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Differential cell susceptibilities to kras(G12D) in the setting of obstructive chronic pancreatitis

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Item Type:Article
Title:Differential cell susceptibilities to kras(G12D) in the setting of obstructive chronic pancreatitis
Creators Name:Shi, C., Pan, F.C., Kim, J.N., Washington, M.K., Padmanabhan, C., Meyer, C.T., Kopp, J.L., Sander, M., Gannon, M., Beauchamp, R.D., Wright, C.V. and Means, A.L.
Abstract:BACKGROUND & AIMS: Activating mutation of the KRAS gene is common in some cancers, such as pancreatic cancer, but rare in other cancers. Chronic pancreatitis is a predisposing condition for pancreatic ductal adenocarcinoma (PDAC), but how it synergizes with KRAS mutation is not known. METHODS: We used a mouse model to express an activating mutation of Kras in conjunction with obstruction of the main pancreatic duct to recapitulate a common etiology of human chronic pancreatitis. Because the cell of origin of PDAC is not clear, Kras mutation was introduced into either duct cells or acinar cells. RESULTS: Although Kras(G12D) expression in both cell types was protective against damage-associated cell death, chronic pancreatitis induced p53, p21, and growth arrest only in acinar-derived cells. Mutant duct cells did not elevate p53 or p21 expression and exhibited increased proliferation driving the appearance of PDAC over time. CONCLUSIONS: One mechanism by which tissues may be susceptible or resistant to KRAS(G12D)-initiated tumorigenesis is whether they undergo a p53-mediated damage response. In summary, we have uncovered a mechanism by which inflammation and intrinsic cellular programming synergize for the development of PDAC.
Keywords:Cdkn1a, Cell of Origin, Acinar-to-Ductal Metaplasia, Pancreatic Duct Ligation, Animals, Mice
Source:Cellular and molecular gastroenterology and hepatology
ISSN:2352-345X
Publisher:Elsevier
Volume:8
Number:4
Page Range:579-594
Date:31 October 2019
Official Publication:https://doi.org/10.1016/j.jcmgh.2019.07.001
PubMed:View item in PubMed

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