2017
DOI: 10.1016/j.celrep.2017.02.013
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Autocrine IGF1 Signaling Mediates Pancreatic Tumor Cell Dormancy in the Absence of Oncogenic Drivers

Abstract: Mutant KRAS and c-MYC are oncogenic drivers and rational therapeutic targets for the treatment of pancreatic cancer. While tumor growth and homeostasis is largely dependent on these oncogenes, a few residual cancer cells are able to survive the ablation of mutant KRAS and c-MYC. By performing a genome-wide gene expression analysis of in vivo-derived bulk tumor cells and residual cancer cells lacking the expression of mutant KRAS or c-MYC, we have identified an increase in autocrine IGF1/AKT signaling as a comm… Show more

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Cited by 52 publications
(50 citation statements)
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“…45 Combinations of such pharmacologic agents that induce death of dormant cells and anti-stromal agents could be repurposed to prevent cancer recurrence caused by dormant pancreatic cancer cells. 46,47 Collectively, these studies show how primary tumor can induce early stromal alterations in other tissues to promote cancer spread. This highlights the need for assessing antistromal agents in combination with chemotherapy in the neoadjuvant and adjuvant settings to reduce the risk of tumor dissemination 22,39À41,48À50 ( Figure 1A).…”
Section: Targeting Mechanical Features Of the Extracellular Matrixmentioning
confidence: 87%
“…45 Combinations of such pharmacologic agents that induce death of dormant cells and anti-stromal agents could be repurposed to prevent cancer recurrence caused by dormant pancreatic cancer cells. 46,47 Collectively, these studies show how primary tumor can induce early stromal alterations in other tissues to promote cancer spread. This highlights the need for assessing antistromal agents in combination with chemotherapy in the neoadjuvant and adjuvant settings to reduce the risk of tumor dissemination 22,39À41,48À50 ( Figure 1A).…”
Section: Targeting Mechanical Features Of the Extracellular Matrixmentioning
confidence: 87%
“…IGF-1 and IGF-2 have been shown to mediate tumor cell dormancy in bone in models of pancreatic cancer and osteosarcoma (58,59). In a murine pancreatic cancer model, the activation of IGF-1/AKT signaling was a common survival mechanism in dormant cancer cells that had survived ablation of the oncogenic drivers KRAS and MYC (58).…”
Section: The Role Of the Igf Axis In Bone Metastasesmentioning
confidence: 99%
“…IGF-1 and IGF-2 have been shown to mediate tumor cell dormancy in bone in models of pancreatic cancer and osteosarcoma (58,59). In a murine pancreatic cancer model, the activation of IGF-1/AKT signaling was a common survival mechanism in dormant cancer cells that had survived ablation of the oncogenic drivers KRAS and MYC (58). In clinical osteosarcomas and a mouse model of MYC-driven osteosarcoma, IGF-2 expression increased following chemotherapy, and prolonged IGF-2 exposure induced a dormancy-like state, characterized by attenuated responsiveness of the IGF axis to IGF-2, with low levels of AKT-mTOR activity, cell-cycle arrest, and autophagy (59).…”
Section: The Role Of the Igf Axis In Bone Metastasesmentioning
confidence: 99%
“…In cases where primary or metastatic cancers regress and residual tumor cells remain dormant following a Dox-induced suppression of the oncogene, it can be expected that the constitutively active EF1-tTA will effectively reactivate an oncogene in virtually all quiescent tumor cells following Dox withdrawal. This reawakening of tumor cells may lead to cancer recurrence or even cell death depending on the differentiation state of a dormant cancer cell [23][24][25] .…”
Section: Discussionmentioning
confidence: 99%