Blocking CTGF-Mediated Tumor-Stroma Interplay in Pancreatic Cancer

Yi-Wen Shen1, Yu-Dong Zhou2, Xin Luan1

  • 1Institute of Interdisciplinary Integrative Medicine Research, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China.

Trends in Molecular Medicine
|September 15, 2020
PubMed

Insights

Connective tissue growth factor (CTGF) drives pancreatic cancer progression by worsening the desmoplastic stroma. Targeting CTGF offers a new therapeutic strategy for pancreatic ductal adenocarcinoma (PDAC) treatment.

Area of Science:

  • Oncology
  • Cancer Biology
  • Fibrosis Research

Background:

  • Pancreatic ductal adenocarcinoma (PDAC) is characterized by a dense desmoplastic stroma, which impedes therapeutic efficacy.
  • This fibrotic microenvironment is a major challenge in PDAC treatment.
  • Emerging evidence implicates connective tissue growth factor (CTGF) in promoting this fibrotic reaction.

Purpose of the Study:

  • To investigate the role of connective tissue growth factor (CTGF) in the development and progression of pancreatic ductal adenocarcinoma (PDAC).
  • To evaluate CTGF as a potential therapeutic target for overcoming treatment resistance in PDAC.

Main Methods:

  • Analysis of PDAC tissue samples to assess CTGF expression levels.
  • In vitro studies using PDAC cell lines to examine the effects of CTGF on stromal components.
  • In vivo models to evaluate the impact of targeting CTGF on tumor growth and fibrosis.

Main Results:

  • Elevated CTGF levels were observed in PDAC tissues, correlating with increased stromal density.
  • CTGF was found to stimulate the production of extracellular matrix proteins by cancer-associated fibroblasts.
  • Inhibition of CTGF led to reduced tumor progression and desmoplasia in preclinical models.

Conclusions:

  • Connective tissue growth factor (CTGF) plays a critical role in promoting the desmoplastic stroma in PDAC.
  • Targeting CTGF presents a promising therapeutic avenue to enhance treatment outcomes for pancreatic cancer.