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2015 ; 34
(16
): 2052-60
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Smoking accelerates pancreatic cancer progression by promoting differentiation of
MDSCs and inducing HB-EGF expression in macrophages
#MMPMID24909166
Kumar S
; Torres MP
; Kaur S
; Rachagani S
; Joshi S
; Johansson SL
; Momi N
; Baine MJ
; Gilling CE
; Smith LM
; Wyatt TA
; Jain M
; Joshi SS
; Batra SK
Oncogene
2015[Apr]; 34
(16
): 2052-60
PMID24909166
show ga
Smoking is an established risk factor for pancreatic cancer (PC), but late
diagnosis limits the evaluation of its mechanistic role in the progression of PC.
We used a well-established genetically engineered mouse model (LSL-K-ras(G12D))
of PC to elucidate the role of smoking during initiation and development of
pancreatic intraepithelial neoplasia (PanIN). The 10-week-old floxed mice
(K-ras(G12D); Pdx-1cre) and their control unfloxed (LSL-K-ras(G12D)) littermates
were exposed to cigarette smoke (total suspended particles: 150 mg/m(3)) for 20
weeks. Smoke exposure significantly accelerated the development of PanIN lesions
in the floxed mice, which correlated with tenfold increase in the expression of
cytokeratin19. The systemic accumulation of myeloid-derived suppressor cells
(MDSCs) decreased significantly in floxed mice compared with unfloxed controls
(P<0.01) after the smoke exposure with the concurrent increase in the macrophage
(P<0.05) and dendritic cell (DCs) (P<0.01) population. Further, smoking-induced
inflammation (IFN-?, CXCL2; P<0.05) was accompanied by enhanced activation of
pancreatic stellate cells and elevated levels of serum retinoic acid-binding
protein 4, indicating increased bioavailability of retinoic acid which
contributes to differentiation of MDSCs to tumor-associated macrophages (TAMs)
and DCs. TAMs predominantly contribute to the increased expression of
heparin-binding epidermal growth factor-like growth factor (EGFR ligand) in
pre-neoplastic lesions in smoke-exposed floxed mice that facilitate
acinar-to-ductal metaplasia (ADM). Further, smoke exposure also resulted in
partial suppression of the immune system early during PC progression. Overall,
the present study provides a novel mechanism of smoking-induced increase in ADM
in the presence of constitutively active K-ras mutation.