Abstract

Pancreatic ductal adenocarcinoma (PDAC) is one of the most lethal malignant neoplasms and registers rising death rates in western countries. Due to its late detection in advanced stages, its extremely aggressive nature and the minimal effectiveness of currently available therapies, PDAC is a challenging problem in the clinical field. One characteristic of PDAC is a distinct desmoplasia consisting of fibroblasts, endothelial and immune cells as well as non-cellular components, contributing to therapy resistance. It is well established that the NF-κB signaling pathway controls inflammation, cancer progression and apoptosis resistance in PDAC. This study attempts to identify NF-κB target genes mediating therapy resistance of humane PDAC cell lines towards death ligand induced apoptosis. By using a genome wide unbiased approach the chemokine CX3CL1 was established as a central NF-κB target gene mediating therapy resistance. While no direct impact of CX3CL1 expression on cancer cell apoptosis was identified in co-culture assays it became apparent that CX3CL1 is acting in a paracrine fashion, leading to an increased recruitment of inflammatory cells. These inflammatory cells in turn mediate apoptosis resistance of PDAC cells. Therefore, our data dissect a bifunctional cross-signaling pathway in PDAC between tumor and immune cells giving rise to therapy resistance.

Highlights

  • Pancreatic ductal adenocarcinoma (PDAC) is the fourth leading cause of cancer related death in Western countries

  • Given the fact that the inducible but not constitutive NF-κB activity prevents death receptor mediated signaling in PDAC cells [14], the present study aimed to identify RelA target genes jointly responsible for TNF alpha related apoptosis inducing ligand (TRAIL) mediated apoptosis resistance in pancreatic cancer cells

  • In a second transcriptome analysis resistant Panc1 cells were first treated with specific siRNA towards the most abundant NF-κB subunit RelA or control siRNA and treated with TRAIL to identify RelA dependent TRAIL target genes

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Summary

Introduction

Pancreatic ductal adenocarcinoma (PDAC) is the fourth leading cause of cancer related death in Western countries. The interaction of attracted immune cells with cancer cells gained particular attention because cytokines secreted by immune cells seem to promote the initiation, propagation and metastasis of tumors [4]. A continuously increasing body of evidence shows that in addition to the desmoplastic cells the cancer cells express a variety of cytokines to create a tumor-promoting microenvironment. Pancreatic cancer cells secrete for instance IL-13 to stimulate tumor promoting macrophages [5] or the chemokine CCL20 which facilitates the attraction of immune cells providing resistance against death receptor ligand mediated apoptosis [6]. A third modality of cytokine mediated tumor promotion, cancer cells express cytokine receptors and foster via the binding of the corresponding ligand an autocrine signaling loop which promotes cancer cell growth [4]

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