FAK activity in cancer‐associated fibroblasts is a prognostic marker and a druggable key metastatic player in pancreatic cancer

S Zaghdoudi, E Decaup, I Belhabib… - EMBO molecular …, 2020 - embopress.org
S Zaghdoudi, E Decaup, I Belhabib, R Samain, S Cassant‐Sourdy, J Rochotte, A Brunel…
EMBO molecular medicine, 2020embopress.org
Cancer‐associated fibroblasts (CAF s) are considered the most abundant type of stromal
cells in pancreatic ductal adenocarcinoma (PDAC), playing a critical role in tumour
progression and chemoresistance; however, a druggable target on CAF s has not yet been
identified. Here we report that focal adhesion kinase (FAK) activity (evaluated based on 397
tyrosine phosphorylation level) in CAF s is highly increased compared to its activity in
fibroblasts from healthy pancreas. Fibroblastic FAK activity is an independent prognostic …
Abstract
Cancer‐associated fibroblasts (CAFs) are considered the most abundant type of stromal cells in pancreatic ductal adenocarcinoma (PDAC), playing a critical role in tumour progression and chemoresistance; however, a druggable target on CAFs has not yet been identified. Here we report that focal adhesion kinase (FAK) activity (evaluated based on 397 tyrosine phosphorylation level) in CAFs is highly increased compared to its activity in fibroblasts from healthy pancreas. Fibroblastic FAK activity is an independent prognostic marker for disease‐free and overall survival of PDAC patients (cohort of 120 PDAC samples). Genetic inactivation of FAK within fibroblasts (FAK kinase‐dead, KD) reduces fibrosis and immunosuppressive cell number within primary tumours and dramatically decreases tumour spread. FAK pharmacologic or genetic inactivation reduces fibroblast migration/invasion, decreases extracellular matrix (ECM) expression and deposition by CAFs, modifies ECM track generation and negatively impacts M2 macrophage polarization and migration. Thus, FAK activity within CAFs appears as an independent PDAC prognostic marker and a druggable driver of tumour cell invasion.
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