Abstract:
:Pancreatic ductal adenocarcinoma (PDAC) cells (PCC) have an exceptional propensity to metastasize early into intratumoral, chemokine-secreting nerves. However, we hypothesized the opposite process, that precancerous pancreatic cells secrete chemokines that chemoattract Schwann cells (SC) of nerves and thus induce ready-to-use routes of dissemination in early carcinogenesis. Here we show a peculiar role for the chemokine CXCL12 secreted in early PDAC and for its receptors CXCR4/CXCR7 on SC in the initiation of neural invasion in the cancer precursor stage and the resulting delay in the onset of PDAC-associated pain. SC exhibited cancer- or hypoxia-induced CXCR4/CXCR7 expression in vivo and in vitro and migrated toward CXCL12-expressing PCC. Glia-specific depletion of CXCR4/CXCR7 in mice abrogated the chemoattraction of SC to PCC. PDAC mice with pancreas-specific CXCL12 depletion exhibited diminished SC chemoattraction to pancreatic intraepithelial neoplasia and increased abdominal hypersensitivity caused by augmented spinal astroglial and microglial activity. In PDAC patients, reduced CXCR4/CXCR7 expression in nerves correlated with increased pain. Mechanistically, upon CXCL12 exposure, SC down-regulated the expression of several pain-associated targets. Therefore, PDAC-derived CXCL12 seems to induce tumor infiltration by SC during early carcinogenesis and to attenuate pain, possibly resulting in delayed diagnosis in PDAC.
journal_name
Proc Natl Acad Sci U S Aauthors
Demir IE,Kujundzic K,Pfitzinger PL,Saricaoglu ÖC,Teller S,Kehl T,Reyes CM,Ertl LS,Miao Z,Schall TJ,Tieftrunk E,Haller B,Diakopoulos KN,Kurkowski MU,Lesina M,Krüger A,Algül H,Friess H,Ceyhan GOdoi
10.1073/pnas.1606909114subject
Has Abstractpub_date
2017-01-03 00:00:00pages
E85-E94issue
1eissn
0027-8424issn
1091-6490pii
1606909114journal_volume
114pub_type
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