Journal
ONCOGENE
Volume 36, Issue 16, Pages 2202-2214Publisher
NATURE PUBLISHING GROUP
DOI: 10.1038/onc.2016.378
Keywords
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Funding
- Bi-institutional Collaborative Pancreatic Cancer Research grant from the College of Medicine of National Cheng Kung University
- Ministry of Science and Technology, Taiwan [MOST102-2320-B-006-050, MOST104-2320-B-006-028-]
- Ministry of Health and Welfare, Taiwan [MOHW104-TDU-B-211-124-003]
- Team of Excellent Research Program of the Ministry of Science and Technology, Taiwan [MOST 105-2321-B-001-064]
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The highly homeostasis-resistant nature of cancer cells leads to their escape from treatment and to liver metastasis, which in turn makes pancreatic ductal adenocarcinoma (PDAC) difficult to treat, especially the squamous/epithelial-to-mesenchymal transition (EMT)-like subtype. As the molecular mechanisms underlying tumour heterogeneity remain elusive, we investigated whether epigenetic regulation might explain inter-individual differences in the progression of specific subtypes. DNA methylation profiling performed on cancer tissues prior to chemo/radiotherapy identified one hypermethylated CpG site (CpG6882469) in the VAV1 gene body that was correlated with demethylation of two promoter CpGs (CpG6772370/CpG6772811) in both PDAC and peripheral blood. Transforming growth factor beta treatment induced gene-body hypermethylation, dissociation of DNMT1 from the promoter, and VAV1 expression via SMAD4 and mutant Kras(G12D). Pharmacological inhibition of TGF beta-VAV1 signalling decreased the squamous/EMT-like cancer cells, promoted nuclear VAV1 localization, and enhanced the efficacy of gemcitabine in prolonging the survival of (KPC)-C-fl/fl mice. Together, the three VAV1 CpGs serve as biomarkers for prognosis and early detection, and the TGF beta-VAV1 axis represents a therapeutic target.
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