PMID- 19476837 OWN - NLM STAT- MEDLINE DCOM- 20090618 LR - 20211020 IS - 1879-1190 (Electronic) IS - 1072-7515 (Print) IS - 1072-7515 (Linking) VI - 208 IP - 5 DP - 2009 May TI - Genotyping and expression analysis of IDO2 in human pancreatic cancer: a novel, active target. PG - 781-7; discussion 787-9 LID - 10.1016/j.jamcollsurg.2008.12.018 [doi] AB - BACKGROUND: The recently discovered indoleamine 2,3-dioxygenase-2 (IDO2) gene has 2 functional polymorphisms that abolish its enzymatic activity. We hypothesize that expression of the IDO2 enzyme in primary pancreatic ductal adenocarcinomas (PDA) can help cancer cells evade immune detection. STUDY DESIGN: Because the IDO2 enzyme might be the preferential target of d-1-methyl-tryptophan, a clinical lead inhibitor of IDO currently being evaluated in phase I trials, we sequenced IDO2 in 36 pancreatic specimens and evaluated its expression. RESULTS: We found that 58% (21 of 36) of cases were heterozygous for the R248W polymorphism; 28% (10 of 36) were homozygous wild-type; and only 14% (5 of 36) were homozygous for the functionally inactive polymorphism. As for the Y359STOP polymorphism, we found that 27% (10 of 36) of cases were heterozygous, 62% (22 of 36) were homozygous wild-type, and only 11% (4 of 36) were homozygous for this functionally inactive allele. Ruling out the possibility of compound polymorphic variants, we estimated 75% of our resected patient cohort had an active IDO2 enzyme, with a conservative estimate that 58% of the patients had at least 1 functional allele. IDO2 was expressed in PDA tissue from each genetically polymorphic subgroup. We also detected IDO2 protein expression in the genetically distinct pancreatic cancer cell lines after exposure with interferon-gamma. CONCLUSIONS: This is the first study to report IDO2 expression in PDA and related cancers indicating that IDO2 genetic polymorphisms do not negate interferon-gamma-inducible protein expression. Taken together, our data strongly suggest that the clinical lead compound d-1-methyl-tryptophan might be useful in treatment of PDA. FAU - Witkiewicz, Agnieszka K AU - Witkiewicz AK AD - Department of Pathology, Thomas Jefferson University, Philadelphia, PA 19107, USA. FAU - Costantino, Christina L AU - Costantino CL FAU - Metz, Richard AU - Metz R FAU - Muller, Alexander J AU - Muller AJ FAU - Prendergast, George C AU - Prendergast GC FAU - Yeo, Charles J AU - Yeo CJ FAU - Brody, Jonathan R AU - Brody JR LA - eng GR - R01 CA109542/CA/NCI NIH HHS/United States GR - R01 CA109542-03/CA/NCI NIH HHS/United States PT - Journal Article PL - United States TA - J Am Coll Surg JT - Journal of the American College of Surgeons JID - 9431305 RN - 0 (Indoleamine-Pyrrole 2,3,-Dioxygenase) RN - 82115-62-6 (Interferon-gamma) SB - IM MH - Carcinoma, Pancreatic Ductal/*enzymology/immunology MH - Cell Line, Tumor MH - Genotype MH - Humans MH - Immunoblotting MH - Immunohistochemistry MH - Indoleamine-Pyrrole 2,3,-Dioxygenase/*genetics/*metabolism MH - Interferon-gamma/pharmacology MH - Pancreatic Neoplasms/*enzymology/immunology MH - *Polymorphism, Genetic MH - Sequence Analysis, DNA MH - Up-Regulation/physiology PMC - PMC3176891 MID - NIHMS314786 EDAT- 2009/05/30 09:00 MHDA- 2009/06/19 09:00 PMCR- 2011/09/20 CRDT- 2009/05/30 09:00 PHST- 2008/11/30 00:00 [received] PHST- 2008/12/02 00:00 [accepted] PHST- 2009/05/30 09:00 [entrez] PHST- 2009/05/30 09:00 [pubmed] PHST- 2009/06/19 09:00 [medline] PHST- 2011/09/20 00:00 [pmc-release] AID - S1072-7515(09)00050-7 [pii] AID - 10.1016/j.jamcollsurg.2008.12.018 [doi] PST - ppublish SO - J Am Coll Surg. 2009 May;208(5):781-7; discussion 787-9. doi: 10.1016/j.jamcollsurg.2008.12.018.