Pharmacologic Normalization of Pancreatic Cancer-Associated Fibroblast Secretome Impairs Prometastatic Cross-Talk

Rémi Samain1, Alexia Brunel1, Thibault Douché1

  • 1Centre de Recherches en Cancérologie de Toulouse (CRCT), Université de Toulouse, INSERM Unité Mixte de Recherche UMR-1037, CNRS Equipe de Recherche Labellisée ERL5294, Equipe de Recherche Labellisée "Ligue Contre le Cancer" & "LabEx Toucan", Toulouse, France.

Abstract

Insights

SOM230 therapy targets cancer-associated fibroblasts (CAFs) in pancreatic cancer by reducing pro-metastatic factors like CSF-1. This approach remodels the tumor stroma, reduces metastasis, and may enhance chemotherapy effectiveness.

Area of Science:

  • Oncology
  • Cancer Biology
  • Immunology

Background:

  • Pancreatic ductal adenocarcinoma (PDA) is characterized by a dense, immunosuppressive tumor stroma.
  • Cancer-associated fibroblasts (CAFs) within the PDA stroma exhibit high protein synthesis and express the somatostatin receptor sst1.
  • The sst1 agonist SOM230 has demonstrated potential in inhibiting CAF protumoral activities.

Purpose of the Study:

  • To investigate the therapeutic potential of SOM230 in immunocompetent murine models of PDA.
  • To elucidate the underlying mechanisms by which SOM230 modulates the tumor microenvironment.
  • To assess the impact of SOM230 on fibrotic and immunosuppressive stromal components in PDA.

Main Methods:

  • Proteomic analysis of CAF secretomes from patient-derived cultures.
  • Utilized spontaneous transgenic and experimental orthotopic PDA mouse models.
  • Longitudinal ultrasound monitoring, histopathology, flow cytometry, and bioinformatics analyses were employed.

Main Results:

  • SOM230 treatment reduced colony-stimulating factor 1 (CSF-1) production by CAFs, a key factor in macrophage recruitment.
  • Intratumoral stromal normalization, characterized by reduced CAF and macrophage activity, and significant metastasis reduction were observed.
  • SOM230 alleviated chemotherapy-induced immunosuppressive stromal remodeling in transgenic mice.

Conclusions:

  • SOM230 demonstrates significant antimetastatic potential in PDA by remodeling the fibrotic and immunosuppressive myeloid stroma.
  • Targeting CAFs with SOM230 offers a promising therapeutic strategy for PDA patients, potentially enhancing the efficacy of chemotherapy.