The BRG1/SOX9 axis is critical for acinar cell-derived pancreatic tumorigenesis

Motoyuki Tsuda1, Akihisa Fukuda1, Nilotpal Roy2

  • 1Department of Gastroenterology and Hepatology, Kyoto University Graduate School of Medicine, Kyoto, Japan.

Insights

The chromatin remodeler BRG1 (Brahma related gene 1) is crucial for initiating and progressing pancreatic intraepithelial neoplasia (PanIN) by regulating SOX9 expression. Targeting the BRG1/SOX9 pathway may offer new treatments for PanIN-derived pancreatic ductal adenocarcinoma.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Brahma related gene 1 (BRG1) is a chromatin remodeler frequently silenced in pancreatic ductal adenocarcinomas (PDAs).
  • Previous studies linked BRG1 to the inhibition of intraductal pancreatic mucinous neoplasm (IPMN) and IPMN-derived PDA originating from ductal cells.
  • The role of BRG1 in pancreatic intraepithelial neoplasia (PanIN)-derived PDA, originating from acinar cells, remained unclear.

Purpose of the Study:

  • To investigate the function of BRG1 in PanIN initiation and progression originating from acinar cells.
  • To elucidate the molecular mechanisms by which BRG1 influences PanIN development.
  • To assess the therapeutic potential of targeting the BRG1/SOX9 axis in PanIN-derived PDA.

Main Methods:

  • Utilized genetically engineered mouse models (Ptf1a-CreER; KrasG12D; Brg1fl/fl) with conditional Brg1 deletion in acinar cells.
  • Investigated the impact of Brg1 deletion on acinar-to-ductal metaplasia (ADM) and PanIN formation, with and without p53 mutation.
  • Employed a dual recombinase system to delete Brg1 in established PanIN lesions.
  • Analyzed BRG1 binding to the Sox9 promoter and its effect on SOX9 expression and recruitment of regulatory factors like PDX1.
  • Correlated BRG1 and SOX9 expression in human PDA samples.

Main Results:

  • Exclusive Brg1 elimination in acinar cells impaired ADM and PanIN formation independently of p53 status.
  • PDA formation was inhibited by Brg1 deletion only in the presence of p53 mutation.
  • BRG1 directly regulates SOX9 expression by binding to its promoter and recruiting PDX1.
  • SOX9 downregulation was observed in BRG1-deficient ADMs/PanINs, and Sox9 overexpression rescued the PanIN-attenuated phenotype.
  • Brg1 deletion in established PanIN lesions led to lesion regression in mice.
  • BRG1 expression positively correlated with SOX9 expression in human PDAs.

Conclusions:

  • BRG1 is essential for the initiation and progression of PanIN lesions derived from acinar cells.
  • BRG1 promotes PanIN development through the positive regulation of SOX9 expression.
  • The BRG1/SOX9 signaling axis represents a promising therapeutic target for PanIN-derived PDA.

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