Journal
JOURNAL OF CLINICAL INVESTIGATION
Volume 122, Issue 6, Pages 2092-2103Publisher
AMER SOC CLINICAL INVESTIGATION INC
DOI: 10.1172/JCI60144
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Funding
- La Ligue contre le Cancer
- Institut national du cancer (INCa)
- INSERM
- German Cancer Aid [107195]
- German Federal Ministry of Education and Research [01GS08115]
- Lustgarten Foundation [REP05-14, 06-12]
- German Research Foundation [SI 1549/1-1]
- NIH [DK52913]
- l'Association pour la Recherche sur le Cancer
- Fraternal Order of Eagles for Cancer Research
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Pancreatic ductal adenocarcinoma (PDAC) has the lowest survival rate of all cancers and shows remarkable resistance to cell stress. Nuclear protein 1 (Nupr1), which mediates stress response in the pancreas, is frequently upregulated in pancreatic cancer. Here, we report that Nupr1 plays an essential role in pancreatic tumorigenesis. In a mouse model of pancreatic cancer with constitutively expressed oncogenic Kras(G12D), we found that loss of Nupr1 protected from the development of pancreatic intraepithelial neoplasias (PanINs). Further, in cultured pancreatic cells, nutrient deprivation activated Nupr1 expression, which we found to be required for cell survival. We found that Nupr1 protected cells from stress-induced death by inhibiting apoptosis through a pathway dependent on transcription factor RelB and immediate early response 3 (IER3). NUPR1, RELB, and IER3 proteins were coexpressed in mouse PanINs from Kras(G12D)-expressing pancreas. Moreover, pancreas-specific deletion of Relb in a Kras(G12D) background resulted in delayed in PanIN development associated with a lack of IER3 expression. Thus, efficient PanIN formation was dependent on the expression of Nupr1 and Relb, with likely involvement of IER3. Finally, in patients with PDAC, expression of NUPR1, RELB, and IER3 was significantly correlated with a poor prognosis. Cumulatively, these results reveal a NUPR1/RELB/IER3 stress-related pathway that is required for oncogenic Kras(G12D)-dependent transformation of the pancreas.
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