β2 Adrenergic-Neurotrophin Feedforward Loop Promotes Pancreatic Cancer

被引:315
|
作者
Renz, Bernhard W. [1 ,2 ,3 ]
Takahashi, Ryota [2 ,3 ]
Tanaka, Takayuki [2 ,3 ]
Macchini, Marina [2 ,3 ,4 ]
Hayakawa, Yoku [2 ,3 ,5 ]
Dantes, Zahra [6 ]
Maurer, H. Carlo [2 ,3 ]
Chen, Xiaowei [2 ,3 ]
Jiang, Zhengyu [2 ,3 ]
Westphalen, C. Benedikt [2 ,3 ,7 ]
Ilmer, Matthias [1 ]
Valenti, Giovanni [2 ,3 ]
Mohanta, Sarajo K. [8 ]
Habenicht, Andreas J. R. [8 ]
Middelhoff, Moritz [2 ,3 ]
Chu, Timothy [2 ,3 ]
Nagar, Karan [2 ,3 ]
Tailor, Yagnesh [2 ,3 ]
Casadei, Riccardo [9 ]
Di Marco, Mariacristina [10 ]
Kleespies, Axel [1 ]
Friedman, Richard A. [11 ]
Remotti, Helen [12 ]
Reichert, Maximilian [6 ]
Worthley, Daniel L. [2 ,3 ,13 ]
Neumann, Jens [14 ]
Werner, Jens [1 ]
Iuga, Alina C. [12 ]
Olive, Kenneth P. [2 ,3 ,12 ]
Wang, Timothy C. [2 ,3 ]
机构
[1] Hosp Univ Munich, Dept Gen Visceral & Transplantat Surg, D-81377 Munich, Germany
[2] Columbia Univ, Med Ctr, Dept Digest & Liver Dis, 1130 St Nicholas Ave, New York, NY 10032 USA
[3] Columbia Univ, Med Ctr, Herbert Irving Comprehens Canc Ctr, 1130 St Nicholas Ave, New York, NY 10032 USA
[4] IRCCS, San Raffaele Sci Inst, Dept Oncol, I-20132 Milan, Italy
[5] Univ Tokyo, Grad Sch Med, Dept Gastroenterol, Tokyo 1138655, Japan
[6] Tech Univ Munich, Klinikum Rechts Isar, Dept Med 2, D-81675 Munich, Germany
[7] Hosp Univ Munich, Dept Internal Med 3, D-81377 Munich, Germany
[8] Univ Munich, Inst Cardiovasc Prevent, D-80336 Munich, Germany
[9] Univ Bologna, Alma Mater Studiorum, Dept Internal Med & Surg DIMEC, St Orsola Malpighi Hosp, I-40138 Bologna, Italy
[10] Univ Bologna, St Orsola Malpighi Hosp, Dept Expt Diagnost & Specialty Med, I-40138 Bologna, Italy
[11] Columbia Univ, Herbert Irving Comprehens Canc Ctr, Biomed Informat Shared Resource, Dept Biomed Informat,Med Ctr, New York, NY 10032 USA
[12] Columbia Univ, Med Ctr, Dept Pathol & Cell Biol, New York, NY 10032 USA
[13] Univ Adelaide, Dept Med, Adelaide, SA 5005, Australia
[14] Hosp Univ Munich, Dept Pathol, D-81377 Munich, Germany
关键词
DUCTAL ADENOCARCINOMA; TUMOR-GROWTH; PERINEURAL INVASION; NEURAL INVASION; CELLS; EXPRESSION; SURVIVAL; BLOCKERS; NEURONS; NERVE;
D O I
10.1016/j.ccell.2017.11.007
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Catecholamines stimulate epithelial proliferation, but the role of sympathetic nerve signaling in pancreatic ductal adenocarcinoma (PDAC) is poorly understood. Catecholamines promoted ADRB2-dependent PDAC development, nerve growth factor (NGF) secretion, and pancreatic nerve density. Pancreatic Ngf overexpression accelerated tumor development in LSL-Kras(+/G12D);Pdx1-Cre (KC) mice. ADRB2 blockade together with gemcitabine reduced NGF expression and nerve density, and increased survival of LSL-Kras(+/G12D); LSL-Trp53(+/R172H);Pdx1-Cre (KPC) mice. Therapy with a Trk inhibitor together with gemcitabine also increased survival of KPC mice. Analysis of PDAC patient cohorts revealed a correlation between brain-derived neurotrophic factor (BDNF) expression, nerve density, and increased survival of patients on nonselective beta-blockers. These findings suggest that catecholamines drive a feedforward loop, whereby upregulation of neurotrophins increases sympathetic innervation and local norepinephrine accumulation.
引用
收藏
页码:75 / +
页数:23
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