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Publication : Transcriptional control of subtype switching ensures adaptation and growth of pancreatic cancer.

First Author  Adams CR Year  2019
Journal  Elife Volume  8
PubMed ID  31134896 Mgi Jnum  J:277228
Mgi Id  MGI:6316751 Doi  10.7554/eLife.45313
Citation  Adams CR, et al. (2019) Transcriptional control of subtype switching ensures adaptation and growth of pancreatic cancer. Elife 8:e45313
abstractText  Pancreatic ductal adenocarcinoma (PDA) is a heterogeneous disease comprised of a basal-like subtype with mesenchymal gene signatures, undifferentiated histopathology and worse prognosis compared to the classical subtype. Despite their prognostic and therapeutic value, the key drivers that establish and control subtype identity remain unknown. Here, we demonstrate that PDA subtypes are not permanently encoded, and identify the GLI2 transcription factor as a master regulator of subtype inter-conversion. GLI2 is elevated in basal-like PDA lines and patient specimens, and forced GLI2 activation is sufficient to convert classical PDA cells to basal-like. Mechanistically, GLI2 upregulates expression of the pro-tumorigenic secreted protein, Osteopontin (OPN), which is especially critical for metastatic growth in vivo and adaptation to oncogenic KRAS ablation. Accordingly, elevated GLI2 and OPN levels predict shortened overall survival of PDA patients. Thus, the GLI2-OPN circuit is a driver of PDA cell plasticity that establishes and maintains an aggressive variant of this disease.
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