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Updated: Jun 14, 2026

Reprogramming Pancreatic Ductal Adenocarcinoma to Pluripotency
Published on: February 2, 2024
TRAIL signaling is mediated by DR4 in pancreatic tumor cells despite the expression of functional DR5
Johannes Lemke1, Andreas Noack, Dieter Adam
1Division of Molecular Oncology, Institute of Experimental Cancer Research, Comprehensive Cancer Center North, UK S-H, Arnold-Heller Str. 3, Haus 17, 24 105 Kiel, Germany.
Abstract:
Tumor necrosis factor related apoptosis-inducing ligand (TRAIL) and agonistic anti-DR4/TRAIL-R1 and anti-DR5/TRAIL-R2 antibodies are currently under clinical investigation for treatment of different malignancies. TRAIL activates DR4 and DR5 and thereby triggers apoptotic and non-apoptotic signaling pathways, but possible different roles of DR4 or DR5 in these responses has poorly been addressed so far. In the present work, we analyzed cell viability, DISC formation as well as IL-8 and NF-kappaB activation side by side in responses to TRAIL and agonistic antibodies against DR4 (mapatumumab) and against DR5 (lexatumumab) in pancreatic ductal adenocarcinoma cells. We found that all three reagents are able to activate cell death and pro-inflammatory signaling. Death-inducing signaling complex (DISC) analysis revealed that mapatumumab and lexatumumab induce formation of homocomplexes of either DR4 or DR5, whereas TRAIL additionally stimulated the formation of heterocomplexes of both receptors. Notably, blocking of receptors using DR4- and DR5-specific Fab fragments indicated that TRAIL exerted its function predominantly via DR4. Interestingly, inhibition of PKC by Goe6983 enabled DR5 to trigger apoptotic signaling in response to TRAIL and also strongly enhanced lexatumumab-mediated cell death. Our results suggest the existence of mechanisms that silence DR5 for TRAIL- but not for agonistic-antibody treatment.
Insights
Tumor necrosis factor related apoptosis-inducing ligand (TRAIL) and its antibodies activate cell death signaling. TRAIL primarily uses DR4, while DR5 is silenced for TRAIL but not antibody treatment.
Area of Science:
- Oncology
- Molecular Biology
- Immunology
Background:
- TRAIL (Tumor necrosis factor related apoptosis-inducing ligand) and agonistic antibodies targeting DR4/TRAIL-R1 and DR5/TRAIL-R2 are investigated for cancer therapy.
- TRAIL activates DR4 and DR5, initiating apoptotic and non-apoptotic pathways, but their distinct roles remain unclear.
Purpose of the Study:
- To compare the effects of TRAIL, anti-DR4 (mapatumumab), and anti-DR5 (lexatumumab) antibodies on pancreatic ductal adenocarcinoma cells.
- To elucidate the differential roles of DR4 and DR5 in mediating cell death and inflammatory signaling.
Main Methods:
- Analysis of cell viability, Death-Inducing Signaling Complex (DISC) formation, and IL-8/NF-kappaB activation.
- Use of DR4- and DR5-specific Fab fragments for receptor blocking.
- Inhibition of Protein Kinase C (PKC) using Goe6983.
Main Results:
- TRAIL, mapatumumab, and lexatumumab activated cell death and pro-inflammatory signaling.
- Mapatumumab and lexatumumab induced DR4 or DR5 homocomplexes, while TRAIL induced heterocomplexes.
- TRAIL predominantly signaled via DR4; DR5 could trigger apoptosis with TRAIL upon PKC inhibition, and lexatumumab-mediated cell death was enhanced.
Conclusions:
- TRAIL primarily signals through DR4, with mechanisms silencing DR5 for TRAIL-induced apoptosis but not for antibody treatment.
- Agonistic antibodies activate DR4 and DR5 independently of TRAIL's signaling pathway.
- Targeting DR4 and DR5 offers distinct therapeutic strategies in pancreatic cancer.
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