金属蛋白酶组织抑制剂1作为胰腺导管腺癌静脉侵犯的生物标志物
Tissue inhibitor of metalloproteinase 1 as a biomarker of venous invasion in pancreatic ductal adenocarcinoma.
作者信息
Sung You-Na, Kim Mi-Ju, Jun Sun-Young, Kim Yeon Wook, Park Jihyun, Jang Sung-Wuk, Song Tae Jun, Song Ki Byung, Hong Seung-Mo
机构信息
Department of Pathology, Asan Medical Center, University of Ulsan College of Medicine Seoul, Republic of Korea.
Department of Pathology, Korea University Anam Hospital, Korea University College of Medicine Seoul, Republic of Korea.
出版信息
Am J Cancer Res. 2025 Mar 15;15(3):1248-1263. doi: 10.62347/OVUJ4436. eCollection 2025.
Pancreatic ductal adenocarcinoma (PDAC) is a fatal disease with a poor prognosis. While venous invasion is believed to contribute to liver metastasis and an unfavorable prognosis, the precise mechanisms involved remain unclear. Here, we conducted gene expression profiling on eight PDAC tissue samples exhibiting portal venous invasion (VI group) compared to PDAC samples without portal venous invasion (CA group) and normal portal vein tissues (NV group). A subset of genes, including tissue inhibitor of metalloproteinase 1 (), C-X-C motif chemokine receptor 4 (), olfactomedin-like 2B (), and cytochrome P450 family 1 subfamily B member 1 (), was found to be specifically expressed in the PDAC group with venous invasion. Immunohistochemical staining of 15 cases revealed significantly higher levels of (P=.026) and (P<.001) in the VI set compared to the CA set. In addition, the PDAC group with strong TIMP1 expression had a higher frequency of lymphovascular invasion (P<.001) and lower 5-year survival rates than the PDAC group with no/weak expression (P=.027). Specific expression in the venous invasion foci was highlighted on 3D reconstruction imaging. Invasion assays and/or Western blot analyses were performed on pancreatic cancer cells (Panc1), cancer-associated fibroblasts (CAFs), and human endothelial cells (EA.hy926). TIMP1 inhibition suppressed cancer cell invasion in the presence of CAFs. TIMP1 expression increased with PI3Kp110, phospho-AKT, and phospho-ERK1/2 in Panc1 cells co-cultured with CAFs and EA.hy926 endothelial cells. Our data demonstrate that TIMP1 in pancreatic cancer cells promotes venous invasion of PDACs by activating the PI3K/AKT and ERK1/2 pathways in collaboration with CAFs and endothelial cells. Therefore, TIMP1 may serve as a biomarker for venous invasion in PDACs.
胰腺导管腺癌(PDAC)是一种预后较差的致命性疾病。虽然静脉侵犯被认为会导致肝转移和不良预后,但其确切机制仍不清楚。在此,我们对八个表现出门静脉侵犯的PDAC组织样本(VI组)进行了基因表达谱分析,并与无门静脉侵犯的PDAC样本(CA组)和正常门静脉组织(NV组)进行比较。发现一组基因,包括基质金属蛋白酶组织抑制剂1(TIMP1)、C-X-C基序趋化因子受体4(CXCR4)、嗅觉介质样2B(OLFM2B)和细胞色素P450家族1亚家族B成员1(CYP1B1),在有静脉侵犯的PDAC组中特异性表达。对15例病例进行免疫组织化学染色显示,与CA组相比,VI组中TIMP1(P = 0.026)和CXCR4(P < 0.001)的水平显著更高。此外,TIMP1表达强的PDAC组与无/弱TIMP1表达的PDAC组相比,淋巴管侵犯频率更高(P < 0.001),5年生存率更低(P = 0.027)。在三维重建成像上突出显示了静脉侵犯灶中的特异性CXCR4表达。我们对胰腺癌细胞(Panc1)、癌症相关成纤维细胞(CAFs)和人内皮细胞(EA.hy926)进行了侵袭试验和/或蛋白质印迹分析。在存在CAFs的情况下,TIMP1抑制可抑制癌细胞侵袭。在与CAFs和EA.hy926内皮细胞共培养的Panc1细胞中,TIMP1表达随PI3Kp110、磷酸化AKT和磷酸化ERK1/2增加。我们的数据表明,胰腺癌细胞中的TIMP1通过与CAFs和内皮细胞协作激活PI3K/AKT和ERK1/2途径,促进PDAC的静脉侵犯。因此,TIMP1可能作为PDAC中静脉侵犯的生物标志物。