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Publication : Stress-Activated NRF2-MDM2 Cascade Controls Neoplastic Progression in Pancreas.

First Author  Todoric J Year  2017
Journal  Cancer Cell Volume  32
Issue  6 Pages  824-839.e8
PubMed ID  29153842 Mgi Jnum  J:252273
Mgi Id  MGI:6103652 Doi  10.1016/j.ccell.2017.10.011
Citation  Todoric J, et al. (2017) Stress-Activated NRF2-MDM2 Cascade Controls Neoplastic Progression in Pancreas. Cancer Cell 32(6):824-839.e8
abstractText  Despite expression of oncogenic KRAS, premalignant pancreatic intraepithelial neoplasia 1 (PanIN1) lesions rarely become fully malignant pancreatic ductal adenocarcinoma (PDAC). The molecular mechanisms through which established risk factors, such as chronic pancreatitis, acinar cell damage, and/or defective autophagy increase the likelihood of PDAC development are poorly understood. We show that accumulation of the autophagy substrate p62/SQSTM1 in stressed Kras(G12D) acinar cells is associated with PDAC development and maintenance of malignancy in human cells and mice. p62 accumulation promotes neoplastic progression by controlling the NRF2-mediated induction of MDM2, which acts through p53-dependent and -independent mechanisms to abrogate checkpoints that prevent conversion of differentiated acinar cells to proliferative ductal progenitors. MDM2 targeting may be useful for preventing PDAC development in high-risk individuals.
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