Increased expression of Nodal correlates with reduced patient survival in pancreatic cancer

Bo Kong1, Weibin Wang2, Irene Esposito3

  • 1Department of Surgery, Technische Universität München, Munich, Germany.

Abstract

Insights

Nodal-Lefty signaling may drive pancreatic cancer. High Nodal expression in pancreatic ductal adenocarcinoma (PDAC) correlates with poorer patient survival and impacts cell growth and invasion.

Area of Science:

  • Molecular Biology
  • Cancer Research
  • Developmental Biology

Background:

  • Nodal and Lefty are TGF-β superfamily ligands crucial for vertebrate left-right asymmetry.
  • Their roles in metastatic melanoma and breast cancer are known, but involvement in pancreatic ductal adenocarcinoma (PDAC) is unclear.

Purpose of the Study:

  • To investigate the clinical significance and functional relevance of Nodal-Lefty signaling in human pancreatic ductal adenocarcinoma (PDAC).

Main Methods:

  • Analysis of 54 human pancreatic cancer patient specimens.
  • In vitro assays using the human pancreatic cancer cell line Colo-357.

Main Results:

  • Nodal was absent in normal pancreas, Lefty present in islet cells; both expressed in PDAC.
  • High Nodal expression correlated with reduced patient survival (17.8 vs 33.0 months, p=0.013).
  • Nodal inhibited cell growth and increased invasion in vitro, while Lefty had no effect.

Conclusions:

  • Nodal-Lefty signaling is potentially involved in PDAC pathogenesis.
  • Nodal expression identifies a PDAC subtype with a poor prognosis.