Article ; Online: Tumor Explants Elucidate a Cascade of Paracrine SHH, WNT, and VEGF Signals Driving Pancreatic Cancer Angiosuppression.
2023 Volume 14, Issue 2, Page(s) 348–361
Abstract: The sparse vascularity of pancreatic ductal adenocarcinoma (PDAC) presents a mystery: What prevents this aggressive malignancy from undergoing neoangiogenesis to counteract hypoxia and better support growth? An incidental finding from prior work on ... ...
| Abstract | The sparse vascularity of pancreatic ductal adenocarcinoma (PDAC) presents a mystery: What prevents this aggressive malignancy from undergoing neoangiogenesis to counteract hypoxia and better support growth? An incidental finding from prior work on paracrine communication between malignant PDAC cells and fibroblasts revealed that inhibition of the Hedgehog (HH) pathway partially relieved angiosuppression, increasing tumor vascularity through unknown mechanisms. Initial efforts to study this phenotype were hindered by difficulties replicating the complex interactions of multiple cell types in vitro. Here we identify a cascade of paracrine signals between multiple cell types that act sequentially to suppress angiogenesis in PDAC. Malignant epithelial cells promote HH signaling in fibroblasts, leading to inhibition of noncanonical WNT signaling in fibroblasts and epithelial cells, thereby limiting VEGFR2-dependent activation of endothelial hypersprouting. This cascade was elucidated using human and murine PDAC explant models, which effectively retain the complex cellular interactions of native tumor tissues. Significance: We present a key mechanism of tumor angiosuppression, a process that sculpts the physiologic, cellular, and metabolic environment of PDAC. We further present a computational and experimental framework for the dissection of complex signaling cascades that propagate among multiple cell types in the tissue environment. This article is featured in Selected Articles from This Issue, p. 201. |
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| MeSH term(s) | Animals ; Humans ; Mice ; Carcinoma, Pancreatic Ductal/pathology ; Cell Line, Tumor ; Cell Proliferation ; Hedgehog Proteins/genetics ; Pancreatic Neoplasms/pathology ; Vascular Endothelial Growth Factor A |
| Chemical Substances | Hedgehog Proteins ; SHH protein, human ; Vascular Endothelial Growth Factor A ; Shh protein, mouse ; VEGFA protein, human ; vascular endothelial growth factor A, mouse |
| Language | English |
| Publishing date | 2023-11-14 |
| Publishing country | United States |
| Document type | Journal Article |
| ZDB-ID | 2625242-9 |
| ISSN | 2159-8290 ; 2159-8274 |
| ISSN (online) | 2159-8290 |
| ISSN | 2159-8274 |
| DOI | 10.1158/2159-8290.CD-23-0240 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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