Journal
JOURNAL OF BIOLOGICAL CHEMISTRY
Volume 295, Issue 52, Pages 18328-18342Publisher
ELSEVIER
DOI: 10.1074/jbc.RA120.015223
Keywords
cancer stem cells; c-Jun N-terminal kinase (JNK); glucocorticoid receptor; anticancer drug; drug resistance; cancer stem cells
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Funding
- Ministry of Education, Culture, Sports, Science, and Technology of Japan [18H02908, 20K07631, 17K15015]
- Grants-in-Aid for Scientific Research [20K07631, 18H02908, 17K15015] Funding Source: KAKEN
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Postoperative recurrence from microscopic residual disease must be prevented to cure intractable cancers, including pancreatic cancer. Key to this goal is the elimination of cancer stem cells (CSCs) endowed with tumor-initiating capacity and drug resistance. However, current therapeutic strategies capable of accomplishing this are insufficient. Using in vitro models of CSCs and in vivo models of tumor initiation in which CSCs give rise to xenograft tumors, we show that dexamethasone induces expression of MKP-1, a MAPK phosphatase, via glucocorticoid receptor activation, thereby inactivating JNK, which is required for self-renewal and tumor initiation by pancreatic CSCs as well as for their expression of survivin, an anti-apoptotic protein implicated in multidrug resistance. We also demonstrate that systemic administration of clinically relevant doses of dexamethasone together with gemcitabine prevents tumor formation by CSCs in a pancreatic cancer xenograft model. Our study thus provides preclinical evidence for the efficacy of dexamethasone as an adjuvant therapy to prevent postoperative recurrence in patients with pancreatic cancer.
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