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기질 세포에 의해 유도되는 위암 복막 전이에서 discoidin domain receptor 1의 역할에 대한 연구

Inhibition of discoidin domain receptor 1 prevents stroma-induced peritoneal metastasis in gastric carcinomas

초록/요약

Although the interactions between cancer cells and the tumor stroma are known to play a role in the peritoneal metastasis of gastric carcinomas (GCs), effective targeting agents that block these interactions have never been reported. Discoidin domain receptor 1 (DDR1) is activated by triple-helix collagens, which are major components of tumor stroma; thus, DDR1 might have a key role in the communication between cancer cells and stroma. The aim of this study was to investigate the effect of DDR1 inhibition on stroma-induced peritoneal metastasis in GCs. Methods: We analyzed by immunohistochemistry the correlation between DDR1 expression and the pattern of recurrence in GC tissues from a cohort established in a previous study. We also co-cultured human GC cell lines with gastric cancer-associated fibroblasts (CAFs), and investigated DDR1 expression and activation by western blotting. We evaluated the CAF-induced tumorigenic ability of GC cell lines and the effects of a DDR1-specific inhibitor in organotypic cultures and a peritoneal seeding xenograft animal model. Results: The expression of DDR1 in gastric cancer tissues was significantly positively associated with early recurrence (p = 0.043) and a high incidence of peritoneal recurrence (p = 0.036). We confirmed that co-culture with CAFs elevated DDR1 protein expression in GC cell lines. CAFs also enhanced GC cell line spheroid formation in organotypic cultures in a tumor cell DDR1-dependent manner. Co-implantation of CAFs with GC cells enhanced peritoneal tumor formation in vivo, an effect that was sensitive to pharmacologic inhibition of DDR1. Conclusion: Our findings suggest that the CAF-induced elevation of DDR1 in GC cells enhances their peritoneal tumorigenesis, and that the inhibition of DDR1 signaling is an attractive strategy for the treatment of GC peritoneal metastasis.

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목차

I. INTRODUCTION 1
II. MATERIALS AND METHODS 3
1. Human samples and immunohistochemical staining 3
2. Cell lines and chemicals 3
3. CRISPR/Cas9-mediated knockout of DDR1 4
4. Western blot 5
5. Cell viability test 5
6. RT-PCR 6
7. Organotypic culture and immunocytochemical staining 6
8. Peritoneal xenograft mouse models 6
9. Statistical analysis 7
III. RESULTS 8
1. DDR1 expression correlates with peritoneal recurrence in primary GC tissues 8
2. CAFs enhance the peritoneal tumorigenic potential of GCs 11
3. CAFs-induced upregulation of DDR1 in GC cell lines 14
4. DDR1 inhibition using the CRISPR/Cas9 system suppresses the effects of CAFs 20
5. Blocking DDR1 signaling through 7rh represses the effects of CAFs on GCs 22
IV. DISCUSSION 30
V. REFERENCES 35
국문요약 42

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