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      Cysteine depletion induces pancreatic tumor ferroptosis in mice

      1 , 2 , 3 , 4 , 1 , 2 , 5 , 6 , 3 , 4 , 3 , 4 , 1 , 2 , 1 , 2 , 1 , 2 , 1 , 2 , 1 , 2 , 1 , 2 , 1 , 2 , 7 , 3 , 4 , 4 , 8 , 3 , 4 , 9 , 10 , 2 , 11 , 12 , 2 , 11 , 12 , 13 , 14 , 10 , 15 , 15 , 7 , 2 , 12 , 6 , 9 , 3 , 4 , 16 , 1 , 2
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      American Association for the Advancement of Science (AAAS)

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          Abstract

          Ferroptosis is a form of cell death that results from the catastrophic accumulation of lipid reactive oxygen species (ROS). Oncogenic signaling elevates lipid ROS production in many tumor types and is counteracted by metabolites that are derived from the amino acid cysteine. In this work, we show that the import of oxidized cysteine (cystine) via system x C is a critical dependency of pancreatic ductal adenocarcinoma (PDAC), which is a leading cause of cancer mortality. PDAC cells used cysteine to synthesize glutathione and coenzyme A, which, together, down-regulated ferroptosis. Studying genetically engineered mice, we found that the deletion of a system x C subunit, Slc7a11, induced tumor-selective ferroptosis and inhibited PDAC growth. This was replicated through the administration of cyst(e)inase, a drug that depletes cysteine and cystine, demonstrating a translatable means to induce ferroptosis in PDAC.

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          Most cited references16

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          Virtual microdissection identifies distinct tumor- and stroma-specific subtypes of pancreatic ductal adenocarcinoma

          Pancreatic ductal adenocarcinoma (PDAC) remains a lethal disease with a 5-year survival of 4%. A key hallmark of PDAC is extensive stromal involvement, which makes capturing precise tumor-specific molecular information difficult. Here, we have overcome this problem by applying blind source separation to a diverse collection of PDAC gene expression microarray data, which includes primary, metastatic, and normal samples. By digitally separating tumor, stroma, and normal gene expression, we have identified and validated two tumor-specific subtypes including a “basal-like” subtype which has worse outcome, and is molecularly similar to basal tumors in bladder and breast cancer. Furthermore, we define “normal” and “activated” stromal subtypes which are independently prognostic. Our results provide new insight into the molecular composition of PDAC which may be used to tailor therapies or provide decision support in a clinical setting where the choice and timing of therapies is critical.
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            FKBP51 affects cancer cell response to chemotherapy by negatively regulating Akt.

            Akt is a central regulator of cell growth. Its activity can be negatively regulated by the phosphatase PHLPP that specifically dephosphorylates the hydrophobic motif of Akt (Ser473 in Akt1). However, how PHLPP is targeted to Akt is not clear. Here we show that FKBP51 (FK506-binding protein 51) acts as a scaffolding protein for Akt and PHLPP and promotes dephosphorylation of Akt. Furthermore, FKBP51 is downregulated in pancreatic cancer tissue samples and several cancer cell lines. Decreased FKBP51 expression in cancer cells results in hyperphosphorylation of Akt and decreased cell death following genotoxic stress. Overall, our findings identify FKBP51 as a negative regulator of the Akt pathway, with potentially important implications for cancer etiology and response to chemotherapy.
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              A Novel MIF Signaling Pathway Drives the Malignant Character of Pancreatic Cancer by Targeting NR3C2

              Pancreatic cancers with aberrant expression of macrophage migration inhibitory factor (MIF) are particularly aggressive. To identify key signaling pathways that drive disease aggressiveness in tumors with high MIF expression, we analyzed the expression of coding and non-coding genes in high and low MIF-expressing tumors in multiple cohorts of pancreatic ductal adenocarcinoma (PDAC) patients. The key genes and pathways identified were linked to patient survival and were mechanistically, functionally and clinically characterized using cell lines, a genetically engineered mouse model and PDAC patient cohorts. Here we report evidence of a novel MIF-driven signaling pathway that inhibits the orphan nuclear receptor NR3C2, a previously undescribed tumor suppressor that impacts aggressiveness and survival in PDAC. Mechanistically, MIF upregulated miR-301b which targeted NR3C2 and suppressed its expression. PDAC tumors expressing high levels of MIF displayed elevated levels of miR-301b and reduced levels of NR3C2. Additionally, reduced levels of NR3C2 expression correlated with poorer survival in multiple independent cohorts of PDAC patients. Functional analysis showed that NR3C2 inhibited epithelial-to-mesenchymal transition and enhanced sensitivity to the gemcitabine, a chemotherapeutic drug used in PDAC standard of care. Furthermore, genetic deletion of MIF disrupted a MIF-mir-301b-NR3C2 signaling axis, reducing metastasis and prolonging survival in a genetically engineered mouse model of PDAC. Taken together, our results offer a preclinical proof-of-principle for candidate therapies to target a newly described MIF-miR-301b-NR3C2 signaling axis for PDAC management.
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                Author and article information

                Journal
                Science
                Science
                American Association for the Advancement of Science (AAAS)
                0036-8075
                1095-9203
                April 02 2020
                April 03 2020
                April 02 2020
                April 03 2020
                : 368
                : 6486
                : 85-89
                Affiliations
                [1 ]Division of Digestive and Liver Diseases, Department of Medicine, Columbia University Medical Center, New York, NY 10032, USA.
                [2 ]Herbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, NY 10032, USA.
                [3 ]Department of Molecular and Integrative Physiology, University of Michigan, Ann Arbor, MI 48109, USA.
                [4 ]Rogel Cancer Center, University of Michigan, Ann Arbor, MI 48109, USA.
                [5 ]Klinikum rechts der Isar, II, Medizinische Klinik, Technische Universität München, 81675, Munich, Germany.
                [6 ]Gene Expression Laboratory, Salk Institute for Biological Studies, La Jolla, CA 92037, USA.
                [7 ]Waitt Advanced Biophotonics Center, Salk Institute for Biological Studies, La Jolla, CA 92037, USA.
                [8 ]Michigan Regional Comprehensive Metabolomics Resource Core, University of Michigan, Ann Arbor, MI 48105, USA.
                [9 ]Departments of Biological Sciences and Chemistry, Columbia University, New York, NY 10027, USA.
                [10 ]Department of Chemical Engineering, University of Texas at Austin, Austin, TX 78712, USA.
                [11 ]Institute for Cancer Genetics, Columbia University Medical Center, New York, NY 10032, USA.
                [12 ]Department of Pathology, Columbia University Medical Center, New York, NY 10032, USA.
                [13 ]Department of Pathology, University of California, San Francisco, CA 94143, USA.
                [14 ]Salvo Therapeutics, San Francisco, CA 94117, USA.
                [15 ]Department of Molecular Biosciences, University of Texas at Austin, Austin, TX 78712, USA.
                [16 ]Department of Internal Medicine, Division of Gastroenterology, University of Michigan, Ann Arbor, MI 48109, USA.
                Article
                10.1126/science.aaw9872
                7681911
                32241947
                4d2ae5b9-1290-4a17-abbf-f85635bc8d48
                © 2020

                http://www.sciencemag.org/about/science-licenses-journal-article-reuse

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