ATDC is required for the initiation of KRAS-induced pancreatic tumorigenesis

  1. Diane M. Simeone1,2,7
  1. 1Department of Surgery, New York University School of Medicine, New York, New York 10016, USA;
  2. 2Perlmutter Cancer Center, NYU Langone Medical Center, New York University, New York, New York 10016, USA;
  3. 3Department of Radiation Oncology, University of Michigan, Ann Arbor, Michigan 48109, USA;
  4. 4Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan 48109, USA;
  5. 5Department of Molecular and Integrative Physiology, University of Michigan, Ann Arbor, Michigan 48109, USA;
  6. 6Department of Gastroenterology, Hepatology, and Nutrition, University of Texas MD Anderson Cancer Center, Houston, Texas 77030, USA;
  7. 7Department of Pathology, New York University School of Medicine, New York, New York 10016, USA;
  8. 8Department of Biochemistry and Molecular Pharmacology, New York University School of Medicine, New York, New York 10016, USA;
  9. 9Department of Medicine, New York University School of Medicine, New York, New York 10016, USA;
  10. 10Department of Surgery, University of Michigan, Ann Arbor, Michigan 48109, USA;
  11. 11Department of Cell and Developmental Biology, University of Michigan, Ann Arbor, Michigan 48109, USA
  1. Corresponding author: diane.simeone{at}nyulangone.org

Abstract

Pancreatic adenocarcinoma (PDA) is an aggressive disease driven by oncogenic KRAS and characterized by late diagnosis and therapeutic resistance. Here we show that deletion of the ataxia-telangiectasia group D-complementing (Atdc) gene, whose human homolog is up-regulated in the majority of pancreatic adenocarcinoma, completely prevents PDA development in the context of oncogenic KRAS. ATDC is required for KRAS-driven acinar–ductal metaplasia (ADM) and its progression to pancreatic intraepithelial neoplasia (PanIN). As a result, mice lacking ATDC are protected from developing PDA. Mechanistically, we show ATDC promotes ADM progression to PanIN through activation of β-catenin signaling and subsequent SOX9 up-regulation. These results provide new insight into PDA initiation and reveal ATDC as a potential target for preventing early tumor-initiating events.

Keywords

Footnotes

  • Received December 5, 2018.
  • Accepted April 8, 2019.

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