Pancreatic CAF-Derived Autotaxin Drives Autocrine CTGF Expression to Modulate Protumorigenic Signaling

Fanny Volat1, Ragini Medhi1, Lauren Z Maggs1,2,3

  • 1Cancer Research Horizons, Cambridge, United Kingdom.

PubMed

Insights

Cancer-associated fibroblasts drive pancreatic cancer growth through autotaxin (ATX) signaling. Inhibiting ATX reduces tumor-promoting factors like CTGF, offering a new therapeutic strategy for pancreatic ductal adenocarcinoma.

Area of Science:

  • Oncology
  • Cancer Biology
  • Tumor Microenvironment Research

Background:

  • Autotaxin (ATX) is a target in pancreatic ductal adenocarcinoma (PDAC).
  • The ATX/lysophosphatidic acid (LPA) axis role in PDAC's tumor microenvironment (TME) is not fully understood.
  • Cancer-associated fibroblasts (CAFs) are key components of the PDAC TME.

Purpose of the Study:

  • To investigate the source and function of ATX in the PDAC TME.
  • To identify downstream mediators of ATX signaling in CAFs.
  • To explore the dual role of ATX (enzymatic and chaperone) in CAF-mediated protumorigenic signaling.

Main Methods:

  • Analysis of patient samples and cell line datasets to determine ENPP2 (ATX) expression.
  • Utilizing the ATX inhibitor IOA-289 in a PDAC CAF-derived cell line (0082T).
  • Genetic and pharmacologic inhibition of ATX in CAFs to assess CTGF secretion and LPA signaling.

Main Results:

  • The majority of ENPP2 expression in PDAC originates from the TME, particularly CAFs.
  • CAF-derived ATX promotes protumorigenic signaling through autocrine and paracrine mechanisms.
  • Inhibition of ATX in CAFs reduced connective tissue growth factor (CTGF) secretion via LPA receptor signaling.
  • Extracellular LPA levels increased upon ATX inhibition, suggesting a role for ATX's chaperone function.

Conclusions:

  • ATX, primarily from CAFs, promotes a protumorigenic PDAC microenvironment.
  • ATX influences CAF secretion through both its enzymatic (LPA production) and chaperone functions.
  • Targeting ATX offers a potential therapeutic strategy for PDAC by disrupting CAF-mediated pro-tumorigenic signaling.

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