Abstract

Radiation therapy is a staple treatment for pancreatic cancer. However, owing to the intrinsic radioresistance of pancreatic cancer cells, radiation therapy often fails to increase survival of pancreatic cancer patients. Radiation impedes cancer cells by inducing DNA damage, which can activate cell cycle checkpoints. Normal cells possess both a G1 and G2 checkpoint. However, cancer cells are often defective in G1 checkpoint due to mutations/alterations in key regulators of this checkpoint. Accordingly, our results show that normal pancreatic ductal cells respond to ionizing radiation (IR) with activation of both checkpoints whereas pancreatic cancer cells respond to IR with G2/M arrest only. Overexpression/hyperactivation of Rac1 GTPase is detected in the majority of pancreatic cancers. Rac1 plays important roles in survival and Ras-mediated transformation. Here, we show that Rac1 also plays a critical role in the response of pancreatic cancer cells to IR. Inhibition of Rac1 using specific inhibitor and dominant negative Rac1 mutant not only abrogates IR-induced G2 checkpoint activation, but also increases radiosensitivity of pancreatic cancer cells through induction of apoptosis. These results implicate Rac1 signaling in the survival of pancreatic cancer cells following IR, raising the possibility that this pathway contributes to the intrinsic radioresistance of pancreatic cancer.

Highlights

  • Radiation therapy is a staple treatment for pancreatic cancer patients, especially for those with locally advanced or borderline resectable disease [1, 2]

  • We examined the effect of related C3 botulinum toxin substrate 1 (Rac1) inhibition on cell survival after ionizing radiation (IR) using a clonogenic assay

  • We tested the effect of Rac1 inhibition on the viability of irradiated human pancreatic ductal cells (HPNE) normal cells, which express a much lower level of Rac1 protein relative to CD18/HPAF pancreatic cancer cells (Fig. 2)

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Summary

Introduction

Radiation therapy is a staple treatment for pancreatic cancer patients, especially for those with locally advanced or borderline resectable disease [1, 2]. For the vast majority of pancreatic cancer patients, radiation therapy still fails to significantly increase survival or improve quality of life [3]. This lack of efficacy is primarily due to the intrinsic radioresistance of pancreatic cancer cells, as only 12–40% of pancreatic tumors exhibit an objective response to radiation therapy [4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22]. Cancer cells are much more reliant on the functionality of the G2 checkpoint for their survival after radiation therapy

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