Abstract A023: Cytokine loss leads to decreased tumor differentiation and a more aggressive phenotype

Abstract

Abstract Pancreatic ductal adenocarcinoma (PDAC) is one of the deadliest cancers with a 5-year survival rate of only 11% and approximately half the patients present with distant metastasis at the time of diagnosis. PDAC is accompanied by pronounced alterations in stromal responses and immune surveillance programs, which are now recognized as some of the major drivers in PDAC tumor evolution. The role of immune modulators in driving aggressiveness of PDAC is poorly understood. We investigate how the loss of host-derived IL-12 and IL-23 in murine models of pancreatic cancer can lead to changes in changes in tumor morphology, cellular differentiation, and tumor immune microenvironment. In orthotopic tumors isolated from IL-12 and IL-23 knockout mice tumor morphology is altered and appears to be less differentiated. Noticeably, ductal area decreases in tumors from IL-23 and IL-12 knockout mice. Single cell RNA sequencing of tumors isolated from IL-12 and IL-23 knockout mice reveals a cluster of tumor cells with decreased gastric gene expression. Gastric genes such as TFF1, TFF2, MUC5AC, GKN1, and GKN2 have been implicated in pancreatic cancer development, progression, and tumor subtype. The classical pancreatic tumor subtype designation correlates with better differentiated pancreatic tumors as opposed to the more poorly differentiated tumors in the basal subtype. The classical expression signature is characterized by the expression of GATA6 and other epithelial cell terminal differentiation genes and includes several of these gastric genes. We hypothesize that loss of IL-12 and IL-23 leads to loss of tumor differentiation and to a more aggressive phenotype. Citation Format: Whitney J. Bell, Nancy Kren, Yan Wang, Jennifer Modliszewski, Yi Xu, Meijiang Guan, Kathleen DelGiorno, Jen Jen Yeh, Yuliya Pylayeva-Gupta. Cytokine loss leads to decreased tumor differentiation and a more aggressive phenotype [abstract]. In: Proceedings of the AACR Special Conference in Cancer Research: Pancreatic Cancer; 2023 Sep 27-30; Boston, Massachusetts. Philadelphia (PA): AACR; Cancer Res 2024;84(2 Suppl):Abstract nr A023.