4:45 PM - 6:45 PM
[2LBA038] Genetic Ablation of Smoothened in Tumor-Associated Fibroblasts Promotes Pancreatic Cancer Initiation
Pancreatic tumor, Pten, Smo inhibitor, Hedgehog pathway, TGFa
The contribution of the tumor microenvironment to pancreatic adenocarcinoma (PDAC) development is currently unclear. Here we show the genetic inactivation of Smoothened (Smo) in stromal fibroblasts accelerated Kras-initiated tumorigenesis. The mechanism involved destabilization of fibroblast PTEN protein. An unbiased genetic screen revealed the ubiquitin E2 conjugating enzyme UBE2K as a PTEN destabilizer and knockdown of UBE2K blocked the degradation of PTEN protein. Down-regulation of PTEN enhanced TGF-a production in stromal fibroblasts via transcription factor Gli2, and increased epithelial cell transformation and proliferation. A SMO inhibitor, GDC-0449, decreased PTEN in a Kras model and in human pancreatic tumor fibroblasts. Importantly, in PDAC patient samples, low PTEN expression correlated with low SMO expression and with reduced overall survival. The results define a pathway that reprograms stromal fibroblasts from tumor suppressive to tumor promoting. Thus, a more comprehensive understanding of tumor-stroma interactions is required to assure effective implementation of targeted therapies.