The insulin/SREBP-1/transgelin-2 network mediates proliferation of PDAC cells upon insulin stimulation, offering a potential therapeutic target for diabetes-associated PDAC.
May refine risk stratification in studied patients; leaves open prospective validation before clinical use.
// Yan Sun 1, * , Weiwei He 2, * , Man Luo 1 , Yuhong Zhou 3 , Guilin Chang 1 , Weiying Ren 1 , Kefen Wu 1 , Xi Li 1 , Jiping Shen 1 , Xiaoping Zhao 4 and Yu Hu 1 1 Department of Geriatrics, Zhongshan Hospital, Fudan University, Shanghai 200032, China 2 Department of Thoracic Surgery, Sixth People’s Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200025, China 3 Department of Oncology, Zhongshan Hospital, Fudan University, Shanghai 200032, China 4 Department of Nuclear Medicine, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200025, China * These authors have contributed equally to this work Correspondence to: Xiaoping Zhao, email: zxp0856@sina.com Yu Hu, email: hu.yu@zs-hospital.sh.cn Keywords: transgelin-2, SREBP, PDAC, diabetes, insulin Received: June 29, 2016 Accepted: March 29, 2017 Published: April 29, 2017 ABSTRACT Pancreatic ductal adenocarcinoma (PDAC) is an aggressive malignancy with poor prognosis. Diabetes is a significant risk factor for PDAC and >50% of PDAC patients have concomitant diabetes. How diabetes influences the initiation and progression of PDAC remains elusive. Here, we show that transgelin-2 is dominantly expressed in PDAC tissues compared with adjacent normal tissues. The high level of transgelin-2 indicates poor survival of patients with PDAC. Remarkably, transgelin-2 expression is correlated with diabetic status. Hyperinsulinemia is frequently observed in type 2 diabetes. Our results indicate that upregulation of transgelin-2 is induced by insulin via sterol regulatory element-binding protein (SREBP)-1-mediated transcription in PDAC cells. Transgelin-2 is a novel target of SREBP-1. Our data support a novel mechanism in diabetes-associated PDAC by which transgelin-2 mediates proliferation of PDAC cells upon insulin stimulation. The insulin/SREBP-1/transgelin-2 network should be further explored as a diagnostic marker or a novel therapeutic target for diabetes-associated PDAC.
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Sun et al. (2017) studied this question.