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The multifunctional growth factor midkine promotes proliferation and migration in pancreatic cancer
Tamina Rawnaq1, Luisa Dietrich, Gerrit Wolters-Eisfeld
1Authors' Affiliations: Department of General, Visceral and Thoracic Surgery, Experimental Oncology and 2Institute for Pathology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Unlabelled:
Pancreatic ductal adenocarcinoma (PDAC) has a devastating prognosis among solid tumors and despite increased knowledge of the molecular mechanisms contributing to progression and metastasis, minimal progress has been done in establishing new targeted therapies for this deadly disease. The expression of the multifunctional growth/differentiation factor midkine (MK) promotes a variety of cellular functions leading to increased angiogenesis, proliferation, migration, and survival. Moreover, MK is intensively discussed as a potential new-therapy target and as biomarker for cancer progression and chemotherapeutic resistance in multiple cancers. Therefore, the present study investigated the molecular role of MK in pancreatic cancer. It was found that MK is elevated in PDAC and differentially expressed in other histologic subtypes of pancreatic cancer, whereas normal pancreatic cells did not express MK, thus making it an attractive candidate for targeted therapies. As a secreted growth/differentiation factor, MK was investigated as a biomarker in clinical serum specimens using ELISA. In addition, knockdown studies of MK revealed a link to proliferation and migration status in vitro. Finally, upstream signaling pathways were analyzed, with TNF-α and EGF being the main inductors of MK expression in PDAC.
Implications:
This study presents novel MK functions and new upstream signaling effectors that induce its expression to promote PDAC and therefore defines an attractive new therapeutic target in pancreatic cancer.
Insights
Midkine (MK) is elevated in pancreatic ductal adenocarcinoma (PDAC), promoting cancer growth and survival. Targeting MK offers a promising new therapeutic strategy for this deadly disease.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Pancreatic ductal adenocarcinoma (PDAC) has a poor prognosis.
- Current targeted therapies for PDAC are limited.
- Midkine (MK) is implicated in various cancers, promoting angiogenesis, proliferation, migration, and survival.
Purpose of the Study:
- To investigate the molecular role of midkine (MK) in pancreatic cancer.
- To evaluate MK as a potential therapeutic target and biomarker in PDAC.
Main Methods:
- Analysis of MK expression in PDAC and other pancreatic cancer subtypes.
- ELISA for MK detection in clinical serum specimens.
- MK knockdown studies in vitro.
- Analysis of upstream signaling pathways (TNF-α, EGF).
Main Results:
- MK is elevated in PDAC and differentially expressed across pancreatic cancer subtypes.
- Normal pancreatic cells do not express MK.
- MK knockdown reduced proliferation and migration in vitro.
- TNF-α and EGF were identified as key inducers of MK expression in PDAC.
Conclusions:
- Midkine (MK) plays a significant role in promoting pancreatic ductal adenocarcinoma (PDAC) progression.
- Novel upstream signaling pathways (TNF-α, EGF) inducing MK expression were identified.
- MK represents an attractive and actionable therapeutic target for PDAC.
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