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Smad4失活加速Kras(G12D)介导的胰腺肿瘤形成。

Inactivation of Smad4 accelerates Kras(G12D)-mediated pancreatic neoplasia.

作者信息

Kojima Kyoko, Vickers Selwyn M, Adsay N Volkan, Jhala Nirag C, Kim Hyung-Gyoon, Schoeb Trenton R, Grizzle William E, Klug Christopher A

机构信息

Department of Microbiology, The University of Alabama at Birmingham, Birmingham, AL 35294, USA.

出版信息

Cancer Res. 2007 Sep 1;67(17):8121-30. doi: 10.1158/0008-5472.CAN-06-4167.

Abstract

Pancreatic ductal adenocarcinoma (PDAC) is one of the most fatal human malignancies, with an overall 5-year survival rate of <5%. Genetic analysis of PDAC patient samples has shown that specific disease-associated mutations are correlated with histologically defined stages of neoplastic progression in the ductal epithelium. Activating mutations in KRAS are almost uniformly present in early-stage disease, with subsequent inactivating mutations in p16(INK4A), p53, and SMAD4 occurring in more advanced lesions. In this study, we have tested whether the loss of Smad4 would cooperate with an activating Kras(G12D) mutation to promote progression to PDAC using the Pdx1-Cre transgenic system to activate Kras(G12D) and delete Smad4 in all pancreatic lineages including the ductal epithelium. Analysis of double-mutant mice showed that loss of Smad4 significantly accelerated the progression of pancreatic intraepithelial neoplasias (mPanIN) and promoted a high incidence of intraductal papillary mucinous neoplasia and active fibrosis compared with Pdx1-Cre;Kras(G12D) or Pdx1-Cre;Smad4(lox/lox) mice. Occasionally, double-mutant mice progressed to locally invasive PDAC with little evidence of metastases by 6 months of age and without the detectable loss of p53 or p16(Ink4A) expression or function. The loss of Smad4 only seemed to promote disease progression in the presence of the activated Kras(G12D) allele because we observed no abnormal pathology within the pancreata of 23 Pdx1-Cre;Smad4(lox/lox) animals that were analyzed up to 8 months of age. This indicates that Smad4 is dispensable for normal pancreatic development but is critical for at least partial suppression of multiple Kras(G12D)-dependent disease-associated phenotypes.

摘要

胰腺导管腺癌(PDAC)是最致命的人类恶性肿瘤之一,总体5年生存率小于5%。对PDAC患者样本的基因分析表明,特定的疾病相关突变与导管上皮肿瘤进展的组织学定义阶段相关。KRAS的激活突变几乎在疾病早期均有出现,随后p16(INK4A)、p53和SMAD4的失活突变出现在更晚期的病变中。在本研究中,我们使用Pdx1-Cre转基因系统在包括导管上皮在内的所有胰腺谱系中激活Kras(G12D)并删除Smad4,以测试Smad4的缺失是否会与激活的Kras(G12D)突变协同作用,促进向PDAC的进展。对双突变小鼠的分析表明,与Pdx1-Cre;Kras(G12D)或Pdx1-Cre;Smad4(lox/lox)小鼠相比,Smad4的缺失显著加速了胰腺上皮内瘤变(mPanIN)的进展,并促进了导管内乳头状黏液性肿瘤和活跃纤维化的高发生率。偶尔,双突变小鼠在6个月大时进展为局部侵袭性PDAC,几乎没有转移的证据,且未检测到p53或p16(Ink4A)表达或功能的丧失。Smad4的缺失似乎仅在存在激活的Kras(G12D)等位基因的情况下促进疾病进展,因为我们在分析至8个月大的23只Pdx1-Cre;Smad4(lox/lox)动物的胰腺中未观察到异常病理变化。这表明Smad4对于正常胰腺发育是可有可无的,但对于至少部分抑制多种Kras(G12D)依赖性疾病相关表型至关重要。

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