PDAC-derived exosomes enrich the microenvironment in MDSCs in a SMAD4-dependent manner through a new calcium related

Daniela Basso1, Elisa Gnatta1, Andrea Padoan1

  • 1Department of Medicine - DIMED, University of Padova, Padova, Italy.

Oncotarget
|November 22, 2017
PubMed

Insights

Pancreatic ductal adenocarcinoma (PDAC) exosomes, particularly those lacking SMAD4, promote immune suppression. These exosomes increase myeloid-derived suppressor cells and alter calcium signaling and glycolysis via miRNA and protein transfer.

Area of Science:

  • Cancer Biology
  • Immunology
  • Molecular Biology

Background:

  • Pancreatic ductal adenocarcinoma (PDAC) is characterized by poor prognosis due to tumor genetics and immune evasion.
  • SMAD4 gene deletion, observed in ~55% of PDAC cases, correlates with poor prognosis.
  • Exosomes (Exo) are implicated in intercellular communication and immune modulation in cancer.

Purpose of the Study:

  • To investigate the role of SMAD4 in PDAC-mediated immunosuppression via exosomes.
  • To identify mechanisms and mediators of SMAD4-dependent immunosuppression.

Main Methods:

  • Utilized two PDAC cell lines (BxPC3 expressing SMAD4 and BxPC3 lacking SMAD4) to generate exosome-enriched conditioned media.
  • Assessed exosome effects on peripheral blood mononuclear cells (PBMCs), including myeloid-derived suppressor cell expansion (flow cytometry) and intracellular calcium flux (Fluo-4).
  • Analyzed exosomal microRNAs (miRNAs) via microarray and exosomal proteins via SILAC (Stable Isotope Labeling by Amino acids in Cell culture).

Main Results:

  • PDAC-derived exosomes expanded myeloid-derived suppressor cells and altered intracellular calcium fluxes in a SMAD4-dependent manner.
  • Exosomes from SMAD4-deficient cells (BxPC3) significantly increased PBMC calcium fluxes, a characteristic enhanced in monocytic MDSCs (mMDSCs).
  • Identified hsa-miR-494-3p and hsa-miR-1260a as potential mediators of SMAD4-associated calcium flux dysregulation.
  • Analysis of SMAD4-associated exosomal proteins revealed involvement in translation, cell adhesion, signaling, and glycolysis.
  • PDAC exosomes induced a reverse Warburg effect in PBMCs, with SMAD4-deficient exosomes showing higher glucose consumption and lactate production.

Conclusions:

  • PDAC-derived exosomes, especially those lacking SMAD4, induce an immunosuppressive myeloid cell environment.
  • This immunosuppression is mediated by increased calcium fluxes and glycolysis, driven by the transfer of SMAD4-related differentially expressed miRNAs and proteins.
  • SMAD4 status influences exosome cargo and function, impacting immune cell behavior and potentially contributing to PDAC's poor prognosis.