1. NFAT5 governs cellular plasticity-driven resistance to KRAS-targeted therapy in pancreatic cancer.
- Author
-
Deng D, Begum H, Liu T, Zhang J, Zhang Q, Chu TY, Li H, Lemenze A, Hoque M, Soteropoulos P, and Hou P
- Subjects
- Animals, Humans, Mice, Cell Line, Tumor, Tumor Microenvironment, Cell Plasticity, Smad4 Protein metabolism, Smad4 Protein genetics, Smad3 Protein metabolism, Signal Transduction, Mice, Inbred C57BL, S100 Calcium-Binding Protein A4, Pancreatic Neoplasms pathology, Pancreatic Neoplasms metabolism, Pancreatic Neoplasms genetics, Pancreatic Neoplasms drug therapy, Proto-Oncogene Proteins p21(ras) genetics, Proto-Oncogene Proteins p21(ras) metabolism, Drug Resistance, Neoplasm genetics, Carcinoma, Pancreatic Ductal pathology, Carcinoma, Pancreatic Ductal metabolism, Carcinoma, Pancreatic Ductal genetics, Carcinoma, Pancreatic Ductal drug therapy, Epithelial-Mesenchymal Transition, Transforming Growth Factor beta metabolism, Transcription Factors metabolism, Transcription Factors genetics
- Abstract
Resistance to KRAS therapy in pancreatic ductal adenocarcinoma (PDAC) involves cellular plasticity, particularly the epithelial-to-mesenchymal transition (EMT), which poses challenges for effective targeting. Chronic pancreatitis, a known risk factor for PDAC, elevates TGFβ levels in the tumor microenvironment (TME), promoting resistance to KRAS therapy. Mechanistically, TGFβ induces the formation of a novel protein complex composed of SMAD3, SMAD4, and the nuclear factor NFAT5, triggering EMT and resistance by activating key mediators such as S100A4. Inhibiting NFAT5 attenuates pancreatitis-induced resistance to KRAS inhibition and extends mouse survival. Additionally, TGFβ stimulates PDAC cells to secrete CCL2, recruiting macrophages that contribute to KRAS bypass through paracrine S100A4. Our findings elucidate the role of TGFβ signaling in EMT-associated KRAS therapy resistance and identify NFAT5 as a druggable target. Targeting NFAT5 could disrupt this regulatory network, offering a potential avenue for preventing resistance in PDAC., (© 2024 Deng et al.)
- Published
- 2024
- Full Text
- View/download PDF