PMID- 17114584 OWN - NLM STAT- MEDLINE DCOM- 20061222 LR - 20181113 IS - 0890-9369 (Print) IS - 0890-9369 (Linking) VI - 20 IP - 22 DP - 2006 Nov 15 TI - Smad4 is dispensable for normal pancreas development yet critical in progression and tumor biology of pancreas cancer. PG - 3130-46 AB - SMAD4 is inactivated in the majority of pancreatic ductal adenocarcinomas (PDAC) with concurrent mutational inactivation of the INK4A/ARF tumor suppressor locus and activation of the KRAS oncogene. Here, using genetically engineered mice, we determined the impact of SMAD4 deficiency on the development of the pancreas and on the initiation and/or progression of PDAC-alone or in combination with PDAC--relevant mutations. Selective SMAD4 deletion in the pancreatic epithelium had no discernable impact on pancreatic development or physiology. However, when combined with the activated KRAS(G12D) allele, SMAD4 deficiency enabled rapid progression of KRAS(G12D)-initiated neoplasms. While KRAS(G12D) alone elicited premalignant pancreatic intraepithelial neoplasia (PanIN) that progressed slowly to carcinoma, the combination of KRAS(G12D) and SMAD4 deficiency resulted in the rapid development of tumors resembling intraductal papillary mucinous neoplasia (IPMN), a precursor to PDAC in humans. SMAD4 deficiency also accelerated PDAC development of KRAS(G12D) INK4A/ARF heterozygous mice and altered the tumor phenotype; while tumors with intact SMAD4 frequently exhibited epithelial-to-mesenchymal transition (EMT), PDAC null for SMAD4 retained a differentiated histopathology with increased expression of epithelial markers. SMAD4 status in PDAC cell lines was associated with differential responses to transforming growth factor-beta (TGF-beta) in vitro with a subset of SMAD4 wild-type lines showing prominent TGF-beta-induced proliferation and migration. These results provide genetic confirmation that SMAD4 is a PDAC tumor suppressor, functioning to block the progression of KRAS(G12D)-initiated neoplasms, whereas in a subset of advanced tumors, intact SMAD4 facilitates EMT and TGF-beta-dependent growth. FAU - Bardeesy, Nabeel AU - Bardeesy N AD - Massachusetts General Hospital Cancer Center and Department of Medicine, Harvard Medical School, Boston, Massachusetts 02115, USA. nelbardeesy@partners.org FAU - Cheng, Kuang-Hung AU - Cheng KH FAU - Berger, Justin H AU - Berger JH FAU - Chu, Gerald C AU - Chu GC FAU - Pahler, Jessica AU - Pahler J FAU - Olson, Peter AU - Olson P FAU - Hezel, Aram F AU - Hezel AF FAU - Horner, James AU - Horner J FAU - Lauwers, Gregory Y AU - Lauwers GY FAU - Hanahan, Douglas AU - Hanahan D FAU - DePinho, Ronald A AU - DePinho RA LA - eng GR - U01 CA084313/CA/NCI NIH HHS/United States GR - P01 CA117969/CA/NCI NIH HHS/United States GR - P01 CA117969-01/CA/NCI NIH HHS/United States GR - 5U01CA84313-08/CA/NCI NIH HHS/United States GR - K01 CA104647/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - United States TA - Genes Dev JT - Genes & development JID - 8711660 RN - 0 (Cdkn2a protein, mouse) RN - 0 (Cyclin-Dependent Kinase Inhibitor p16) RN - 0 (Smad4 Protein) RN - 0 (Smad4 protein, mouse) RN - 0 (Transforming Growth Factor beta) RN - 0 (Tumor Suppressor Protein p14ARF) SB - IM CIN - Genes Dev. 2006 Nov 15;20(22):3049-53. PMID: 17114578 MH - Alleles MH - Animals MH - Carcinoma, Pancreatic Ductal/*pathology MH - Cell Differentiation MH - Cell Line, Tumor MH - Cyclin-Dependent Kinase Inhibitor p16/metabolism MH - Disease Progression MH - Gene Deletion MH - Genes, ras MH - Mice MH - Pancreas/cytology/*growth & development/pathology MH - Pancreatic Neoplasms/*pathology MH - Phenotype MH - Smad4 Protein/deficiency/*metabolism MH - Transforming Growth Factor beta/metabolism MH - Tumor Suppressor Protein p14ARF/metabolism PMC - PMC1635148 EDAT- 2006/11/23 09:00 MHDA- 2006/12/23 09:00 PMCR- 2007/05/15 CRDT- 2006/11/23 09:00 PHST- 2006/11/23 09:00 [pubmed] PHST- 2006/12/23 09:00 [medline] PHST- 2006/11/23 09:00 [entrez] PHST- 2007/05/15 00:00 [pmc-release] AID - 20/22/3130 [pii] AID - 10.1101/gad.1478706 [doi] PST - ppublish SO - Genes Dev. 2006 Nov 15;20(22):3130-46. doi: 10.1101/gad.1478706.