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Dense stroma activates the TGF-β1/FBW7 axis to induce metabolic subtype switching in pancreatic cancer
Zeyin Rong1,2,3,4, Jianhui Yang1,2,3,4, Jiang Liu1,2,3,4
1Department of Pancreatic Surgery, Fudan University Shanghai Cancer Center, Shanghai, China.
Background:
Pancreatic ductal adenocarcinoma (PDAC) is one of the most lethal diseases. Although several chemotherapy regimens have been developed over the past decades, few targeted therapies have shown a significant improvement in overall survival, partly due to the identification of PDAC as a single disease.
Methods:
Combining metabolomic analysis and immunohistochemistry staining with Oil Red O staining, analysis for the oxygen consumption rate and extracellular acidification rate, we stratified pancreatic cancer cells into two subtypes. The impact of transforming growth factor β (TGF-β)-1/F-box and WD repeat domain-containing 7 (FBW7) on the switch of the metabolic subtype was further validated in vitro and in vivo . Finally, cell growth was performed to identify the TGF-β1/FBW7 ratio as a molecular marker for gemcitabine resistance.
Results:
PDAC was stratified into the glycolytic subtype and lipogenic subtype. Furthermore, pancreatic cancer-associated fibroblasts-derived TGF-β1 and tumor cell-derived FBW7 were demonstrated to co-determine the metabolic phenotypes in PDAC. A high TGF-β1/FBW7 ratio always represented the glycolytic PDAC with dense stroma. This subtype of PDAC exhibited mesenchymal features and was predictive of unfavorable prognoses, despite being more sensitive than the lipogenic subtype to combination treatment with gemcitabine and an inhibitor of TGF-β receptor I (TGF-βR1).
Conclusions:
The TGF-β1/FBW7 ratio could be regarded as a molecular marker of metabolic phenotypes in PDAC and may contribute to the development of effective therapeutic strategies to improve the survival of PDAC patients.
Insights
Pancreatic cancer (PDAC) can be classified into glycolytic and lipogenic subtypes. The TGF-β1/FBW7 ratio identifies these subtypes and predicts patient prognosis and gemcitabine resistance.
Area of Science:
- Oncology
- Metabolic Research
- Cancer Biology
Background:
- Pancreatic ductal adenocarcinoma (PDAC) remains a highly lethal malignancy.
- Limited targeted therapies have improved survival due to viewing PDAC as a single disease.
Purpose of the Study:
- To stratify PDAC into distinct metabolic subtypes.
- To investigate the role of TGF-β1/FBW7 in metabolic switching.
- To identify a molecular marker for gemcitabine resistance in PDAC.
Main Methods:
- Metabolomic analysis, immunohistochemistry, and Oil Red O staining.
- Oxygen consumption and extracellular acidification rate measurements.
- In vitro and in vivo validation of TGF-β1/FBW7 signaling.
- Cell growth assays to determine gemcitabine resistance markers.
Main Results:
- PDAC was stratified into glycolytic and lipogenic subtypes.
- TGF-β1 (from fibroblasts) and FBW7 (from tumor cells) co-determine metabolic phenotypes.
- A high TGF-β1/FBW7 ratio indicates glycolytic PDAC with dense stroma, mesenchymal features, and poor prognosis.
- Glycolytic PDAC showed sensitivity to gemcitabine and TGF-βR1 inhibitor combination therapy.
Conclusions:
- The TGF-β1/FBW7 ratio serves as a molecular marker for PDAC metabolic phenotypes.
- This marker may aid in developing targeted therapies to improve PDAC patient survival.
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