Mechanically stressed cancer microenvironment: Role in pancreatic cancer progression

Biochim Biophys Acta Rev Cancer. 2020 Dec;1874(2):188418. doi: 10.1016/j.bbcan.2020.188418. Epub 2020 Aug 20.

Abstract

Pancreatic ductal adenocarcinoma (PDAC) is one of the most lethal solid malignancies in the world due to its insensitivity to current therapies and its propensity to metastases from the primary tumor mass. This is largely attributed to its complex microenvironment composed of unique stromal cell populations and extracellular matrix (ECM). The recruitment and activation of these cell populations cause an increase in deposition of ECM components, which highly influences the behavior of malignant cells through disrupted forms of signaling. As PDAC progresses from premalignant lesion to invasive carcinoma, this dynamic landscape shields the mass from immune defenses and cytotoxic intervention. This microenvironment influences an invasive cell phenotype through altered forms of mechanical signaling, capable of enacting biochemical changes within cells through activated mechanotransduction pathways. The effects of altered mechanical cues on malignant cell mechanotransduction have long remained enigmatic, particularly in PDAC, whose microenvironment significantly changes over time. A more complete and thorough understanding of PDAC's physical surroundings (microenvironment), mechanosensing proteins, and mechanical properties may help in identifying novel mechanisms that influence disease progression, and thus, provide new potential therapeutic targets.

Keywords: Mechanical properties; Mechanotransduction; Pancreatic ductal adenocarcinoma; Pancreatic tumor microenvironment.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Carcinoma, Pancreatic Ductal / metabolism*
  • Disease Progression
  • Extracellular Matrix / metabolism
  • Gene Expression Regulation, Neoplastic
  • Gene Regulatory Networks*
  • Humans
  • Mechanotransduction, Cellular
  • Neoplasm Metastasis
  • Pancreatic Neoplasms / metabolism*
  • Tumor Microenvironment