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Updated: Nov 9, 2025

Mimicking and Manipulating Pancreatic Acinar-to-Ductal Metaplasia in 3-dimensional Cell Culture
Published on: February 11, 2019
Loss of activating transcription factor 3 prevents KRAS-mediated pancreatic cancer
Nawab Azizi1,2, Jelena Toma1,2,3, Mickenzie Martin1,2,4
1Children's Health Research Institute, London, ON, Canada.
Abstract:
The unfolded protein response (UPR) is activated in pancreatic pathologies and suggested as a target for therapeutic intervention. In this study, we examined activating transcription factor 3 (ATF3), a mediator of the UPR that promotes acinar-to-ductal metaplasia (ADM) in response to pancreatic injury. Since ADM is an initial step in the progression to pancreatic ductal adenocarcinoma (PDAC), we hypothesized that ATF3 is required for initiation and progression of PDAC. We generated mice carrying a germline mutation of Atf3 (Atf3-/-) combined with acinar-specific induction of oncogenic KRAS (Ptf1acreERT/+KrasG12D/+). Atf3-/- mice with (termed APK) and without KRASG12D were exposed to cerulein-induced pancreatitis. In response to recurrent pancreatitis, Atf3-/- mice showed decreased ADM and enhanced regeneration based on morphological and biochemical analysis. Similarly, an absence of ATF3 reduced spontaneous pancreatic intraepithelial neoplasia (PanIN) formation and PDAC in Ptf1acreERT/+KrasG12D/+ mice. In response to injury, KRASG12D bypassed the requirement for ATF3 with a dramatic loss in acinar tissue and PanIN formation observed regardless of ATF3 status. Compared to Ptf1acreERT/+KrasG12D/+ mice, APK mice exhibited a significant decrease in pancreatic and total body weight, did not progress through to PDAC, and showed altered pancreatic fibrosis and immune cell infiltration. These findings suggest a complex, multifaceted role for ATF3 in pancreatic cancer pathology.
Insights
Activating transcription factor 3 (ATF3) plays a complex role in pancreatic cancer. Its absence reduced pancreatic ductal adenocarcinoma (PDAC) initiation and progression, but KRAS activation bypassed ATF3
Area of Science:
- Oncology
- Cell Biology
- Gastroenterology
Background:
- The unfolded protein response (UPR) is implicated in pancreatic pathologies.
- Activating transcription factor 3 (ATF3) mediates UPR and promotes acinar-to-ductal metaplasia (ADM), an early step in pancreatic ductal adenocarcinoma (PDAC) development.
Purpose of the Study:
- To investigate the role of ATF3 in the initiation and progression of PDAC.
- To determine if ATF3 is essential for PDAC development in a mouse model.
Main Methods:
- Generated Atf3 knockout mice (Atf3-/-) and crossed them with mice expressing oncogenic KRAS (Ptf1acreERT/+KrasG12D/+).
- Induced pancreatitis using cerulein in Atf3-/- mice with and without KRASG12D.
- Analyzed morphological and biochemical changes, including ADM, pancreatic intraepithelial neoplasia (PanIN) formation, PDAC development, fibrosis, and immune cell infiltration.
Main Results:
- Atf3-/- mice exhibited reduced ADM and enhanced pancreatic regeneration after injury.
- Absence of ATF3 significantly decreased spontaneous PanIN and PDAC formation in KRASG12D mice.
- Oncogenic KRASG12D largely bypassed the requirement for ATF3 in response to injury, leading to acinar loss and PanIN formation irrespective of ATF3 status.
- APK mice (Atf3-/- with KRASG12D) showed reduced pancreatic weight, failed to develop PDAC, and had altered fibrosis and immune infiltration compared to controls.
Conclusions:
- ATF3 plays a multifaceted role in pancreatic cancer, inhibiting early stages but potentially being bypassed by oncogenic KRAS.
- Targeting ATF3 may offer therapeutic potential, but its interaction with KRAS signaling needs further elucidation for effective PDAC treatment strategies.
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