PROK1 Induces Macrophage M2 Phenotype Conversion to Promote Pancreatic Cancer Progression by Activating the PI3K/AKT

Lan Ma1, Xiaogang Yan2, Di Liu3

  • 1Ningxia Medical University, Yinchuan, China.

Insights

PROK1 promotes pancreatic cancer (PC) progression by converting macrophages to a pro-tumor M2 phenotype via the PI3K/AKT pathway. Targeting PROK1 may offer new therapeutic strategies for PC.

Area of Science:

  • Oncology
  • Immunology
  • Molecular Biology

Background:

  • Pancreatic cancer (PC) progression is influenced by the tumor microenvironment, particularly macrophages.
  • The role of PROK1 and its receptor PROKR2 in PC and their interaction with macrophages requires further elucidation.

Purpose of the Study:

  • To investigate the impact and mechanisms of PROK1 on macrophage polarization and pancreatic cancer progression.
  • To explore the PROK1-PROKR2 interaction and its downstream signaling in PC.

Main Methods:

  • Immunohistochemistry and Western blot to detect PROK1/PROKR2 expression.
  • TIMER database analysis for macrophage infiltration correlation.
  • Immunofluorescence and Western blot for M2 phenotype markers and PI3K/AKT pathway activity.
  • Cell-based assays (CCK-8, wound healing, Transwell) and in vivo xenograft models.

Main Results:

  • PROK1/PROKR2 overexpression correlated with increased macrophage infiltration, advanced TNM stage, and metastasis in PC patients.
  • PROK1 silencing suppressed M2 polarization and PI3K/AKT pathway activation, reducing PC cell viability, migration, and invasion.
  • PROK1 interacted with PROKR2 to activate PI3K/AKT in macrophages, promoting M2 phenotype and PC growth in vivo.

Conclusions:

  • PROK1 drives pancreatic cancer progression by inducing M2 macrophage polarization through the PROK1-PROKR2-PI3K/AKT axis.
  • Targeting the PROK1 pathway in macrophages presents a potential therapeutic strategy for pancreatic cancer.

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