Principe Daniel R, DeCant Brian, Mascariñas Emman, Wayne Elizabeth A, Diaz Andrew M, Akagi Naomi, Hwang Rosa, Pasche Boris, Dawson David W, Fang Deyu, Bentrem David J, Munshi Hidayatullah G, Jung Barbara, Grippo Paul J
University of Illinois College of Medicine, Urbana-Champaign, Illinois.
Department of Medicine, University of Illinois at Chicago, Chicago, Illinois.
Cancer Res. 2016 May 1;76(9):2525-39. doi: 10.1158/0008-5472.CAN-15-1293. Epub 2016 Mar 15.
In early pancreatic carcinogenesis, TGFβ acts as a tumor suppressor due to its growth-inhibitory effects in epithelial cells. However, in advanced disease, TGFβ appears to promote tumor progression. Therefore, to better understand the contributions of TGFβ signaling to pancreatic carcinogenesis, we generated mouse models of pancreatic cancer with either epithelial or systemic TGFBR deficiency. We found that epithelial suppression of TGFβ signals facilitated pancreatic tumorigenesis, whereas global loss of TGFβ signaling protected against tumor development via inhibition of tumor-associated fibrosis, stromal TGFβ1 production, and the resultant restoration of antitumor immune function. Similarly, TGFBR-deficient T cells resisted TGFβ-induced inactivation ex vivo, and adoptive transfer of TGFBR-deficient CD8(+) T cells led to enhanced infiltration and granzyme B-mediated destruction of developing tumors. These findings paralleled our observations in human patients, where TGFβ expression correlated with increased fibrosis and associated negatively with expression of granzyme B. Collectively, our findings suggest that, despite opposing the proliferation of some epithelial cells, TGFβ may promote pancreatic cancer development by affecting stromal and hematopoietic cell function. Therefore, the use of TGFBR inhibition to target components of the tumor microenvironment warrants consideration as a potential therapy for pancreatic cancer, particularly in patients who have already lost tumor-suppressive TGFβ signals in the epithelium. Cancer Res; 76(9); 2525-39. ©2016 AACR.
在胰腺癌发生早期,转化生长因子β(TGFβ)因其对上皮细胞的生长抑制作用而发挥肿瘤抑制因子的功能。然而,在疾病进展期,TGFβ似乎会促进肿瘤进展。因此,为了更好地理解TGFβ信号通路在胰腺癌发生中的作用,我们构建了上皮细胞或全身TGFβ受体(TGFBR)缺陷的胰腺癌小鼠模型。我们发现,上皮细胞中TGFβ信号的抑制促进了胰腺肿瘤发生,而TGFβ信号的整体缺失则通过抑制肿瘤相关纤维化、基质TGFβ1的产生以及由此恢复的抗肿瘤免疫功能来预防肿瘤发展。同样,TGFBR缺陷的T细胞在体外可抵抗TGFβ诱导的失活,过继转移TGFBR缺陷的CD8(+) T细胞可增强其向正在形成的肿瘤浸润,并增强颗粒酶B介导的肿瘤破坏作用。这些发现与我们在人类患者中的观察结果一致,在人类患者中,TGFβ表达与纤维化增加相关,且与颗粒酶B的表达呈负相关。总体而言,我们的研究结果表明,尽管TGFβ抑制某些上皮细胞的增殖,但它可能通过影响基质细胞和造血细胞功能来促进胰腺癌的发展。因此,考虑将抑制TGFBR作为一种靶向肿瘤微环境成分的潜在胰腺癌治疗方法是有必要的,特别是对于那些上皮细胞中已经失去肿瘤抑制性TGFβ信号的患者。《癌症研究》;76(9);2525 - 39。©2016美国癌症研究协会。