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Publication : MYC Instructs and Maintains Pancreatic Adenocarcinoma Phenotype.

First Author  Sodir NM Year  2020
Journal  Cancer Discov Volume  10
Issue  4 Pages  588-607
PubMed ID  31941709 Mgi Jnum  J:287285
Mgi Id  MGI:6404283 Doi  10.1158/2159-8290.CD-19-0435
Citation  Sodir NM, et al. (2020) MYC Instructs and Maintains Pancreatic Adenocarcinoma Phenotype. Cancer Discov 10(4):588-607
abstractText  The signature features of pancreatic ductal adenocarcinoma (PDAC) are its fibroinflammatory stroma, poor immune activity, and dismal prognosis. We show that acute activation of Myc in indolent pancreatic intraepithelial neoplasm (PanIN) epithelial cells in vivo is, alone, sufficient to trigger immediate release of instructive signals that together coordinate changes in multiple stromal and immune-cell types and drive transition to pancreatic adenocarcinomas that share all the characteristic stromal features of their spontaneous human counterpart. We also demonstrate that this Myc-driven PDAC switch is completely and immediately reversible: Myc deactivation/inhibition triggers meticulous disassembly of advanced PDAC tumor and stroma and concomitant death of tumor cells. Hence, both the formation and deconstruction of the complex PDAC phenotype are continuously dependent on a single, reversible Myc switch. SIGNIFICANCE: We show that Myc activation in indolent Kras (G12D)-induced PanIN epithelium acts as an immediate pleiotropic switch, triggering tissue-specific signals that instruct all the diverse signature stromal features of spontaneous human PDAC. Subsequent Myc deactivation or inhibition immediately triggers a program that coordinately disassembles PDAC back to PanIN.See related commentary by English and Sears, p. 495.
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