[PDF][PDF] KLF4 is essential for induction of cellular identity change and acinar-to-ductal reprogramming during early pancreatic carcinogenesis

D Wei, L Wang, Y Yan, Z Jia, M Gagea, Z Li, X Zuo… - Cancer cell, 2016 - cell.com
D Wei, L Wang, Y Yan, Z Jia, M Gagea, Z Li, X Zuo, X Kong, S Huang, K Xie
Cancer cell, 2016cell.com
Understanding the molecular mechanisms of tumor initiation has significant impact on early
cancer detection and intervention. To define the role of KLF4 in pancreatic ductal
adenocarcinoma (PDA) initiation, we used molecular biological analyses and mouse
models of klf4 gain-and loss-of-function and mutant Kras. KLF4 is upregulated in and
required for acinar-to-ductal metaplasia. Klf4 ablation drastically attenuates the formation of
pancreatic intraepithelial neoplasia induced by mutant Kras G12D, whereas upregulation of …
Summary
Understanding the molecular mechanisms of tumor initiation has significant impact on early cancer detection and intervention. To define the role of KLF4 in pancreatic ductal adenocarcinoma (PDA) initiation, we used molecular biological analyses and mouse models of klf4 gain- and loss-of-function and mutant Kras. KLF4 is upregulated in and required for acinar-to-ductal metaplasia. Klf4 ablation drastically attenuates the formation of pancreatic intraepithelial neoplasia induced by mutant KrasG12D, whereas upregulation of KLF4 does the opposite. Mutant KRAS and cellular injuries induce KLF4 expression, and ectopic expression of KLF4 in acinar cells reduces acinar lineage- and induces ductal lineage-related marker expression. These results demonstrate that KLF4 induces ductal identity in PanIN initiation and may be a potential target for prevention of PDA initiation.
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