Intratumoral heterogeneity of the therapeutical response to gemcitabine and metformin

Autor: Maria Schönrogge, Dietmar Zechner, Tobias Radecke, Xianbin Zhang, Brigitte Vollmar, Hao Yu Shih, Florian Bürtin, Ann-Christin Albert, Josefine Graffunder, Robert Jaster, Simone Kumstel, Sarah Müller
Jazyk: angličtina
Rok vydání: 2016
Předmět:
0301 basic medicine
Blood Glucose
Male
endocrine system diseases
medicine.medical_treatment
chemotherapy
Deoxycytidine
Mice
0302 clinical medicine
Antineoplastic Combined Chemotherapy Protocols
Tumor Microenvironment
Medicine
Pancreatic Stellate Cells
Hydrogen-Ion Concentration
Cell Hypoxia
Metformin
Tumor Burden
Oncology
030220 oncology & carcinogenesis
Adenocarcinoma
medicine.drug
Research Paper
medicine.medical_specialty
03 medical and health sciences
Internal medicine
Cell Line
Tumor

Carcinoma
pancreatic adenocarcinoma
Animals
Humans
Cell Proliferation
Chemotherapy
business.industry
pH Blot
Cancer
medicine.disease
microenvironment
Xenograft Model Antitumor Assays
Gemcitabine
Coculture Techniques
Mice
Inbred C57BL

Pancreatic Neoplasms
030104 developmental biology
Endocrinology
Drug Resistance
Neoplasm

Cancer cell
Hepatic stellate cell
Cancer research
syngeneic orthotopic cancer model
business
Zdroj: Oncotarget
ISSN: 1949-2553
Popis: // Dietmar Zechner 1, * , Florian Burtin 1, * , Ann-Christin Albert 1 , Xianbin Zhang 1 , Simone Kumstel 1 , Maria Schonrogge 1 , Josefine Graffunder 1 , Hao-Yu Shih 1 , Sarah Muller 2 , Tobias Radecke 1 , Robert Jaster 2 , Brigitte Vollmar 1 1 Institute for Experimental Surgery, Rostock University Medical Center, 18057 Rostock, Germany 2 Division of Gastroenterology, Department of Medicine II, Rostock University Medical Center, 18057 Rostock, Germany * These authors contributed equally to this work Correspondence to: Dietmar Zechner, email: dietmar.zechner@uni-rostock.de Keywords: pancreatic adenocarcinoma, chemotherapy, syngeneic orthotopic cancer model, microenvironment, pH Blot Received: January 18, 2016 Accepted: July 18, 2016 Published: July 28, 2016 ABSTRACT Cancer heterogeneity and microenvironmental aspects within a tumor are considered key factors influencing resistance of carcinoma cells to distinct chemotherapeutical agents. We evaluated a high concentration of metformin in combination with gemcitabine on a syngeneic orthotopic mouse model using 6606PDA cells. We observed reduced tumor size and reduced cancer cell proliferation after three weeks of chemotherapy with either compound and noticed an additive effect between gemcitabine and metformin on tumor weight. Interestingly, distinct areas of the carcinoma responded differently to either compound. Metformin inhibited the proliferation of cancer cells close to the desmoplastic reaction, whereas gemcitabine inhibited the proliferation of cancer cells mainly 360–570 μm distant to the desmoplastic reaction. Indeed, co-culture of pancreatic stellate cells with 6606PDA, 7265PDA or MIA PaCa-2 cells increased gemcitabine resistance. Metformin resistance, however, was increased by high glucose concentration in the medium. Other factors such as hypoxia or the pH of the medium had no influence on gemcitabine or metformin induced inhibition of cancer cell proliferation. These data demonstrate a spatial heterogeneity in drug resistance within pancreatic adenocarcinomas and that microenvironmental aspects such as supply of glucose and the presence of pancreatic stellate cells regulate cancer cell sensitivity towards metformin or gemcitabine.
Databáze: OpenAIRE