Serum Monocyte Chemoattractant Protein-1 in Pancreatic Cancer

Background/Aims. Pancreatic ductal adenocarcinoma (PDA) has etiological association with chronic inflammation. Elevated circulating levels of inflammatory mediators, such as monocyte chemoattractant protein-1 (MCP-1), are found in obese individuals. We hypothesized that serum MCP-1 levels are elevated in obese PDA patients. Methods. ELISA was used to analyze MCP-1 serum levels in PDA (n = 62) and intraductal papillary mucinous neoplasms (IPMN) (n = 27). Recursive partitioning statistical analysis investigated the relationship between log MCP-1 and clinicopathological parameters. Results. Log MCP-1 values were significantly (P < 0.05) elevated in patients with BMI ≥ 37.5. In patients with BMI < 37.5, average log MCP-1 values were significantly elevated in PDA patients when compared to IPMN patients. Within the IPMN group, higher log MCP-1 levels correlated with increased age. Recursive partitioning analysis of IPMN versus PDA revealed a strategy of predicting characteristics of patients who are more likely to have cancer. This strategy utilizes log MCP-1 as the primary factor and also utilizes smoking status, gender, and age. Conclusion. MCP-1 is a promising biomarker in pancreatic cancer. The potential of using MCP-1 to distinguish PDA from IPMN patients must be studied in larger populations to validate and demonstrate its eventual clinical utility

Serum Monocyte Chemoattractant Protein-1 in Pancreatic Cancer

Background/Aims. Pancreatic ductal adenocarcinoma (PDA) has etiological association with chronic inflammation. Elevated circulating levels of inflammatory mediators, such as monocyte chemoattractant protein-1 (MCP-1), are found in obese individuals. We hypothesized that serum MCP-1 levels are elevated in obese PDA patients. Methods. ELISA was used to analyze MCP-1 serum levels in PDA (n = 62) and intraductal papillary mucinous neoplasms (IPMN) (n = 27). Recursive partitioning statistical analysis investigated the relationship between log MCP-1 and clinicopathological parameters. Results. Log MCP-1 values were significantly (P &lt; 0.05) elevated in patients with BMI ≥ 37.5. In patients with BMI &lt; 37.5, average log MCP-1 values were significantly elevated in PDA patients when compared to IPMN patients. Within the IPMN group, higher log MCP-1 levels correlated with increased age. Recursive partitioning analysis of IPMN versus PDA revealed a strategy of predicting characteristics of patients who are more likely to have cancer. This strategy utilizes log MCP-1 as the primary factor and also utilizes smoking status, gender, and age. Conclusion. MCP-1 is a promising biomarker in pancreatic cancer. The potential of using MCP-1 to distinguish PDA from IPMN patients must be studied in larger populations to validate and demonstrate its eventual clinical utility

Arafat: Antiinflammatory effects of the Nigella sativa seed extract, thymoquinone, in pancreatic cancer cells, International Hepato-PancreatoBiliary Association

Abstract Background: Both hereditary and sporadic forms of chronic pancreatitis are associated with a

Expression and regulation of nicotine receptor and osteopontin isoforms in human pancreatic ductal adenocarcinoma

Osteopontin (OPN) is a secreted phospho-protein that confers on cancer cells a migratory phenotype. We have recently shown that nicotine, a risk factor in pancreatic ductal adenocarcinoma (PDA), induces an alpha7-nicotine acetylcholine receptor (α7-nAChR)-mediated increase of OPN in PDA cells. In this study, we tested nicotine’s effect on the expression of OPN splice variants (OPNa, b, c) in PDA cells. We also analyzed the correlation between patients’ smoking history with OPN and α7-nAChR levels. RT-PCR and UV-light-illumination of ethidium-bromide staining were used to examine the mRNA expression in tissue and PDA cells treated with or without nicotine (3-300 nM). Localization of total OPN, OPNc and α7-nAChR was analyzed by immunohistochemistry, and their mRNA tissue expression levels were correlated with the patients’ smoking history. PDA cells expressed varying levels of OPNa, OPNb, and α7-nAChR. Nicotine treatment selectively induced denovo expression of OPNc and increased α7-nAChR expression levels. In PDA tissue, OPNc was found in 87% of lesions, of which 73% were smokers. OPNc and total OPN levels were correlated in the tissue from patients with invasive PDA. Nicotine receptor was expressed in the invasive and premalignant lesions without clear correlation with smoking history. We show here for the first time that α7-nAChR is expressed in PDA cells and tissues and is regulated by nicotine in PDA cells. This, together with our previous findings that α7-nAChR mediates the metastatic effects of nicotine in PDA, suggest that combined targeting of α7-nAChR and OPNc could be a valid novel therapeutic strategy for invasive PDA, especially in the smoking population

CIRCADIAN GENES IN PANCREATIC DUCTAL ADENOCARCINOMA: ALTERATIONS AND CLINICAL CORRELATIONS

Background: The circadian rhythm regulates various metabolic processes, physiologic homeostasis and behavior. Epidemiologic studies have demonstrated that disruption of the circadian rhythm is associated with cancer development and tumor progression. Several circadian clock genes with tightly connected transcriptional feedback loops have been implicated in loss of cell cycle control, impaired DNA damage repair, and subsequent tumor formation in multiple cancer models. However, the direct links between aberrant circadian clock gene expression and human pancreatic ductal adenocarcinoma (PDA) have not been elucidated. In this study, we investigated the expression profiles of several circadian clock genes in PDA. Methods: We analyzed the expression of 10 circadian clock genes in matched invasive human PDA (n=62) and surrounding adjacent tissues and in benign lesions (n=10). Quantitative real-time polymerase chain reaction (qPCR) was used to examine the following core clock genes: (BMAL, Clock, Cry1, Cry2, CK1E, Per1, Per2, Per3, Timeless, Timeless-interacting protein). Gene expression levels were correlated with clinicopathologic parameters. Receiver operator curve (ROC) analysis was completed using logistic regression based on individual circadian genes measured in tumor and benign samples, and is reported as area under the ROC curve (AUC). Spearman correlation was used to assess the relationship between circadian genes within tumor samples. Univariable Cox models were completed to assess survival of PDA patients, using the median gene expression level as stratification factor. Results: In the tumor tissue of PDA patients, compared to their matched adjacent tissue, expression levels of all circadian genes were significantly lower (