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ABSTRACT: Background
Chemoresistance hampers the treatment of patients suffering from pancreatic ductal adenocarcinoma (PDAC). Here we aimed to evaluate the (phospho)proteome of gemcitabine-sensitive and gemcitabine-resistant PDAC cells to identify novel therapeutic targets and predictive biomarkers.Methods
The oncogenic capabilities of gemcitabine-sensitive and resistant PDAC cells were evaluated in vitro and in vivo. Cultured cells were analyzed by label-free proteomics. Differential proteins and phosphopeptides were evaluated by gene ontology and for their predictive or prognostic biomarker potential with immunohistochemistry of tissue microarrays.Results
Gemcitabine-resistant cells had increased potential to induce xenograft tumours (p value < 0.001). Differential analyses showed that proteins associated with gemcitabine resistance are correlated with microtubule regulation. Indeed, gemcitabine-resistant cells displayed an increased sensitivity for paclitaxel in vitro (p < 0.001) and nab-paclitaxel had a strong anti-tumour efficacy in vivo. Microtubule-associated protein 2 (MAP2) was found to be highly upregulated (p = 0.002, fold change = 10) and phosphorylated in these resistant cells. Expression of MAP2 was correlated with a poorer overall survival in patients treated with gemcitabine in the palliative (p = 0.037) and adjuvant setting (p = 0.014).Conclusions
These data show an explanation as to why the combination of gemcitabine with nab-paclitaxel is effective in PDAC patients. The identified gemcitabine-resistance marker, MAP2, emerged as a novel prognostic marker in PDAC patients treated with gemcitabine and warrants further clinical investigation.
SUBMITTER: Le Large TYS
PROVIDER: S-EPMC6535709 | biostudies-literature | 2019
REPOSITORIES: biostudies-literature
Le Large Tessa Ya Sung TYS El Hassouni Btissame B Funel Niccola N Kok Bart B Piersma Sander R SR Pham Thang V TV Olive Kenneth P KP Kazemier Geert G van Laarhoven Hanneke W M HWM Jimenez Connie R CR Bijlsma Maarten F MF Giovannetti Elisa E
Therapeutic advances in medical oncology 20190510
<h4>Background</h4>Chemoresistance hampers the treatment of patients suffering from pancreatic ductal adenocarcinoma (PDAC). Here we aimed to evaluate the (phospho)proteome of gemcitabine-sensitive and gemcitabine-resistant PDAC cells to identify novel therapeutic targets and predictive biomarkers.<h4>Methods</h4>The oncogenic capabilities of gemcitabine-sensitive and resistant PDAC cells were evaluated <i>in vitro</i> and <i>in vivo</i>. Cultured cells were analyzed by label-free proteomics. Di ...[more]