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Browsing by Author "Gore, A. Jesse"
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Item Pathophysiological role of microRNA-29 in pancreatic cancer stroma(Office of the Vice Chancellor for Research, 2015-04-17) Kwon, Jason J.; Nabinger, Sarah C.; Alluri, Ravi K.; Vega, Zachary; Sahu, Smiti S.; Abdul-Sater, Zahi; Yu, Zhangsheng; Gore, A. Jesse; Nalepa, Grzegorz; Saxena, Romil; Korc, Murray; Kota, JanaiahBackground: Dense fibrotic stroma associated with pancreatic ductal adenocarcinoma (PDAC) has been a major obstacle for drug delivery to the tumor bed and may impede attempts to slow down PDAC progression and metastasis. However, current antistromal drugs have not improved tumor response to chemotherapy or patient survival. Thus, a better understanding of the molecular mechanisms associated with tumorstromal interactions is desperately needed to develop novel anti-stromal therapeutic approaches. MicroRNAs (miRNAs) are an abundant class of highly conserved, small non-coding RNAs that function as key regulators of eukaryotic gene expression and cellular homeostasis. miR-29 is known to play a paramount role in the fibrotic process of several organs by providing crucial functions downstream of pro-fibrotic signaling pathways such as TGF-β1 and regulates the expression of extracellular matrix (ECM) proteins, a major component in the PDAC stroma. Upregulation of TGF-β1 is associated with PDAC pathogenesis and is known to activate stromal cells. Furthermore, vascular endothelial growth factor (VEGF) that stimulates tumor angiogenesis is a predicted target of miR-29. We hypothesize that miR-29 may be misregulated in TGF-β1 activated PDAC stromal cells and lead to excessive accumulation of ECM proteins and VEGF. Kwon et al. 2015 Annual AACR Meeting Restored expression of miR-29 could be therapeutically beneficial to modulate tumorstromal interactions. Methods: Northern blot or qPCR techniques were used to assess miR-29 levels in vitro stromal cells, murine PDAC model, and PDAC patient biopsies, and stromal deposition/fibrosis was determined by Sirius red staining. In murine and human PDAC samples, stromal specific miR-29 expression was determined via in situ hybridization by co-staining pancreatic tissues with glial fibrillary acidic protein a marker for stromal cells and miR-29. miR-29 functional studies were conducted by transfection of stroma cells with synthetic miR-29 mimics and locked nucleic acid, a miR-29 inhibitor, and ECM protein/VEGF expression was analyzed by western blot analysis. The effect of miR-29 overexpression in stromal cells on cancer colony growth was evaluated by direct coculture of stromal cells ectopically expressing miR-29 with pancreatic cancer cells, and subsequently, cancer colony number and stromal accumulation was determined by crystal violet and sirius red stains respectively. Results: In both in vitro and in vivo models as well as PDAC patient biopsies, we observed loss of miR-29 is a common phenomenon of activated stromal cells, and is associated with a significant increase in ECM and VEGF accumulation. Restored expression of miR-29 in stromal cells reduced the deposition of matrix proteins, VEGF expression, and cancer colony formation in direct co-culture. Conclusion: These results provide insight into the mechanistic role of miR-29 in PDAC stroma and its potential use as an anti-stromal/angiogenic therapeutic agent.Item A Pilot Study to Develop a Diagnostic Test for Pancreatic Ductal Adenocarcinoma Based on Differential Expression of Select miRNA in Plasma and Bile(Nature Publishing Group, 2014-12) Cote, Gregory A.; Gore, A. Jesse; McElyea, Samantha D.; Heathers, Laura E.; Xu, Huiping; Sherman, Stuart; Korc, Murray; Department of Medicine, IU School of MedicineOBJECTIVES: Accurate peripheral markers for the diagnosis of pancreatic ductal adenocarcinoma (PDAC) are lacking. We measured the differential expression of select microRNAs (miRNAs) in plasma and bile among patients with PDAC, chronic pancreatitis (CP), and controls. METHODS: We identified patients (n=215) with treatment-naive PDAC (n=77), CP with bile/pancreatic duct pathology (n=67), and controls (n=71) who had been prospectively enrolled in a Pancreatobiliary Biorepository at the time of endoscopic retrograde cholangiopancreatography or endoscopic ultrasound. Controls were patients with choledocholithiasis but normal pancreata. The sample was separated into training (n=95) and validation (n=120) cohorts to establish and then test the performance of PDAC Signature Panels in diagnosing PDAC. The training cohort (n=95) included age-matched patients with PDAC, CP, and controls. Panels were derived from the differential expression of 10 candidate miRNAs in plasma or bile. We selected miRNAs having excellent accuracy for inclusion in regression models. RESULTS: Using the training cohort, we confirmed the differential expression of 9/10 miRNAs in plasma (miR-10b, -30c, -106b, -132, -155, -181a, -181b, -196a, and -212) and 7/10 in bile (excluding miR-21, -132, and -181b). Of these, five (miR-10b, -155, -106b, -30c, and -212) had excellent accuracy for distinguishing PDAC. In the training and validation cohorts, the sensitivity/specificity for a PDAC Panel derived from plasma was 95/100% and 100/100%, respectively; in bile, these were 96/100% and 100/100%. CONCLUSIONS: Increased expression of miRNA-10b, -155, and -106b in plasma appears highly accurate in diagnosing PDAC. Additional studies are needed to confirm this Panel and explore its value as a prognostic test.