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Spatial Multiomics Analyses Reveal That Diabetes Promotes Pancreatic Cancer Progression by Stimulating
Guanqun Li1,2, Can Zhang1,2, Tianqi Lu1,2
1Department of Pancreatic and Biliary Surgery, The First Affiliated Hospital of Harbin Medical University, Harbin, China.
Diabetes accelerates pancreatic cancer growth by altering tumor immunity. Targeting cholesterol biosynthesis or neutrophil activity may offer new treatments for diabetic patients with pancreatic ductal adenocarcinoma (PDAC).
Area of Science:
- Oncology
- Immunology
- Metabolic Research
Background:
- Pancreatic ductal adenocarcinoma (PDAC) patients with diabetes mellitus (DM) have worse outcomes.
- Metabolic changes in cancer and immune cells impact anti-tumor immunity in PDAC.
- DM-induced metabolic alterations may disrupt immune cell crosstalk, promoting PDAC progression.
Purpose of the Study:
- Investigate cell-specific metabolic remodeling in the PDAC tumor microenvironment associated with DM.
- Elucidate the mechanisms by which DM influences PDAC progression and anti-tumor immunity.
Main Methods:
- Integrated, spatially resolved multi-omics study.
- Analysis of human and mouse PDAC samples.
- Investigated SREBP2-dependent cholesterol biosynthesis, CXCL1-CXCR1/CXCR2 signaling, and neutrophil extracellular traps (NETs).
Main Results:
- DM accelerated PDAC growth by influencing tumor-immune cell interactions.
- Higher tumor stage, poorer differentiation, and worse outcomes were observed in PDAC patients with DM.
- SREBP2-dependent cholesterol biosynthesis promoted PDAC progression by increasing neutrophil recruitment and NET formation via the CXCL1-CXCR1/CXCR2 axis.
Conclusions:
- Diabetes promotes PDAC development by remodeling the tumor immune microenvironment.
- Targeting SREBP2, CXCL1, or NETs shows therapeutic potential for PDAC in diabetic patients.
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