BAG3 induces fibroblasts to release key cytokines involved in pancreatic cell migration

Beatrice Dufrusine1,2, Verena Damiani1,2, Emily Capone1,2

  • 1Department of Innovative Technologies in Medicine and Dentistry, University of Chieti-Pescara, Chieti, Italy.

Insights

Pancreatic ductal adenocarcinoma (PDAC) progression is fueled by the protein BAG3, which activates fibroblasts to release tumor-promoting cytokines. Targeting this BAG3-fibroblast axis with an anti-BAG3 antibody inhibits tumor growth and spread.

Area of Science:

  • Oncology
  • Cancer Biology
  • Tumor Microenvironment

Background:

  • Pancreatic ductal adenocarcinoma (PDAC) is a highly lethal cancer with limited therapeutic options.
  • The tumor stroma, including fibroblasts, significantly influences PDAC initiation and progression.
  • Previous work identified Bcl2-associated athanogene (BAG3) secreted by PDAC cells activating tumor-associated macrophages.

Purpose of the Study:

  • To investigate the role of BAG3 in activating human fibroblasts (HF) to release cytokines that support PDAC progression.
  • To elucidate the molecular mechanisms by which BAG3 affects fibroblast cytoskeletal organization.
  • To evaluate the therapeutic potential of targeting the PDAC-fibroblast axis using an anti-BAG3 antibody.

Main Methods:

  • Treatment of human fibroblasts with recombinant BAG3.
  • Analysis of fibroblast cytoskeletal organization (microtubules and vimentin).
  • Quantification of cytokine release (IL-6, MCP-1/CCL2, HGF) from treated fibroblasts.
  • Assessment of conditioned medium (CM) from treated fibroblasts on PDAC cell survival, proliferation, and migration.
  • Inhibition studies using the anti-BAG3 H2L4 antibody.

Main Results:

  • Recombinant BAG3 induced significant changes in fibroblast cytoskeleton, including microtubule depolymerization and vimentin redistribution.
  • BAG3 stimulated the release of pro-tumorigenic cytokines IL-6, MCP-1/CCL2, and HGF from fibroblasts.
  • Conditioned medium from BAG3-activated fibroblasts enhanced PDAC cell survival, proliferation, and migration.
  • The anti-BAG3 H2L4 antibody blocked BAG3-induced cytokine release and abrogated the pro-migratory effects of the conditioned medium on PDAC cells.

Conclusions:

  • BAG3 secreted by PDAC cells activates fibroblasts, promoting a pro-tumorigenic microenvironment.
  • BAG3 modulates fibroblast cytoskeletal dynamics, leading to the release of key growth and migration factors.
  • Targeting the BAG3-fibroblast interaction with the H2L4 antibody represents a promising therapeutic strategy for PDAC by disrupting tumor-stroma communication.