CANCER MEDICINE, sa.January, ss.1-40, 2024 (SCI-Expanded)
One of the main reasons for the unsuccessful treatment of pancreatic
cancer is the intense desmoplastic pancreatic microenvironment. In the
literature, the effects of Mesenchymal Stem Cells (MSCs) and their
inflammatory phenotypes on cancer cells have been a subject of
controversy. Therefore, it is crucial to elucidate the underlying
mechanisms of this interaction, especially in the context of pancreatic
cancer. We aimed to investigate the effects of naive, TLR4-activated, and
TLR4-inhibited phenotypes of adipose-derived MSCs(ADMSC) on
pancreatic ductal cell line(Panc-1). ADMSCs were induced into a
proinflammatory phenotype using a 0.5 μg/ml dose of TLR4 agonist,
while an anti-inflammatory phenotype was generated in ADMSCs using a
25 μg/ml dose of TLR4 antagonist. We observed a 10 fold higher
antiproliferative effect in direct coculture of naive and proinflammatory
ADMSCs compared to Panc-1. In indirect coculture, both naive and
proinflammatory ADMSCs exhibited a significant 10-fold increase in their
inhibitory effect on the proliferation and colony forming capacity of Panc-
1 cells, with the added benefit of inducing apoptosis. In our study, both
naive and proinflammatory ADMSCs were found to regulate the
expression of genes associated with metastasis(MMP2, KDR, MMP9,
TIMP1, IGF2R, and COL1A1) and EMT(CDH1, VIM, ZEB1, and CLDN1) in
Panc-1 cells. Remarkably, both naive and proinflammatory ADMSCs
demonstrated antitumor effects on Panc-1 cells. However, it was
observed that anti-inflammatory ADMSCs showed tumor-promoting
effects instead. Furthermore, we observed a reciprocal influence between
ADMSCs and Panc-1 cells on each other's proinflammatory cytokine
expressions, suggesting a dynamic interplay within the tumor
microenvironment. These findings underscore the significance of both the naive state and different inflammatory phenotypes of MSCs in the
microenvironment and represent a pivotal step towards the development
of novel therapeutic approaches for pancreatic cancer. Understanding
the intricate interactions between MSCs and cancer cells may open new
avenues for targeted interventions in cancer therapy.