Molecular Pathway Leads to Pancreatic Cancer

Of particular interest were changes that occurred in exocrine cells during acinar-ductal metaplasia (ADM), an inflammatory state that is a prelude to the development of pancreatic ductal adenocarcinoma.

They reported in the February 2013 issue of the journal Genes and Development that the protein Prrx1 (paired related homeobox 1) was a key element in the pathway leading to transformation into cancer. Prxx1 is a DNA-associated protein that is a member of the paired family of homeobox proteins localized to the nucleus. The protein functions as a transcription coactivator, enhancing the DNA-binding activity of serum response factor, a protein required for the induction of genes by growth and differentiation factors.

Results of the current study revealed that Prxx1was present in two isoforms, Prrx1a and Prrx1b. Prxx1a was shown to regulate migration while Prxx1b regulated invasion in pancreatic cancer cells and was enriched in circulating pancreatic cells. Additionally, the Prrx1b isoform, which was also induced in ADM, bound the Sox9 promoter and positively regulated Sox9 expression. This finding suggested a new hierarchical scheme whereby a Prrx1–Sox9 axis may influence the emergence of ADM and regeneration.

“We hope that studies like this one that identifies key molecules and pathways that govern the cancerous fate of cells can be used as diagnostic predictors of treatment outcome and severity for cancer,” said senior author Dr. Anil Rustgi, professor of gastroenterology at the University of Pennsylvania.

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