[PDF][PDF] RUNX3 controls a metastatic switch in pancreatic ductal adenocarcinoma

MC Whittle, K Izeradjene, PG Rani, L Feng, MA Carlson… - Cell, 2015 - cell.com
MC Whittle, K Izeradjene, PG Rani, L Feng, MA Carlson, KE DelGiorno, LD Wood
Cell, 2015cell.com
For the majority of patients with pancreas cancer, the high metastatic proclivity is life limiting.
Some patients, however, present with and succumb to locally destructive disease. A
molecular understanding of these distinct disease manifestations can critically inform patient
management. Using genetically engineered mouse models, we show that heterozygous
mutation of Dpc4/Smad4 attenuates the metastatic potential of Kras G12D/+; Trp53 R172H/+
pancreatic ductal adenocarcinomas while increasing their proliferation. Subsequent loss of …
Summary
For the majority of patients with pancreas cancer, the high metastatic proclivity is life limiting. Some patients, however, present with and succumb to locally destructive disease. A molecular understanding of these distinct disease manifestations can critically inform patient management. Using genetically engineered mouse models, we show that heterozygous mutation of Dpc4/Smad4 attenuates the metastatic potential of KrasG12D/+;Trp53R172H/+ pancreatic ductal adenocarcinomas while increasing their proliferation. Subsequent loss of heterozygosity of Dpc4 restores metastatic competency while further unleashing proliferation, creating a highly lethal combination. Expression levels of Runx3 respond to and combine with Dpc4 status to coordinately regulate the balance between cancer cell division and dissemination. Thus, Runx3 serves as both a tumor suppressor and promoter in slowing proliferation while orchestrating a metastatic program to stimulate cell migration, invasion, and secretion of proteins that favor distant colonization. These findings suggest a model to anticipate likely disease behaviors in patients and tailor treatment strategies accordingly.
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