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ST6GAL1 sialyltransferase promotes acinar to ductal metaplasia and pancreatic cancer progression
Nikita Bhalerao, … , Donald J. Buchsbaum, Susan L. Bellis
Nikita Bhalerao, … , Donald J. Buchsbaum, Susan L. Bellis
Published August 29, 2023
Citation Information: JCI Insight. 2023;8(19):e161563. https://doi.org/10.1172/jci.insight.161563.
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Research Article Oncology

ST6GAL1 sialyltransferase promotes acinar to ductal metaplasia and pancreatic cancer progression

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Abstract

The role of aberrant glycosylation in pancreatic ductal adenocarcinoma (PDAC) remains an under-investigated area of research. In this study, we determined that ST6 β-galactoside α2,6 sialyltransferase 1 (ST6GAL1), which adds α2,6-linked sialic acids to N-glycosylated proteins, was upregulated in patients with early-stage PDAC and was further increased in advanced disease. A tumor-promoting function for ST6GAL1 was elucidated using tumor xenograft experiments with human PDAC cells. Additionally, we developed a genetically engineered mouse (GEM) model with transgenic expression of ST6GAL1 in the pancreas and found that mice with dual expression of ST6GAL1 and oncogenic KRASG12D had greatly accelerated PDAC progression compared with mice expressing KRASG12D alone. As ST6GAL1 imparts progenitor-like characteristics, we interrogated ST6GAL1’s role in acinar to ductal metaplasia (ADM), a process that fosters neoplasia by reprogramming acinar cells into ductal, progenitor-like cells. We verified ST6GAL1 promotes ADM using multiple models including the 266-6 cell line, GEM-derived organoids and tissues, and an in vivo model of inflammation-induced ADM. EGFR is a key driver of ADM and is known to be activated by ST6GAL1-mediated sialylation. Importantly, EGFR activation was dramatically increased in acinar cells and organoids from mice with transgenic ST6GAL1 expression. These collective results highlight a glycosylation-dependent mechanism involved in early stages of pancreatic neoplasia.

Authors

Nikita Bhalerao, Asmi Chakraborty, Michael P. Marciel, Jihye Hwang, Colleen M. Britain, Austin D. Silva, Isam E. Eltoum, Robert B. Jones, Katie L. Alexander, Lesley E. Smythies, Phillip D. Smith, David K. Crossman, Michael R. Crowley, Boyoung Shin, Laurie E. Harrington, Zhaoqi Yan, Maigen M. Bethea, Chad S. Hunter, Christopher A. Klug, Donald J. Buchsbaum, Susan L. Bellis

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Figure 2

KSC mice exhibit accelerated PDAC progression and mortality compared with KC mice.

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KSC mice exhibit accelerated PDAC progression and mortality compared wit...
(A) ST6GAL1 expression in the pancreas of SC mice (with Pdx1-Cre–driven expression of ST6GAL1), and WT mice (littermate controls expressing the LSL-ST6GAL1 transgene, but not Pdx1-Cre). Scale bar: 100 μm; original magnification, 200×. (B) Cells dissociated from WT and SC pancreata were stained with SNA to detect surface α2,6 sialylation. Left: representative experiment; right: MFI values from 3 mice/genotype. Data analyzed using a Student’s t test. *P < 0.05. (C) ST6GAL1 IHC on KC and KSC pancreata depicting strong ST6GAL1 expression in PanINs (arrows). No detectable ST6GAL1 is noted in adjacent, normal KC acinar cells, whereas ST6GAL1 is highly expressed in normal KSC acinar cells (arrowhead), reflecting transgene expression. Scale bar: 100 μm. (D) Kaplan-Meier survival analysis indicates a median survival of 4.3 months for KSC mice and 13.6 months for KC mice (n = 10 mice/group). P < 0.0001. (E) H&E-stained pancreata from 20-week-old KC and KSC mice showing the percentage of overall tissue area represented by PanINs of varying grades (n = 9 mice/group). Data analyzed using a Student’s t test. *P < 0.05. (F) Percentage of 20-week-old KC and KSC mice that present with PDAC or distal metastases (n = 9 mice/group). (G) Representative pancreatic tissues showing more advanced disease in KSC mice (images from 3 individual mice/genotype). Scale bar: 200 μm. (H) Alcian blue staining for mucinous tumor cells in 20-week-old KC and KSC pancreata (n = 9 mice/group). Staining was quantified stereologically and analyzed using a Student’s t test. *P < 0.05. Scale bar: 100 μm. (I) Sirius red staining for collagen deposition in 20-week-old KC and KSC pancreata (n = 9 mice/group). Staining was quantified stereologically and data were analyzed using a Student’s t test. *P < 0.05. Scale bar: 100 μm. KC, Pdx1-Cre LSL-KrasG12D; KSC, Pdx1-Cre LSL-ST6GAL1 LSL-KrasG12D.

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