American Association for Cancer Research
cd-23-0240_supplementary_table_5_endothelial_network.suppst5.xlsx (20.98 MB)

Supplementary Table 5 from Tumor Explants Elucidate a Cascade of Paracrine SHH, WNT, and VEGF Signals Driving Pancreatic Cancer Angiosuppression

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posted on 2024-02-08, 08:20 authored by Marie C. Hasselluhn, Amanda R. Decker-Farrell, Lukas Vlahos, Dafydd H. Thomas, Alvaro Curiel-Garcia, H. Carlo Maurer, Urszula N. Wasko, Lorenzo Tomassoni, Stephen A. Sastra, Carmine F. Palermo, Tanner C. Dalton, Alice Ma, Fangda Li, Ezequiel J. Tolosa, Hanina Hibshoosh, Martin E. Fernandez-Zapico, Alexander Muir, Andrea Califano, Kenneth P. Olive

Endothelial network.

Regulatory network for PDAC-associated endothelial cells, listing the inferred transcriptional targets (Target) for each regulatory protein (Regulator). Association weight (AW) and association mode (AM) are scores to quantify strength/direction of interaction. Sign indicates directionality of the interaction (1 = transactivating, -1 = transrepressing).


National Cancer Institute (NCI)

United States Department of Health and Human Services

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Lustgarten Foundation (The Lustgarten Foundation)

Deutsche Forschungsgemeinschaft (DFG)

Charles H. Revson Foundation (Revson Foundation)

Mayo Clinic (The Mayo Clinic)

National Institutes of Health (NIH)



The sparse vascularity of pancreatic ductal adenocarcinoma (PDAC) presents a mystery: What prevents this aggressive malignancy from undergoing neoangiogenesis to counteract hypoxia and better support growth? An incidental finding from prior work on paracrine communication between malignant PDAC cells and fibroblasts revealed that inhibition of the Hedgehog (HH) pathway partially relieved angiosuppression, increasing tumor vascularity through unknown mechanisms. Initial efforts to study this phenotype were hindered by difficulties replicating the complex interactions of multiple cell types in vitro. Here we identify a cascade of paracrine signals between multiple cell types that act sequentially to suppress angiogenesis in PDAC. Malignant epithelial cells promote HH signaling in fibroblasts, leading to inhibition of noncanonical WNT signaling in fibroblasts and epithelial cells, thereby limiting VEGFR2-dependent activation of endothelial hypersprouting. This cascade was elucidated using human and murine PDAC explant models, which effectively retain the complex cellular interactions of native tumor tissues. We present a key mechanism of tumor angiosuppression, a process that sculpts the physiologic, cellular, and metabolic environment of PDAC. We further present a computational and experimental framework for the dissection of complex signaling cascades that propagate among multiple cell types in the tissue environment.This article is featured in Selected Articles from This Issue, p. 201