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Publication : RUNX3 Controls a Metastatic Switch in Pancreatic Ductal Adenocarcinoma.

First Author  Whittle MC Year  2015
Journal  Cell Volume  161
Issue  6 Pages  1345-60
PubMed ID  26004068 Mgi Jnum  J:223403
Mgi Id  MGI:5648776 Doi  10.1016/j.cell.2015.04.048
Citation  Whittle MC, et al. (2015) RUNX3 Controls a Metastatic Switch in Pancreatic Ductal Adenocarcinoma. Cell 161(6):1345-60
abstractText  For the majority of patients with pancreas cancer, the high metastatic proclivity is life limiting. Some patients, however, present with and succumb to locally destructive disease. A molecular understanding of these distinct disease manifestations can critically inform patient management. Using genetically engineered mouse models, we show that heterozygous mutation of Dpc4/Smad4 attenuates the metastatic potential of Kras(G12D/+);Trp53(R172H/+) pancreatic ductal adenocarcinomas while increasing their proliferation. Subsequent loss of heterozygosity of Dpc4 restores metastatic competency while further unleashing proliferation, creating a highly lethal combination. Expression levels of Runx3 respond to and combine with Dpc4 status to coordinately regulate the balance between cancer cell division and dissemination. Thus, Runx3 serves as both a tumor suppressor and promoter in slowing proliferation while orchestrating a metastatic program to stimulate cell migration, invasion, and secretion of proteins that favor distant colonization. These findings suggest a model to anticipate likely disease behaviors in patients and tailor treatment strategies accordingly.
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