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Published on: December 22, 2020
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.
Abstract:
Autotaxin (ATX), encoded by ENPP2, is a clinical target in pancreatic ductal adenocarcinoma (PDAC). ATX catalyzes the production of lysophosphatidic acid (LPA), an important regulator within the tumor microenvironment (TME), yet the protumorigenic action of the ATX/LPA axis in PDAC remains unclear. In this study, by interrogating patient samples and cell line datasets, we show that the PDAC TME, rather than cancer cells, is responsible for the majority of ENPP2 expression and highlight a key role for cancer-associated fibroblast (CAF)-derived ATX in autocrine and paracrine protumorigenic signaling. Using the clinical-stage ATX inhibitor, IOA-289, we identified connective tissue growth factor (CTGF), also known as CCN2, as a downstream mediator of ATX signaling in the PDAC CAF-derived cell line, 0082T. Genetic ablation or pharmacologic inhibition of ATX in 0082T CAFs reduced CTGF secretion via modulation of LPA/LPA receptor signaling. Despite the loss of ATX function, extracellular levels of LPA were paradoxically increased, indicating a role for ATX beyond its enzymatic activity and suggesting a role for its LPA chaperone function in the LPA/LPA receptor signaling in CAFs. As CAFs are the main source for CTGF in the PDAC TME, these findings suggest a role for ATX in promoting a protumorigenic microenvironment via modulation of CAF secretion not only via its LPA-producing activity but also via its LPA chaperone function, providing a potential mechanism for the antitumor effects of ATX inhibition.
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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