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About the masthead: Key proteins in the bigger picture of pancreatic cancer — read more here

Duke-NUS news highlights

Over the past three months, Duke-NUS has continued to shape the future of medicine through discovery, innovation and global engagement. Our researchers have uncovered new pathways to make pancreatic cancer more treatable, harnessed AI to improve patient outcomes, and deepened understanding of stomach cancer risk. Together, these efforts reflect a shared commitment to turning ideas into meaningful impact and improving lives.

NUS ranks 13th globally in Medical and Health in THE World University Rankings 2026

The National University of Singapore has been ranked 13th globally in the Medical and Health subject category in the Times Higher Education (THE) World University Rankings 2026, reflecting the collective strength of NUS’ medical and health disciplines, comprising Duke-NUS Medical School, the Saw Swee Hock School of Public Health (SSHSPH) and the Yong Loo Lin School of Medicine, as well as the complementary Academic Medicine ecosystems that support education, research and clinical impact.

NUS ranks 13th globally in Medical and Health in THE World University Rankings 2026

 “This ranking reflects the collective strength of NUS’ medical and health ecosystem, spanning Duke-NUS, the Saw Swee Hock School of Public Health and Yong Loo Lin School of Medicine, and the distinct academic medicine partnerships that support them. It is the ability to work across education, research, public health and clinical systems — including SingHealth and NUHS — that underpins NUS’ global standing in medical and health sciences.”

 

Professor Patrick Tan

Dean of Duke-NUS

 

 


Scientists uncover molecular “switch” that could make pancreatic cancer more treatable


Duke-NUS scientists have identified a molecular “switch” that determines whether pancreatic cancer cells resist chemotherapy or respond to it—a finding that could help convert some of the most treatment-resistant tumours into forms that are more manageable with existing drugs.

Pancreatic cancers fall into two main molecular subtypes — the classical subtype, which is more structured and organised, and the basal subtype, where the cells are more disorderly, aggressive and often resistant to chemotherapy. However, cancer cells can transition between these two states, a process known as cancer cell plasticity. When levels of the gene GATA6 drop, the cancer cells lose this organisation, becoming more aggressive and more likely to resist treatment.

Published in the Journal of Clinical Investigation, the study identified a chain of signals within pancreatic cancer cells that controls this process.

A graphical abstract of the paper’s findings, created in BioRender by the authors.
A graphical abstract of the paper’s findings, created in BioRender by the authors. Pancreatic cancers show two distinct but interconvertible subtypes that are associated with different responses to chemotherapy drugs. The team found that a molecular mechanism can control the transition between two subtypes, which could be utilised to sensitise cancers to therapy. // Image credit: Zhong et al., Duke-NUS Medical School
David Virshup

“We have known that pancreatic cancer cells can switch between these two states. What we didn’t understand was the mechanism driving that switch. By identifying the pathway that suppresses GATA6, we now have a clearer picture of how tumours become resistant—and potentially how to reverse that process.”

Emeritus Professor David Virshup

Cancer & Stem Cell Biology Programme



AI tools improve diagnostics and patient outcome prediction in resource-limited healthcare settings

Duke-NUS researchers and their collaborators have adapted an advanced AI model to accurately predict neurological recovery after cardiac arrest in resource-limited settings.

Published in npj Digital Medicine, the study applied transfer learning, an advanced AI approach that adapts pre-trained models built on large datasets to new settings with limited local data. This method improves performance in new environments without requiring extensive data collection, making it particularly relevant for low- and middle-income countries.

Taking a brain-recovery prediction model developed in Japan using data from 46,918 out-of-hospital cardiac arrest patients, the team adapted it for use in Vietnam, where it was tested on a smaller cohort of 243 patients. The adapted model performed significantly better, correctly distinguishing high-risk from low-risk patients about 80 per cent of the time, compared with around 46 per cent when the original model was used in the Vietnam context.

20230404 Liu Nan

“The study shows AI models to not need to be rebuilt from scratch for every new setting. By adapting existing tools safely and effectively, transfer learning can lower costs, reduce development time and help extend the benefits of AI to healthcare systems with fewer resources.”

Associate Professor Liu Nan

Centre for Biomedical Data Science and director of the Duke-NUS AI + Medical Sciences Initiative



Ageing, smoking, oral bacteria and genetic mutations linked to higher stomach cancer risk

Scientists at Duke-NUS Medical School, together with their Singapore and international collaborators, have uncovered that a complex interplay of factors—including genetic and age-related blood mutations, smoking, and infection by oral bacteria—increases the risk of developing stomach (gastric) cancer.

Published in Cancer Discovery, the findings provide new insights into the earliest biological changes that precede the development of gastric cancer and could enable more precise approaches to risk stratification and prevention.

Conducted under the Singapore Gastric Cancer Consortium, a multidisciplinary national research programme, the study analysed more than 1,500 intestinal metaplasia samples collected across six countries. Using advanced genetic analyses, the researchers found that mutations in the ARID1A gene were associated with an increased risk of gastric cancer and poorer prognosis. They also identified a distinct pattern of DNA damage, known as SBS17, which was absent in healthy stomach tissue but commonly found in intestinal metaplasia.

The team further discovered that pyrvinium, a drug currently used to treat parasitic infections, can inhibit the growth of intestinal metaplasia cells.

Prof Patrick Tan

“Gastric cancer is often called a silent killer because it takes hold quietly, long before symptoms appear. What our study shows is that risk does not come from one place — it builds over many years through a complex interplay between ageing, genetic changes, immune shifts and even the bacteria we carry. As Singapore is a rapidly ageing population, these findings improve our understanding of biological processes that happen when we age and will contribute towards the nation’s quest to promote healthy longevity and resilience.”

Professor Patrick Tan

Dean of Duke-NUS

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