Extracellular Vesicles from Pancreatic Cancer Stem Cells Lead an Intratumor Communication Network (EVNet) to fuel tumour progression

Data de publicação: Data Ahead of Print:

Autores da FMUP

  • Manuel Guilherme Gonçalves Macedo

    Autor

  • Maria De Fátima Machado Henriques Carneiro

    Autor

  • José Carlos Lemos Machado

    Autor

Participantes de fora da FMUP

  • Ruivo, CF
  • Bastos, N
  • Adem, B
  • Batista, I
  • Duraes, C
  • Melo, CA
  • Castaldo, SA
  • Campos-Laborie, F
  • Moutinho-Ribeiro, P
  • Morao, B
  • Costa-Pinto, A
  • Silva, S
  • Osorio, H
  • Ciordia, S
  • Costa, JL
  • Goodrich, D
  • Cavadas, B
  • Pereira, L
  • Kouzarides, T
  • Maio, R
  • Cravo, M
  • Kalluri, R
  • Melo, SA

Unidades de investigação

Abstract

Objective Intratumor heterogeneity drives cancer progression and therapy resistance. However, it has yet to be determined whether and how subpopulations of cancer cells interact and how this interaction affects the tumour. Design We have studied the spontaneous flow of extracellular vesicles (EVs) between subpopulations of cancer cells: cancer stem cells (CSC) and non-stem cancer cells (NSCC). To determine the biological significance of the most frequent communication route, we used pancreatic ductal adenocarcinoma (PDAC) orthotopic models, patient-derived xenografts (PDXs) and genetically engineered mouse models (GEMMs). Results We demonstrate that PDAC tumours establish an organised communication network between subpopulations of cancer cells using EVs called the EVNet). The EVNet is plastic and reshapes in response to its environment. Communication within the EVNet occurs preferentially from CSC to NSCC. Inhibition of this communication route by impairing Rab27a function in orthotopic xenographs, GEMMs and PDXs is sufficient to hamper tumour growth and phenocopies the inhibition of communication in the whole tumour. Mechanistically, we provide evidence that CSC EVs use agrin protein to promote Yes1 associated transcriptional regulator (YAP) activation via LDL receptor related protein 4 (LRP-4). Ex vivo treatment of PDXs with antiagrin significantly impairs proliferation and decreases the levels of activated YAP. Patients with high levels of agrin and low inactive YAP show worse disease-free survival. In addition, patients with a higher number of circulating agrin(+) EVs show a significant increased risk of disease progression. Conclusion PDAC tumours establish a cooperation network mediated by EVs that is led by CSC and agrin, which allows tumours to adapt and thrive. Targeting agrin could make targeted therapy possible for patients with PDAC and has a significant impact on CSC that feeds the tumour and is at the centre of therapy resistance.

Dados da publicação

ISSN/ISSNe:
1468-3288, 0017-5749

Gut  BMJ Publishing Group

Tipo:
Article
Páginas:
2043-2068
Link para outro recurso:
www.scopus.com

Citações Recebidas na Web of Science: 45

Citações Recebidas na Scopus: 59

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Keywords

  • pancreatic cancer; cell biology; carcinogenesis; molecular carcinogenesis

Financiamento

Proyectos asociados

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Investigador Principal: Maria de Fátima Machado Henriques Carneiro

Estudo Clínico Académico . 2021

Gastric Cancer Morphological, Immunophenotypic and molecular heterogeneity

Investigador Principal: Maria de Fátima Machado Henriques Carneiro

Estudo Clínico Académico . 2020

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