
                </pub-date>
            </front-stub>
            <body>
                <p>We thank the reviewer for the constructive comments. We will clarify the contribution of memory CD4+ T cells to PDAC TME and adjust gene formatting and abbreviations accordingly in the revised version.&#x201d;</p>
            </body>
        </sub-article>
        <sub-article article-type="response" id="comment16359-448999">
            <front-stub>
                <contrib-group>
                    <contrib contrib-type="author">
                        <name>
                            <surname>Lafta</surname>
                            <given-names>Fadhel</given-names>
                        </name>
                        <aff>Biological and Medical Branch, University of Baghdad Institute of Laser for Postgraduate Studies, Baghdad, Baghdad Governorate, Iraq</aff>
                    </contrib>
                </contrib-group>
                <author-notes>
                    <fn fn-type="conflict">
                        <p>
                            <bold>Competing interests: </bold>I have no competing interests to declare</p>
                    </fn>
                </author-notes>
                <pub-date pub-type="epub">
                    <day>4</day>
                    <month>6</month>
                    <year>2026</year>
                </pub-date>
            </front-stub>
            <body>
                <p>I accept the&#x00a0;
                    <ext-link ext-link-type="uri" xlink:href="https://f1000research.com/about/legal/additionaltermsandconditions#usercomment">User Comment Terms and Conditions</ext-link>.</p>
            </body>
        </sub-article>
    </sub-article>
</article>
