Stromal elements act to restrain, rather than support, pancreatic ductal adenocarcinoma.

By A. Rhim, P. Oberstein, Dafydd H. Thomas, Emily T Mirek, Carmine F. Palermo, Stephen A. Sastra, Erin N Dekleva, T. Saunders, Claudia P. Becerra, I. Tattersall and 7 more. Cancer Cell, 2014

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Sonic hedgehog (Shh), a soluble ligand overexpressed by neoplastic cells in pancreatic ductal adenocarcinoma (PDAC), drives formation of a fibroblast-rich desmoplastic stroma. To better understand its role in malignant progression, we deleted Shh in a well-defined mouse model of PDAC. As predicted, Shh-deficient tumors had reduced stromal content. Surprisingly, such tumors were more aggressive and exhibited undifferentiated histology, increased vascularity, and heightened proliferation--features that were fully recapitulated in control mice treated with a Smoothened inhibitor. Furthermore, administration of VEGFR blocking antibody selectively improved survival of Shh-deficient tumors, indicating that Hedgehog-driven stroma suppresses tumor growth in part by restraining tumor angiogenesis. Together, these data demonstrate that some components of the tumor stroma can act to restrain tumor growth.

Subfields: Molecular Biology, Oncology, Pathology and Forensic Medicine

View Paper: https://www.semanticscholar.org/paper/1a7a075d29fcb31432b332700f7787d050de9f50

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