Direct TGF-β1 signaling between activated platelets and pancreatic cancer cells primes cisplatin insensitivity

Hongxu Chen1, Xiang Lan, Menggang Liu

  • 1Department of Hepatobiliary Surgery, Daping Hospital, The Third Military Medical University, 10 Changjiangzhilu Daping, Chongqing 400042, P.R., China.

Insights

Activated platelets prime pancreatic cancer cells for chemotherapy insensitivity via TGF-β1 signaling. This interaction, involving platelet-derived TGF-β1, reduces sensitivity to cisplatin, suggesting new therapeutic targets.

Area of Science:

  • Oncology
  • Cancer Biology
  • Translational Research

Background:

  • Pancreatic cancer exhibits significant chemotherapy insensitivity, hindering effective treatment.
  • Tumor microenvironment interactions critically influence cancer cell chemosensitivity.
  • The role of signals during tumor cell intravascular transit in chemotherapy response is largely unknown.

Purpose of the Study:

  • To investigate if intravascular signals, specifically platelet-cancer cell interactions, affect pancreatic cancer cell sensitivity to chemotherapy.
  • To elucidate the mechanisms by which platelet interactions might induce chemotherapy insensitivity.

Main Methods:

  • Utilized in vitro models of pancreatic cancer cells and activated platelets.
  • Assessed the impact of platelet-cancer cell interactions on sensitivity to cisplatin (CDDP).
  • Investigated the role of platelet-derived transforming growth factor-beta 1 (TGF-β1) and downstream signaling pathways (PI3K/Akt, MEK/Erk).

Main Results:

  • Activated platelet-cancer cell interactions are sufficient to induce cisplatin (CDDP) insensitivity in pancreatic cancer cells.
  • Platelet-derived TGF-β1, not direct cell contact, activates PI3K/Akt and MEK/Erk signaling in cancer cells.
  • Activation of these pathways leads to a significant reduction in CDDP sensitivity.

Conclusions:

  • Platelet-cancer cell interactions, mediated by TGF-β1, represent a novel mechanism for chemotherapy insensitivity in pancreatic cancer.
  • Targeting platelet-derived TGF-β1 and associated signaling pathways may offer new strategies for overcoming cisplatin resistance in pancreatic cancer.
  • These findings highlight the importance of the tumor microenvironment during metastasis in shaping treatment response.