4.7 Article

Soluble stroma-related biomarkers of pancreatic cancer

期刊

EMBO MOLECULAR MEDICINE
卷 10, 期 8, 页码 -

出版社

WILEY
DOI: 10.15252/emmm.201708741

关键词

circulating biomarkers; early diagnosis; pancreatic cancer; treatment evaluation; tumor microenvironment

资金

  1. Italian Association for Cancer Research (AIRC 5X1000) [12182, IG 18853, IG 16833]
  2. University of Turin-Progetti Ateneo 2014-Compagnia di San Paolo (PANTHER)
  3. University of Turin-Progetti Ateneo 2014-Compagnia di San Paolo (PC-METAIMMUNOTHER)
  4. Fondazione Ricerca Molinette
  5. AIRC
  6. Fondazione E. Morandi ONLUS, per lo studio e la cura dei tumori del pancreas

向作者/读者索取更多资源

The clinical management of pancreatic ductal adenocarcinoma (PDAC) is hampered by the lack of reliable biomarkers. This study investigated the value of soluble stroma-related molecules as PDAC biomarkers. In the first exploratory phase, 12 out of 38 molecules were associated with PDAC in a cohort of 25 PDAC patients and 16 healthy subjects. A second confirmatory phase on an independent cohort of 131 PDAC patients, 30 chronic pancreatitis patients, and 131 healthy subjects confirmed the PDAC association for MMP7, CCN2, IGFBP2, TSP2, sICAM1, TIMP1, and PLG. Multivariable logistic regression model identified biomarker panels discriminating respectively PDAC versus healthy subjects (MMP7+CA19.9, AUC=0.99, 99% CI=0.98-1.00) (CCN2+CA19.9, AUC=0.96, 99% CI=0.92-0.99) and PDAC versus chronic pancreatitis (CCN2+PLG+FN+Col4+CA19.9, AUC=0.94, 99% CI=0.88-0.99). Five molecules were associated with PanIN development in two GEM models of PDAC (PdxCre/LSL-Kras(G12D) and PdxCre/LSL-Kras(G12D/+)/LSL-Trp53(R172H/+)), suggesting their potential for detecting early disease. These markers were also elevated in patient-derived orthotopic PDAC xenografts and associated with response to chemotherapy. The identified stroma-related soluble biomarkers represent potential tools for PDAC diagnosis and for monitoring treatment response of PDAC patients. nd efficacy.

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