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.

Abstract

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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