Pancreatic ductal adenocarcinoma (PDA) is a lethal malignancy with few effective therapeutic options. PDA is characterized by an extensive fibroinflammatory stroma that includes abundant infiltrating immune cells. Tumor-associated macrophages (TAM) are prevalent within the stroma and are key drivers of immunosuppression. TAMs in human and murine PDA are characterized by elevated expression of apolipoprotein E (ApoE), an apolipoprotein that mediates cholesterol metabolism and has known roles in cardiovascular and Alzheimer’s disease but no known role in PDA. We report here that ApoE is also elevated in peripheral blood monocytes in PDA patients, and plasma ApoE protein levels stratify patient survival. Orthotopic implantation of mouse PDA cells into syngeneic wild-type or in ApoE-/- mice showed reduced tumor growth in ApoE-/- mice. Histological and mass cytometric (CyTOF) analysis of these tumors showed an increase in CD8+ T cells in tumors in ApoE-/- mice. Mechanistically, ApoE induced pancreatic tumor cell expression of Cxcl1 and Cxcl5, known immunosuppressive factors, through LDL receptor and NF-kB signaling. Taken together, this study reveals a novel immunosuppressive role of ApoE in the PDA microenvironment.
About The Expert
Samantha B Kemp
Eileen S Carpenter
Nina G Steele
Katelyn L Donahue
Zeribe Chike Nwosu
Amanda Pacheco
Ashley Velez-Delgado
Rosa E Menjivar
Fatima Lima
Stephanie The
Carlos E Espinoza
Kristee Brown
Daniel Long
Costas A Lyssiotis
Arvind Rao
Yaqing Zhang
Marina Pasca di Magliano
Howard C Crawford
References
PubMed
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