Proteomic Characterization Reveals CYP2S1 as a Mediator of Drug Resistance in PDAC

Vera Thiel1,2, Wiebke M Nadler1,2, Alexander Kerner1,2

  • 1German Cancer Research Center (DKFZ).

Pancreas
|September 26, 2025
PubMed
Abstract

Insights

This study reveals that CYP2S1 protein drives drug resistance in pancreatic cancer subtypes. Targeting CYP2S1 may improve chemotherapy effectiveness for pancreatic ductal adenocarcinoma (PDAC) patients.

Area of Science:

  • Oncology
  • Proteomics
  • Molecular Biology

Background:

  • Pancreatic ductal adenocarcinoma (PDAC) exhibits molecular heterogeneity.
  • Understanding subtype-specific mechanisms of drug resistance is crucial for improving patient outcomes.

Purpose of the Study:

  • To investigate the proteomic profiles of distinct PDAC molecular subtypes.
  • To identify pathways involved in xenobiotic metabolism and drug resistance.
  • To assess the impact of these profiles on patient outcomes.

Main Methods:

  • Utilized serum-free PACO cell culture and MALDI/MS for proteomic profiling of PDAC subtypes.
  • Analyzed differential protein regulation in metabolic and drug resistance pathways.
  • Conducted knockdown and overexpression studies to determine the role of key proteins in drug resistance.

Main Results:

  • Proteomic analysis identified subtype-specific alterations in xenobiotic metabolism and drug resistance pathways.
  • CYP2S1 (a CYP450 family member) was upregulated in the HNF1A+ PDAC subtype.
  • Knockdown of AHR or CYP2S1 sensitized cells to SN38, while overexpression of CYP2S1 conferred resistance.

Conclusions:

  • CYP2S1 plays a significant role in mediating drug resistance in specific PDAC subtypes.
  • Targeting CYP2S1 and its regulatory pathways could enhance irinotecan efficacy.
  • These findings offer insights into PDAC subtype-specific drug resistance and potential therapeutic targets.

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