Targeted nuclear factor-kappaB suppression enhances gemcitabine response in human pancreatic tumor cell line murine

Joshua A Waters1, Jesus Matos1, Michele Yip-Schneider1

  • 1Department of Surgery, Indiana University School of Medicine, Indianapolis, IN.

Surgery
|July 26, 2015
PubMed
Abstract

Insights

Targeting nuclear factor-kappaB (NF-κB) with IκBα-SR potentiated gemcitabine therapy, reducing tumor growth and cell proliferation in pancreatic cancer. This approach may overcome gemcitabine resistance in patients with pancreatic ductal adenocarcinoma (PDAC).

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Research

Background:

  • Pancreatic ductal adenocarcinoma (PDAC) is a lethal cancer with significant chemotherapy resistance.
  • Nuclear factor-kappaB (NF-κB) is constitutively active in PDAC and contributes to gemcitabine resistance.

Purpose of the Study:

  • To investigate the efficacy of suppressing the NF-κB pathway to overcome gemcitabine resistance in PDAC.
  • To evaluate the impact of targeted NF-κB inhibition on tumor growth in an in vivo model.

Main Methods:

  • Stably expressed a mutant IκBα super-repressor (SR) in PaCa-2 PDAC cells to inhibit NF-κB.
  • Injected mice with SR or vector-expressing cells and treated with gemcitabine or phosphate-buffered saline (PBS).
  • Monitored tumor volume, NF-κB activity, cell proliferation (Ki-67), apoptosis, and angiogenesis.

Main Results:

  • Gemcitabine treatment combined with IκBα-SR significantly reduced tumor volume increase compared to gemcitabine with vector (47 mm³ vs. 196 mm³).
  • Intratumoral NF-κB activity and cell proliferation (Ki-67) were significantly decreased in the gemcitabine/IκBα-SR group.
  • No significant differences were observed in apoptosis or angiogenesis between groups.

Conclusions:

  • In vivo suppression of the NF-κB pathway potentiates gemcitabine's antitumor effects in PDAC by reducing cell proliferation.
  • Targeting NF-κB may be a viable strategy to decrease gemcitabine resistance in patients with PDAC.
  • NF-κB-targeted agents could complement current gemcitabine-based therapies for pancreatic cancer.