Cold Spring Harbor Laboratory, Cold Spring Harbor, New York.
Lustgarten Foundation Pancreatic Cancer Research Laboratory, Cold Spring Harbor, New York.
Cancer Discov. 2019 Feb;9(2):282-301. doi: 10.1158/2159-8290.CD-18-0710. Epub 2018 Oct 26.
Pancreatic ductal adenocarcinoma (PDAC) is poorly responsive to therapies and histologically contains a paucity of neoplastic cells embedded within a dense desmoplastic stroma. Within the stroma, cancer-associated fibroblasts (CAF) secrete tropic factors and extracellular matrix components, and have been implicated in PDAC progression and chemotherapy resistance. We recently identified two distinct CAF subtypes characterized by either myofibroblastic or inflammatory phenotypes; however, the mechanisms underlying their diversity and their roles in PDAC remain unknown. Here, we use organoid and mouse models to identify TGFβ and IL1 as tumor-secreted ligands that promote CAF heterogeneity. We show that IL1 induces LIF expression and downstream JAK/STAT activation to generate inflammatory CAFs and demonstrate that TGFβ antagonizes this process by downregulating IL1R1 expression and promoting differentiation into myofibroblasts. Our results provide a mechanism through which distinct fibroblast niches are established in the PDAC microenvironment and illuminate strategies to selectively target CAFs that support tumor growth. SIGNIFICANCE: Understanding the mechanisms that determine CAF heterogeneity in PDAC is a prerequisite for the rational development of approaches that selectively target tumor-promoting CAFs. Here, we identify an IL1-induced signaling cascade that leads to JAK/STAT activation and promotes an inflammatory CAF state, suggesting multiple strategies to target these cells . .
胰腺导管腺癌(PDAC)对治疗的反应很差,组织学上含有嵌入在致密纤维母细胞性基质中的少量肿瘤细胞。在基质中,癌相关成纤维细胞(CAF)分泌营养因子和细胞外基质成分,并与 PDAC 的进展和化疗耐药有关。我们最近鉴定出两种不同的 CAF 亚型,其特征分别为肌纤维母细胞或炎症表型;然而,其多样性的机制及其在 PDAC 中的作用仍不清楚。在这里,我们使用类器官和小鼠模型来鉴定 TGFβ 和 IL1 作为促进 CAF 异质性的肿瘤分泌配体。我们表明,IL1 诱导 LIF 的表达和下游 JAK/STAT 激活,从而产生炎症性 CAF,并证明 TGFβ 通过下调 IL1R1 的表达和促进向肌纤维母细胞分化来拮抗这个过程。我们的结果提供了一种机制,通过该机制,在 PDAC 微环境中建立了不同的成纤维细胞龛位,并阐明了选择性靶向支持肿瘤生长的 CAF 的策略。意义:了解决定 PDAC 中 CAF 异质性的机制是合理开发选择性靶向肿瘤促进性 CAF 的方法的前提。在这里,我们确定了一个由 IL1 诱导的信号级联反应,导致 JAK/STAT 激活,并促进炎症性 CAF 状态,提示有多种策略可以靶向这些细胞。
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