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Updated: Jul 1, 2025

Ultrasound-Guided Orthotopic Implantation of Murine Pancreatic Ductal Adenocarcinoma
Published on: November 19, 2019
Transmembrane TNF-TNFR2 signaling as a critical immunoregulatory node in pancreatic cancer
Erin M Dickey1, Anna Bianchi1, Haleh Amirian1
1Division of Surgical Oncology, DeWitt Daughtry Department of Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.
Abstract:
Pancreatic cancer is characterized by extreme therapeutic resistance. In pancreatic cancers harboring high-risk genomes, we describe that cancer cell-neutrophil signaling circuitry provokes neutrophil-derived transmembrane (tm)TNF-TNFR2 interactions that dictate inflammatory polarization in cancer-associated fibroblasts and T-cell dysfunction - two hallmarks of therapeutic resistance. Targeting tmTNF-TNFR2 signaling may sensitize pancreatic cancer to chemo±immunotherapy.
Insights
Pancreatic cancer
Area of Science:
- Oncology
- Immunology
- Cancer Biology
Background:
- Pancreatic cancer exhibits significant resistance to conventional therapies.
- High-risk cancer genomes are linked to complex cellular signaling networks.
- Therapeutic resistance in pancreatic cancer involves inflammatory processes and immune cell dysfunction.
Purpose of the Study:
- To elucidate the molecular mechanisms underlying therapeutic resistance in pancreatic cancer.
- To investigate the role of cancer cell-neutrophil interactions in promoting resistance.
- To identify potential therapeutic targets for sensitizing pancreatic cancer to treatment.
Main Methods:
- Analysis of cancer cell-neutrophil signaling pathways in pancreatic cancer models.
- Investigation of transmembrane TNF (tmTNF) and TNFR2 interactions.
- Assessment of inflammatory polarization in cancer-associated fibroblasts.
- Evaluation of T-cell dysfunction in the tumor microenvironment.
Main Results:
- Cancer cell-neutrophil signaling drives neutrophil-derived tmTNF-TNFR2 interactions.
- These interactions promote inflammatory polarization in cancer-associated fibroblasts.
- The signaling circuitry also leads to T-cell dysfunction, contributing to resistance.
- tmTNF-TNFR2 signaling is a key mediator of therapeutic resistance in pancreatic cancer.
Conclusions:
- Targeting the tmTNF-TNFR2 signaling pathway may overcome therapeutic resistance in pancreatic cancer.
- Interfering with this circuitry could sensitize pancreatic tumors to chemotherapy and immunotherapy.
- This finding offers a novel strategy for improving pancreatic cancer treatment outcomes.
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