Lee Nien-Hung, Ma Yi, Ang Ching-Seng, Dumesny Chelsea, Huynh Nhi, Yang Yang, Wang Kai, Nikfarjam Mehrdad, He Hong
Department of Surgery, University of Melbourne, Austin Health Heidelberg, Victoria, Australia.
Bio-21 Institute, University of Melbourne Parkville, Victoria, Australia.
Am J Transl Res. 2023 Apr 15;15(4):2676-2689. eCollection 2023.
Chemoresistance is one of the major causes to the poor prognosis of pancreatic cancer (PC). Gemcitabine alone and gemcitabine-based therapies are mostly used for the treatment of PC. Gemcitabine resistance becomes the focus of chemotherapy. C-X-C motif chemokine 5 (CXCL5), a member of the C-X-C chemokine family, acts through C-X-C chemokine receptor type 2 (CXCR2). A high level of CXCL5 is associated with worse prognosis in PC patients and increased suppressive immune cell infiltration. Increased expression of CXCL5 is also found in gemcitabine-treated PC cells. To investigate the role of CXCL5 in PC response to gemcitabine, CXCL5 knockdown (KD) PC cells were generated and its effect on cancer cell response to gemcitabine and was studied. The mechanisms involved were also explored by determining the changes in the tumour microenvironment (TME) and protein profile of the CXCL5 KD cells using immune-staining and proteomic analysis. The results showed that CXCL5 expression were increased in all PC cell lines tested and in gemcitabine-resistant tumour tissue, that CXCL5 KD suppressed PC growth and sensitized PC cell response to gemcitabine and that CXCL5 KD stimulated the activation of stromal cells in TME. We conclude that CXCL5 promotes gemcitabine resistance by affecting TME and cancer cells.
化疗耐药是胰腺癌(PC)预后不良的主要原因之一。单纯吉西他滨及基于吉西他滨的疗法大多用于治疗PC。吉西他滨耐药成为化疗的焦点。C-X-C基序趋化因子5(CXCL5)是C-X-C趋化因子家族的一员,通过C-X-C趋化因子受体2(CXCR2)发挥作用。PC患者中高水平的CXCL5与更差的预后及抑制性免疫细胞浸润增加相关。在经吉西他滨处理的PC细胞中也发现CXCL5表达增加。为研究CXCL5在PC对吉西他滨反应中的作用,构建了CXCL5基因敲低(KD)的PC细胞,并研究其对癌细胞对吉西他滨反应的影响。还通过免疫染色和蛋白质组学分析确定CXCL5 KD细胞的肿瘤微环境(TME)和蛋白质谱变化,探索其中涉及的机制。结果显示,在所有测试的PC细胞系及吉西他滨耐药肿瘤组织中CXCL5表达均增加,CXCL5 KD抑制PC生长并使PC细胞对吉西他滨敏感,且CXCL5 KD刺激TME中基质细胞的活化。我们得出结论,CXCL5通过影响TME和癌细胞促进吉西他滨耐药。