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Updated: May 15, 2026

Reprogramming Pancreatic Ductal Adenocarcinoma to Pluripotency
Published on: February 2, 2024
The involvement of a Nanog, Klf4 and c-Myc transcriptional circuitry in the intertwining between neoplastic
Ilaria Marzi1, Maria Grazia Cipolleschi, Massimo D'Amico
1Department of Experimental Pathology and Oncology, University of Florence, Florence, Italy.
Abstract:
One undisputed milestone of traditional oncology is neoplastic progression, which consists of a progressive selection of dedifferentiated cells driven by a chance sequence of genetic mutations. Recently it has been demonstrated that the overexpression of well-defined transcription factors reprograms somatic cells to the pluripotent stem status. The demonstration raises crucial questions as to whether and to what extent this reprogramming contributes to tumorigenesis, and whether the epigenetic changes involved in it are reversible. Here, we show for the first time that a tumor produced in vivo by a chemical carcinogen is the product of the interaction between neoplastic progression and reprogramming. The experimental model employed the prototype of ascites tumors, the Yoshida AH130 hepatoma and other neoplasias, including human melanoma. AH130 hepatoma was started in the liver by the carcinogen o-aminoazotoluene. This compound binds to and abolishes the p53 protein, producing a genomic instability that promotes both the neoplastic progression and the hepatoma reprogramming. Eventually this tumor contained 100% CD133(+) elements and pO(2)-dependent percentages of the three embryonic transcription factors Nanog, Klf4 and c-Myc. Once transferred into aerobic cultures, the minor cellular fraction expressing this triad generates various types of adherent cells, which are progressively substituted by non-tumorigenic elements committed to fibromuscular, neuronal and glial differentiation. This reprogramming appears to be accomplished stepwise, with the assembly of the triad into a sophisticated transcriptional, oxygen-dependent circuitry, in which Nanog and Klf4 antagonistically regulate c-Myc, and hence, cell hypoxia survival and cell cycle activation.
Insights
Chemical carcinogens can induce tumors by combining cancer progression with cellular reprogramming. This study reveals that reprogramming factors in tumors are reversible, offering new insights into cancer development and potential therapeutic strategies.
Area of Science:
- Oncology
- Developmental Biology
- Cancer Research
Background:
- Neoplastic progression involves genetic mutations leading to dedifferentiated cells.
- Somatic cell reprogramming to pluripotent stem cells is achievable via transcription factor overexpression.
- The role of reprogramming in tumorigenesis and its reversibility remain key questions.
Purpose of the Study:
- To investigate the interplay between neoplastic progression and cellular reprogramming in chemically induced tumors.
- To determine if epigenetic changes driving reprogramming in tumors are reversible.
- To explore the potential of reprogramming for cancer therapy.
Main Methods:
- Utilized the Yoshida AH130 hepatoma ascites tumor model and other neoplasms, including human melanoma.
- Induced hepatoma using the carcinogen o-aminoazotoluene, which targets the p53 protein.
- Analyzed tumor cells for CD133 expression and embryonic transcription factors (Nanog, Klf4, c-Myc) under varying oxygen levels.
- Cultured tumor cells in aerobic conditions to observe differentiation potential.
Main Results:
- The carcinogen o-aminoazotoluene induced genomic instability, promoting both neoplastic progression and reprogramming in hepatoma.
- Tumors contained CD133(+) cells and showed pO(2)-dependent expression of Nanog, Klf4, and c-Myc.
- A subpopulation of tumor cells expressing these factors could differentiate into non-tumorigenic fibromuscular, neuronal, and glial cells in aerobic culture.
- Reprogramming occurred stepwise via a transcriptional, oxygen-dependent circuit involving Nanog, Klf4, and c-Myc.
Conclusions:
- Chemically induced tumors result from the interaction of neoplastic progression and cellular reprogramming.
- The reprogramming process in tumors is reversible and can lead to differentiation of non-tumorigenic cells.
- Understanding this reprogramming circuitry offers potential avenues for novel cancer therapies targeting tumor plasticity.
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