Nerve growth factor and artemin are paracrine mediators of pancreatic neuropathy in pancreatic adenocarcinoma

OBJECTIVE: To further characterize the neurotrophic attributes of pancreatic cancer (PCa). - SUMMARY BACKGROUND DATA: PCa is characterized by neuropathic alterations which are resulting in pancreatic pain. To further characterize pancreatic neuropathy, we aimed: to analyze whether neuropathic altera...

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Hauptverfasser: Ceyhan, Güralp Onur (VerfasserIn) , Schäfer, Karl Herbert (VerfasserIn) , Kerscher, Annika (VerfasserIn) , Rauch, Ulrich (VerfasserIn) , Demir, Ihsan Ekin (VerfasserIn) , Kadihasanoglu, Mustafa (VerfasserIn) , Böhm, Carolin (VerfasserIn) , Müller, Michael W. (VerfasserIn) , Büchler, Markus W. (VerfasserIn) , Giese, Nathalia (VerfasserIn) , Erkan, Murat Mert (VerfasserIn) , Friess, Helmut (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: May 1, 2010
In: Annals of surgery
Year: 2010, Jahrgang: 251, Heft: 5, Pages: 923-931
ISSN:1528-1140
DOI:10.1097/SLA.0b013e3181d974d4
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1097/SLA.0b013e3181d974d4
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Verfasserangaben:Güralp O. Ceyhan, MD, Karl-Herbert Schäfer, MD, Annika G. Kerscher, MD, Ulrich Rauch, PhD, Ihsan Ekin Demir, MD, Mustafa Kadihasanoglu, MD, Carolin Böhm, PhD, Michael W. Müller, MD, Markus W. Büchler, MD, Nathalia A. Giese, PhD, Mert Erkan, MD, and Helmut Friess, MD

MARC

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520 |a OBJECTIVE: To further characterize the neurotrophic attributes of pancreatic cancer (PCa). - SUMMARY BACKGROUND DATA: PCa is characterized by neuropathic alterations which are resulting in pancreatic pain. To further characterize pancreatic neuropathy, we aimed: to analyze whether neuropathic alterations in PCa are only limited to the tumor-core or whether they are similarly encountered in neural structures in the noncancerous pancreas, to demonstrate whether PCa features neurotrophic attributes and finally to identify responsible neurotrophic molecules. - METHODS: Nerve density and area were quantified in normal pancreas (NP, n=45), histologically "normal" pancreas next to pancreatic cancer (NNPCa, n=61) and PCa (n=97). Growth-associated protein-43, nerve growth factor (NGF), and Artemin expressions were assessed by Immunohistochemistry, Western-Blot, and quantitative real time polymerase chain reaction-analyses. Isolated myenteric plexus of newborn rats were exposed to NP, NNPCa, and PCa tissue extracts and supernatants of Panc1 and T3M4 cancer cells with or without Artemin and NGF depletion, followed by neurite density analysis. - RESULTS: Dense neural networks and enlarged nerves were not only detected in PCa but were also present in NNPCa. Growth-associated protein-43, NGF, and Artemin expressions were absent/weak in NP, but increased in both NNPCa and PCa and were closely associated with intrapancreatic neuropathy. PCa and NNPCa tissue extracts and Panc1/T3M4 supernatants noticeably increased neurite density in myenteric plexus-cultures, which were attenuated by depletion of NGF and Artemin. - CONCLUSIONS: The neurotrophic effects of PCa extend into the peritumoral "normal" pancreatic areas without neuro-cancer interactions. The neurotrophic characteristics of PCa can be mimicked by in vitro analyses and reveal NGF and Artemin as potential key players in the generation of pancreatic neuropathy in PCa. 
650 4 |a Abdominal Pain 
650 4 |a Aged 
650 4 |a Animals 
650 4 |a Female 
650 4 |a GAP-43 Protein 
650 4 |a Humans 
650 4 |a Immunohistochemistry 
650 4 |a In Vitro Techniques 
650 4 |a Male 
650 4 |a Middle Aged 
650 4 |a Neoplasm Invasiveness 
650 4 |a Nerve Growth Factors 
650 4 |a Nerve Tissue Proteins 
650 4 |a Neuronal Plasticity 
650 4 |a Pancreas 
650 4 |a Pancreatic Neoplasms 
650 4 |a Paracrine Communication 
650 4 |a Polymerase Chain Reaction 
650 4 |a Rats 
650 4 |a Rats, Sprague-Dawley 
650 4 |a Tumor Cells, Cultured 
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