PMID- 37951219 OWN - NLM STAT- MEDLINE DCOM- 20231127 LR - 20240212 IS - 2666-3791 (Electronic) IS - 2666-3791 (Linking) VI - 4 IP - 11 DP - 2023 Nov 21 TI - HOXC6 drives a therapeutically targetable pancreatic cancer growth and metastasis pathway by regulating MSK1 and PPP2R2B. PG - 101285 LID - S2666-3791(23)00479-2 [pii] LID - 10.1016/j.xcrm.2023.101285 [doi] LID - 101285 AB - Pancreatic ductal adenocarcinoma (PDAC) is one of the deadliest cancers, which lacks effective therapies. Here, we demonstrate that the transcription factor, homeobox C6 (HOXC6), is overexpressed in most PDACs, and its inhibition blocks PDAC tumor growth and metastasis. HOXC6 transcriptionally activates tumor-promoting kinase MSK1 and suppresses tumor-inhibitory protein PPP2R2B in PDAC. HOXC6-induced PPP2R2B suppression causes mammalian target of rapamycin (mTOR) pathway activation, which facilitates PDAC growth. Also, MSK1 upregulation by HOXC6 is necessary for PDAC growth because of its ability to suppress apoptosis via its substrate DDX17. Combinatorial pharmacological inhibition of MSK1 and mTOR potently suppressed PDAC tumor growth and metastasis in PDAC mouse models. PDAC cells with acquired resistance to MSK1/mTOR-inhibitors displayed activated insulin-like growth factor 1 receptor (IGF1R) signaling and were successfully eradicated by IGF1R inhibitor. Furthermore, MEK inhibitor trametinib enhanced the efficacy of dual MSK1 and mTOR inhibition. Collectively, these results identify therapeutic vulnerabilities of PDAC and an approach to overcome acquired drug resistance to prolong therapeutic benefit. CI - Copyright (c) 2023 The Authors. Published by Elsevier Inc. All rights reserved. FAU - Malvi, Parmanand AU - Malvi P AD - Department of Biochemistry and Molecular Genetics, University of Alabama at Birmingham, Birmingham, AL 35233, USA. FAU - Chava, Suresh AU - Chava S AD - Department of Biochemistry and Molecular Genetics, University of Alabama at Birmingham, Birmingham, AL 35233, USA. FAU - Cai, Guoping AU - Cai G AD - Department of Pathology, Yale University School of Medicine, New Haven, CT 06510, USA. FAU - Hu, Kai AU - Hu K AD - Department of Molecular, Cell and Cancer Biology, University of Massachusetts Medical School, Worcester, MA 01605, USA. FAU - Zhu, Lihua Julie AU - Zhu LJ AD - Department of Molecular, Cell and Cancer Biology, University of Massachusetts Medical School, Worcester, MA 01605, USA; Program in Molecular Medicine, University of Massachusetts Medical School, Worcester, MA 01605, USA; Program in Bioinformatics and Integrative Biology, University of Massachusetts Medical School, Worcester, MA 01605, USA. FAU - Edwards, Yvonne J K AU - Edwards YJK AD - Department of Biochemistry and Molecular Genetics, University of Alabama at Birmingham, Birmingham, AL 35233, USA. FAU - Green, Michael R AU - Green MR AD - Department of Molecular, Cell and Cancer Biology, University of Massachusetts Medical School, Worcester, MA 01605, USA. FAU - Gupta, Romi AU - Gupta R AD - Department of Biochemistry and Molecular Genetics, University of Alabama at Birmingham, Birmingham, AL 35233, USA; O'Neal Comprehensive Cancer Center, The University of Alabama at Birmingham, Birmingham, AL 35294, USA. Electronic address: romigup@uab.edu. FAU - Wajapeyee, Narendra AU - Wajapeyee N AD - Department of Biochemistry and Molecular Genetics, University of Alabama at Birmingham, Birmingham, AL 35233, USA; O'Neal Comprehensive Cancer Center, The University of Alabama at Birmingham, Birmingham, AL 35294, USA. Electronic address: nwajapey@uab.edu. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20231110 PL - United States TA - Cell Rep Med JT - Cell reports. Medicine JID - 101766894 RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - 0 (Protein Kinase Inhibitors) RN - 0 (Neoplasm Proteins) SB - IM MH - Mice MH - Animals MH - Cell Proliferation MH - *Pancreatic Neoplasms/drug therapy/genetics/metabolism MH - *Carcinoma, Pancreatic Ductal/drug therapy/genetics MH - TOR Serine-Threonine Kinases/pharmacology/therapeutic use MH - Protein Kinase Inhibitors/pharmacology MH - Neoplasm Proteins MH - Mammals PMC - PMC10694669 OTO - NOTNLM OT - HOXC6 OT - MSK1 kinase OT - PDACs OT - PPP2R2B OT - metastasis OT - pancreatic cancer OT - protein phosphatase 2 regulatory subunit B beta OT - tumor growth COIS- Declaration of interests All authors declare that they have no competing interests. EDAT- 2023/11/12 00:41 MHDA- 2023/11/27 12:44 PMCR- 2023/11/10 CRDT- 2023/11/11 18:41 PHST- 2023/02/09 00:00 [received] PHST- 2023/10/13 00:00 [revised] PHST- 2023/10/17 00:00 [accepted] PHST- 2023/11/27 12:44 [medline] PHST- 2023/11/12 00:41 [pubmed] PHST- 2023/11/11 18:41 [entrez] PHST- 2023/11/10 00:00 [pmc-release] AID - S2666-3791(23)00479-2 [pii] AID - 101285 [pii] AID - 10.1016/j.xcrm.2023.101285 [doi] PST - ppublish SO - Cell Rep Med. 2023 Nov 21;4(11):101285. doi: 10.1016/j.xcrm.2023.101285. Epub 2023 Nov 10.