Comparative Proteomic Analysis Identifies Key Metabolic Regulators of Gemcitabine Resistance in Pancreatic Cancer

Qingxiang Lin1, Shichen Shen2, Zhicheng Qian3

  • 1Department of Cell Stress Biology, Roswell Park Comprehensive Cancer Center, Buffalo, New York, USA; Department of Pharmaceutical Sciences, University at Buffalo, State University of New York, Buffalo, New York, USA; Center of Excellence in Bioinformatics & Life Science, University at Buffalo, State University of New York, Buffalo, New York, USA.

Insights

Pancreatic cancer cells develop gemcitabine resistance (GemR) through altered metabolism and increased invasiveness. Targeting key proteins like ribonucleoside-diphosphate reductase large subunit may overcome GemR in pancreatic adenocarcinoma (PDAC).

Area of Science:

  • Oncology
  • Molecular Biology
  • Proteomics

Background:

  • Pancreatic adenocarcinoma (PDAC) is a lethal cancer with limited treatment options.
  • Gemcitabine (Gem) is a standard chemotherapy, but resistance (GemR) frequently develops, reducing patient survival.
  • Understanding the molecular basis of GemR is crucial for developing effective therapies.

Purpose of the Study:

  • To investigate the molecular mechanisms underlying gemcitabine resistance in pancreatic cancer.
  • To identify key proteins and pathways altered in Gem-resistant PDAC cells.
  • To explore potential therapeutic vulnerabilities in Gem-resistant PDAC.

Main Methods:

  • Development of highly gemcitabine-resistant (GemR) clones from gemcitabine-sensitive MIAPaCa-2 cells.
  • Global quantitative differential proteomics using an MS1 workflow to analyze ~6000 proteins.
  • Comparison of protein expression profiles between sensitive and resistant cell lines (MIA-GR8, PANC-1).

Main Results:

  • GemR cells exhibited altered cellular metabolism, increased proliferation, migration, and invasiveness.
  • S100 calcium binding protein A4 was significantly downregulated; proteins involved in energy production were reduced.
  • Upregulation of mesenchymal markers and increased cellular invasiveness were observed.
  • Key enzymes in gemcitabine metabolism were altered, decreasing intracellular gemcitabine utilization.
  • Ribonucleoside-diphosphate reductase large subunit was significantly upregulated in GemR cells.

Conclusions:

  • Adaptive changes in cellular response systems, including drug metabolism and DNA repair, contribute to gemcitabine resistance complexity in PDAC.
  • Downregulation of ribonucleoside-diphosphate reductase large subunit correlates with increased gemcitabine sensitivity, reduced proliferation, and migration.
  • These findings suggest potential therapeutic targets to overcome gemcitabine resistance in PDAC patients.