Pancreatic cancer exosomes initiate pre-metastatic niche formation in the liver

By B. Costa-Silva, Nicole M. Aiello, A. Ocean, Swarnima Singh, Haiying Zhang, B. K. Thakur, A. Becker, Ayuko Hoshino, M. T. Mark, H. Molina and 27 more. Nature Cell Biology, 2015

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Pancreatic ductal adenocarcinomas (PDACs) are highly metastatic with poor prognosis, mainly due to delayed detection. We hypothesized that intercellular communication is critical for metastatic progression. Here, we show that PDAC-derived exosomes induce liver pre-metastatic niche formation in naive mice and consequently increase liver metastatic burden. Uptake of PDAC-derived exosomes by Kupffer cells caused transforming growth factor β secretion and upregulation of fibronectin production by hepatic stellate cells. This fibrotic microenvironment enhanced recruitment of bone marrow-derived macrophages. We found that macrophage migration inhibitory factor (MIF) was highly expressed in PDAC-derived exosomes, and its blockade prevented liver pre-metastatic niche formation and metastasis. Compared with patients whose pancreatic tumours did not progress, MIF was markedly higher in exosomes from stage I PDAC patients who later developed liver metastasis. These findings suggest that exosomal MIF primes the liver for metastasis and may be a prognostic marker for the development of PDAC liver metastasis.

Subfields: Immunology, Pharmacology

View Paper: https://www.semanticscholar.org/paper/02627bf2f2f6333495a1115393ced243b3847b77

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