title: Snail cooperates with KrasG12D to promote pancreatic fibrosis.
abstract: Patients with pancreatic cancer, which is characterized by an extensive collagen-rich fibrotic reaction, often present with metastases. A critical step in cancer metastasis is epithelial-to-mesenchymal transition (EMT), which can be orchestrated by the Snail family of transcription factors. To understand the role of Snail (SNAI1) in pancreatic cancer development, we generated transgenic mice expressing Snail in the pancreas. Because chronic pancreatitis can contribute to pancreatic cancer development, Snail-expressing mice were treated with cerulein to induce pancreatitis. Although significant tissue injury was observed, a minimal difference in pancreatitis was seen between control and Snail-expressing mice. However, because Kras mutation is necessary for tumor development in mouse models of pancreatic cancer, we generated mice expressing both mutant Kras(G12D) and Snail (Kras(+)/Snail(+)). Compared with control mice (Kras(+)/Snai(-)), Kras(+)/Snail(+) mice developed acinar ectasia and more advanced acinar-to-ductal metaplasia. The Kras(+)/Snail(+) mice exhibited increased fibrosis, increased phosphorylated Smad2, increased TGF-β2 expression, and activation of pancreatic stellate cells. To further understand the mechanism by which Snail promoted fibrosis, we established an in vitro model to examine the effect of Snail expression in pancreatic cancer cells on stellate cell collagen production. Snail expression in pancreatic cancer cells increased TGF-β2 levels, and conditioned media from Snail-expressing pancreatic cancer cells increased collagen production by stellate cells. Additionally, inhibiting TGF-β signaling in stellate cells attenuated the conditioned media-induced collagen production by stellate cells. Together, these results suggest that Snail contributes to pancreatic tumor development by promoting fibrotic reaction through increased TGF-β signaling.
  
  
  CONCLUSIONS
  Expression of the EMT regulator Snail in the context of mutant Kras provides new insight into pancreatic cancer progression.
authors.affiliation: Northwestern University Feinberg School of Medicine, Lurie Building, Room 3-117, 303 E. Superior Street, Chicago, IL 60611. h-munshi@northwestern.edu.
authors.forename: Mario A
authors.initials: MA
authors.lastname: Shields
authors.forename: Kazumi
authors.initials: K
authors.lastname: Ebine
authors.forename: Vaibhav
authors.initials: V
authors.lastname: Sahai
authors.forename: Krishan
authors.initials: K
authors.lastname: Kumar
authors.forename: Kulsumjehan
authors.initials: K
authors.lastname: Siddiqui
authors.forename: Rosa F
authors.initials: RF
authors.lastname: Hwang
authors.forename: Paul J
authors.initials: PJ
authors.lastname: Grippo
authors.forename: Hidayatullah G
authors.initials: HG
authors.lastname: Munshi
mesh_terms: D000818:Animals; D049109:Cell Proliferation; D002108:Ceruletide; D003094:Collagen / Q000378:metabolism; D058750:Epithelial-Mesenchymal Transition; D005355:Fibrosis / Q000378:metabolism; D051379:Mice; D008822:Mice, Transgenic; D010179:Pancreas / Q000378:metabolism / Q000473:pathology; D010190:Pancreatic Neoplasms / Q000235:genetics / Q000378:metabolism / Q000473:pathology; D058954:Pancreatic Stellate Cells / Q000378:metabolism; D050500:Pancreatitis, Chronic / Q000139:chemically induced / Q000378:metabolism / Q000473:pathology; D016283:Proto-Oncogene Proteins p21(ras) / Q000235:genetics / Q000378:metabolism*; D015398:Signal Transduction; D051899:Smad2 Protein / Q000378:metabolism; D000071250:Snail Family Transcription Factors; D014157:Transcription Factors / Q000235:genetics / Q000378:metabolism*; D053781:Transforming Growth Factor beta2 / Q000378:metabolism; D014407:Tumor Cells, Cultured
chemical_list: D051899:Smad2 Protein; C000604429:Snai1 protein, mouse; D000071250:Snail Family Transcription Factors; D014157:Transcription Factors; D053781:Transforming Growth Factor beta2; D002108:Ceruletide; D003094:Collagen; C495971:Hras protein, mouse; D016283:Proto-Oncogene Proteins p21(ras)