Diabetes Center, Department of Medicine, UCSF, San Francisco, California 94143, USA.
J Clin Invest. 2010 Feb;120(2):508-20. doi: 10.1172/JCI40045. Epub 2010 Jan 11.
Cellular plasticity in adult organs is involved in both regeneration and carcinogenesis. WT mouse acinar cells rapidly regenerate following injury that mimics acute pancreatitis, a process characterized by transient reactivation of pathways involved in embryonic pancreatic development. In contrast, such injury promotes the development of pancreatic ductal adenocarcinoma (PDA) precursor lesions in mice expressing a constitutively active form of the GTPase, Kras, in the exocrine pancreas. The molecular environment that mediates acinar regeneration versus the development of PDA precursor lesions is poorly understood. Here, we used genetically engineered mice to demonstrate that mutant Kras promotes acinar-to-ductal metaplasia (ADM) and pancreatic cancer precursor lesion formation by blocking acinar regeneration following acute pancreatitis. Our results indicate that beta-catenin is required for efficient acinar regeneration. In addition, canonical beta-catenin signaling, a pathway known to regulate embryonic acinar development, is activated following acute pancreatitis. This regeneration-associated activation of beta-catenin signaling was not observed during the initiation of Kras-induced acinar-to-ductal reprogramming. Furthermore, stabilized beta-catenin signaling antagonized the ability of Kras to reprogram acini into PDA preneoplastic precursors. Therefore, these results suggest that beta-catenin signaling is a critical determinant of acinar plasticity and that it is inhibited during Kras-induced fate decisions that specify PDA precursors, highlighting the importance of temporal regulation of embryonic signaling pathways in the development of neoplastic cell fates.
成体器官中的细胞可塑性参与再生和癌变。WT 小鼠的腺泡细胞在模拟急性胰腺炎的损伤后迅速再生,这一过程的特征是参与胚胎胰腺发育的途径短暂重新激活。相比之下,在胰腺外分泌腺中表达持续激活形式的 GTPase Kras 的小鼠中,这种损伤会促进胰腺导管腺癌(PDA)前体病变的发展。介导腺泡再生与 PDA 前体病变发展的分子环境尚未得到充分理解。在这里,我们使用基因工程小鼠证明,突变 Kras 通过阻断急性胰腺炎后腺泡的再生,促进了腺泡到导管的化生(ADM)和胰腺癌前体病变的形成。我们的结果表明,β-catenin 是有效腺泡再生所必需的。此外,已知调节胚胎腺泡发育的经典β-catenin 信号通路在急性胰腺炎后被激活。在 Kras 诱导的腺泡到导管重编程的起始过程中没有观察到这种与再生相关的β-catenin 信号激活。此外,稳定的β-catenin 信号拮抗了 Kras 将腺泡重新编程为 PDA 前致癌前体的能力。因此,这些结果表明β-catenin 信号是腺泡可塑性的关键决定因素,并且在指定 PDA 前体的 Kras 诱导的命运决定中被抑制,突出了胚胎信号通路在肿瘤细胞命运发展中的时间调节的重要性。