Origin of pancreatic ductal adenocarcinoma from atypical flat lesions: a comparative study in transgenic mice and human tissues

Pancreatic ductal adenocarcinoma (PDAC) and its precursor lesions, pancreatic intraepithelial neoplasia (PanIN), display a ductal phenotype. However, there is evidence in genetically defined mouse models for PDAC harbouring a mutated kras under the control of a pancreas-specific promoter that ductal...

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Hauptverfasser: Aichler, Michaela (VerfasserIn) , Seiler, Christopher (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 7 October 2011
In: The journal of pathology
Year: 2012, Jahrgang: 226, Heft: 5, Pages: 723-734
ISSN:1096-9896
DOI:10.1002/path.3017
Online-Zugang:Verlag, Volltext: http://dx.doi.org/10.1002/path.3017
Volltext
Verfasserangaben:Michaela Aichler, Christopher Seiler, Monica Tost, Jens Siveke, Pawel K. Mazur, Patricia Da Silva-Buttkus, Detlef K. Bartsch, Peter Langer, Sara Chiblak, Anna Dürr, Heinz Höfler, Günter Klöppel, Karin Müller-Decker, Markus Brielmeier, Irene Esposito

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520 |a Pancreatic ductal adenocarcinoma (PDAC) and its precursor lesions, pancreatic intraepithelial neoplasia (PanIN), display a ductal phenotype. However, there is evidence in genetically defined mouse models for PDAC harbouring a mutated kras under the control of a pancreas-specific promoter that ductal cancer might arise in the centroacinar-acinar region, possibly through a process of acinar-ductal metaplasia (ADM). In order to further elucidate this model of PDAC development, an extensive expression analysis and molecular characterization of the putative and already established (PanIN) precursor lesions were performed in the Kras(G12D/+) ; Ptf1a-Cre(ex1/+) mouse model and in human tissues, focusing on lineage markers, developmental pathways, cell cycle regulators, apomucins, and stromal activation markers. The results of this study show that areas of ADM are very frequent in the murine and human pancreas and represent regions of increased proliferation of cells with precursor potential. Moreover, atypical flat lesions originating in areas of ADM are the most probable precursors of PDAC in the Kras(G12D/+); Ptf1a-Cre(ex1/+) mice and similar lesions were also found in the pancreas of three patients with a strong family history of PDAC. In conclusion, PDAC development in Kras(G12D/+); Ptf1a-Cre(ex1/+) mice starts from ADM and a similar process might also take place in patients with a strong family history of PDAC. 
650 4 |a Animals 
650 4 |a Biomarkers, Tumor 
650 4 |a Carcinoma in Situ 
650 4 |a Carcinoma, Pancreatic Ductal 
650 4 |a Cell Differentiation 
650 4 |a Cell Proliferation 
650 4 |a Cell Transformation, Neoplastic 
650 4 |a Gene Expression Regulation, Neoplastic 
650 4 |a Genetic Predisposition to Disease 
650 4 |a Heredity 
650 4 |a Humans 
650 4 |a Immunohistochemistry 
650 4 |a Metaplasia 
650 4 |a Mice 
650 4 |a Neoplasms, Experimental 
650 4 |a Pancreatic Neoplasms 
650 4 |a Pedigree 
650 4 |a Precancerous Conditions 
650 4 |a Transcription Factors 
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