Abstract Background: Metastasizing cancer cells rapidly associate with platelets in circulation, but the nature and functional consequences of this interaction have yet to be fully elucidated. Here we investigated the physical interaction of platelets with pancreatic cancer (PC) cells and the contribution of platelet-derived platelet factor 4 (PF4) mediated signaling in PC cells. Methods: Immunohistochemistry (IHC) and western blot analysis were performed to characterize the expression of PF4 receptor, CXCR3, in 42 Whipple samples and 8 PC cell lines respectively. Physical interaction of human platelets with PC cell lines and its impact on PC cell proliferation in low attachment conditions was analyzed by flow cytometry. Cell viability was assayed by MTT analysis. Immunofluorescence analysis was performed to evaluate PF4 induced autophagy. Results: IHC and western blot analysis in Whipple samples showed CXCR3 expression in 86 percent of the pancreatic tumors and on all the tested PC cell lines respectively. Flow cytometry demonstrated that 24 percent of Capan1 cells interacted with platelets. Interestingly, incubation of platelets with cell-cycle-synchronized Capan1 cells under low attachment conditions inhibited the proliferation of PC cells (~10 percent) at 24 but not 48 hours. This effect was abrogated by pharmacological inhibition of CXCR3 with AMG487. Concurrently, the viability of Capan1 cells grown in low attachment conditions and treated with platelets for 72 hours was greater than that of control and AMG487 with platelets treated groups as assessed by MTT assay. Mechanistic studies suggested that recombinant PF4 augments autophagosome formation as an early event and increases the expression of p21 as a late event. Of note, both LC3 punctation and p21 expression are abrogated by concomitant incubation with PF4 and AMG487. Conclusion: Platelets appear to rapidly interact with cancer cells in suspension. Additionally, in a PF4-CXCR3 signaling dependent manner, platelets inhibit cell cycle progression and increase PC cell viability in low attachment conditions. Cumulatively, these data suggest that platelets aid in the metastatic dissemination of pancreatic cancer cells. Citation Format: Andrew C. Cannon, Sushil Kumar, Bradley Hall, Rakesh Bhatia, Rakesh Singh, Surinder Batra. Pancreatic cancer cell interaction with platelets impedes cell cycle progression and increases viability [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2017; 2017 Apr 1-5; Washington, DC. Philadelphia (PA): AACR; Cancer Res 2017;77(13 Suppl):Abstract nr 3912. doi:10.1158/1538-7445.AM2017-3912
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