TLR2 activation promotes tumour growth and associates with patient survival and chemotherapy response in pancreatic ductal adenocarcinoma

被引:10
作者
Lundy, Joanne [1 ,2 ]
Gearing, Linden J. [1 ,2 ]
Gao, Hugh [3 ]
West, Alison C. [1 ,2 ]
McLeod, Louise [1 ,2 ]
Deswaerte, Virginie [1 ,2 ]
Yu, Liang [1 ,2 ]
Porazinski, Sean [4 ,5 ]
Pajic, Marina [4 ,5 ]
Hertzog, Paul J. [1 ,2 ]
Croagh, Daniel [1 ,3 ]
Jenkins, Brendan J. [1 ,2 ]
机构
[1] Hudson Inst Med Res, Ctr Innate Immun & Infect Dis, Clayton, Vic, Australia
[2] Monash Univ, Dept Mol & Translat Sci, Fac Med Nursing & Hlth Sci, Clayton, Vic, Australia
[3] Monash Univ, Sch Clin Sci Monash Hlth, Dept Surg, Clayton, Vic, Australia
[4] Kinghorn Canc Ctr, Garvan Inst Med Res, Darlinghurst, NSW, Australia
[5] Univ New South Wales, St Vincents Clin Sch, Fac Med, Darlinghurst, NSW, Australia
基金
澳大利亚国家健康与医学研究理事会;
关键词
TOLL-LIKE RECEPTORS; STELLATE CELLS; DIFFERENTIAL EXPRESSION; CANCER; IMMUNOTHERAPY; INFLAMMATION; GEMCITABINE; CARCINOMA; CARCINOGENESIS; IDENTIFICATION;
D O I
10.1038/s41388-021-01992-2
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Pancreatic ductal adenocarcinoma (PDAC) has an extremely poor prognosis, and is plagued by a paucity of targeted treatment options and tumour resistance to chemotherapeutics. The causal link between chronic inflammation and PDAC suggests that molecular regulators of the immune system promote disease pathogenesis and/or therapeutic resistance, yet their identity is unclear. Here, we couple endoscopic ultrasound-guided fine-needle aspiration, which captures tumour biopsies from all stages, with whole transcriptome profiling of PDAC patient primary tumours to reveal enrichment of the innate immune Toll-like receptor 2 (TLR2) molecular pathway. Augmented TLR2 expression associated with a 4-gene "TLR2 activation" signature, and was prognostic for survival and predictive for gemcitabine-based chemoresistance. Furthermore, antibody-mediated anti-TLR2 therapy suppressed the growth of human PDAC tumour xenografts, independent of a functional immune system. Our results support TLR2-based therapeutic targeting for precision medicine in PDAC, with further clinical utility that TLR2 activation is prognostic and predictive for chemoresponsiveness.
引用
收藏
页码:6007 / 6022
页数:16
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