Division of Surgical Research, Department of Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania.
Jefferson Pancreas, Biliary and Related Cancer Center, Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania.
Wiley Interdiscip Rev RNA. 2018 May;9(3):e1469. doi: 10.1002/wrna.1469. Epub 2018 Feb 16.
Pancreatic ductal adenocarcinoma (PDAC) is one of the most lethal cancers with dismal patient outcomes. The underlying core genetic drivers of disease have been identified in human tumor specimens and described in genetically engineered mouse models. These genetic drivers of PDAC include KRAS signaling, TP53 mutations, and genetic loss of the SMAD4 tumor suppressor protein. Beyond the known mutational landscape of PDAC genomes, alternative disrupted targets that extend beyond conventional genetic mutations have been elusive and understudied in the context of PDAC cell therapeutic resistance and survival. This last point is important because PDAC tumors have a unique and complex tumor microenvironment that includes hypoxic and nutrient-deprived niches that could select for cell populations that garner therapeutic resistance, explaining tumor heterogeneity in regards to response to different therapies. We and others have embarked in a line of investigation focused on the key molecular mechanism of posttranscriptional gene regulation that is altered in PDAC cells and supports this pro-survival phenotype intrinsic to PDAC cells. Specifically, the key regulator of this mechanism is a RNA-binding protein, HuR (ELAVL1), first described in cancer nearly two decades ago. Herein, we will provide a brief overview of the work demonstrating the importance of this RNA-binding protein in PDAC biology and then provide insight into ongoing work developing therapeutic strategies aimed at targeting this molecule in PDAC cells. This article is categorized under: RNA in Disease and Development > RNA in Disease.
胰腺导管腺癌 (PDAC) 是最致命的癌症之一,患者预后极差。在人类肿瘤标本中已经确定了疾病的核心遗传驱动因素,并在基因工程小鼠模型中进行了描述。这些 PDAC 的遗传驱动因素包括 KRAS 信号、TP53 突变和 SMAD4 肿瘤抑制蛋白的遗传缺失。除了 PDAC 基因组中已知的突变景观外,在 PDAC 细胞治疗耐药性和存活的背景下,超出传统遗传突变的替代失调靶点一直难以捉摸且研究不足。最后这一点很重要,因为 PDAC 肿瘤具有独特而复杂的肿瘤微环境,包括缺氧和营养匮乏的小生境,这些小生境可能会选择获得治疗耐药性的细胞群体,从而解释了不同治疗方法对肿瘤异质性的反应。我们和其他人已经开始进行一系列的研究,重点关注 PDAC 细胞中转录后基因调控的关键分子机制,该机制支持 PDAC 细胞固有的这种存活表型。具体来说,这种机制的关键调节剂是一种 RNA 结合蛋白,HuR(ELAVL1),它在近二十年前就在癌症中首次被描述。在此,我们将简要概述证明这种 RNA 结合蛋白在 PDAC 生物学中的重要性的工作,然后提供有关正在进行的旨在靶向 PDAC 细胞中该分子的治疗策略的见解。本文属于以下分类:RNA 在疾病与发育中的作用 > RNA 在疾病中的作用。