Department of Biochemistry and Molecular Biology, University of Nebraska Medical Center, Omaha, NE, USA.
Oncogene. 2013 Mar 14;32(11):1384-95. doi: 10.1038/onc.2012.163. Epub 2012 May 21.
Despite evidence that long-term smoking is the leading risk factor for pancreatic malignancies, the underlying mechanism(s) for cigarette-smoke (CS)-induced pancreatic cancer (PC) pathogenesis has not been well established. Our previous studies revealed an aberrant expression of the MUC4 mucin in PC as compared with the normal pancreas, and its association with cancer progression and metastasis. Interestingly, here we explore a potential link between MUC4 expression and smoking-mediated PC pathogenesis and report that both cigarette smoke extract and nicotine, which is the major component of CS, significantly upregulates MUC4 in PC cells. This nicotine-mediated MUC4 overexpression was via the α7 subunit of nicotinic acetylcholine receptor (nAChR) stimulation and subsequent activation of the JAK2/STAT3 downstream signaling cascade in cooperation with the MEK/ERK1/2 pathway; this effect was blocked by the α7nAChR antagonists, α-bungarotoxin and mecamylamine, and by specific siRNA-mediated STAT3 inhibition. In addition, we demonstrated that nicotine-mediated MUC4 upregulation promotes the PC cell migration through the activation of the downstream effectors, such as HER2, c-Src and FAK; this effect was attenuated by shRNA-mediated MUC4 abrogation, further implying that these nicotine-mediated pathological effects on PC cells are MUC4 dependent. Furthermore, the in vivo studies showed a marked increase in the mean pancreatic tumor weight (low dose (100 mg/m(3) total suspended particulate (TSP)), P=0.014; high dose (247 mg/m(3) TSP), P=0.02) and significant tumor metastasis to various distant organs in the CS-exposed mice, orthotopically implanted with luciferase-transfected PC cells, as compared with the sham controls. Moreover, the CS-exposed mice had elevated levels of serum cotinine (low dose, 155.88±35.96 ng/ml; high dose, 216.25±29.95 ng/ml) and increased MUC4, α7nAChR and pSTAT3 expression in the pancreatic tumor tissues. Altogether, our findings revealed for the first time that CS upregulates the MUC4 mucin in PC via the α7nAChR/JAK2/STAT3 downstream signaling cascade, thereby promoting metastasis of PC.
尽管有证据表明长期吸烟是导致胰腺癌的主要危险因素,但香烟烟雾(CS)引起胰腺癌(PC)发病机制的潜在机制尚未得到很好的建立。我们之前的研究表明,与正常胰腺相比,MUC4 粘蛋白在 PC 中的表达异常,并且与癌症的进展和转移有关。有趣的是,在这里我们探索了 MUC4 表达与吸烟介导的 PC 发病机制之间的潜在联系,并报告说香烟烟雾提取物和尼古丁(CS 的主要成分)均可显着上调 PC 细胞中的 MUC4。这种尼古丁介导的 MUC4 过表达是通过烟碱型乙酰胆碱受体(nAChR)α7 亚基的刺激以及随后与 MEK/ERK1/2 途径合作的 JAK2/STAT3 下游信号级联的激活来实现的;该作用被 α7nAChR 拮抗剂α-银环蛇毒素和美卡拉明以及通过特异性 siRNA 介导的 STAT3 抑制阻断。此外,我们证明尼古丁介导的 MUC4 上调通过激活下游效应物(如 HER2、c-Src 和 FAK)促进 PC 细胞迁移;这种作用通过 shRNA 介导的 MUC4 消除减弱,进一步表明这些尼古丁对 PC 细胞的病理作用是依赖 MUC4 的。此外,体内研究表明,与假对照相比,暴露于香烟烟雾中的小鼠(原位接种荧光素酶转染的 PC 细胞)的胰腺肿瘤平均重量(低剂量(100mg/m3 总悬浮颗粒物(TSP)),P=0.014;高剂量(247mg/m3 TSP),P=0.02)和肿瘤向各种远处器官的转移明显增加。此外,暴露于香烟烟雾中的小鼠的血清可替宁水平升高(低剂量,155.88±35.96ng/ml;高剂量,216.25±29.95ng/ml),胰腺肿瘤组织中的 MUC4、α7nAChR 和 pSTAT3 表达增加。总之,我们的研究结果首次表明,CS 通过α7nAChR/JAK2/STAT3 下游信号级联上调 PC 中的 MUC4 粘蛋白,从而促进 PC 的转移。