[PDF][PDF] Preinvasive and invasive ductal pancreatic cancer and its early detection in the mouse

SR Hingorani, EF Petricoin, A Maitra, V Rajapakse… - Cancer cell, 2003 - cell.com
SR Hingorani, EF Petricoin, A Maitra, V Rajapakse, C King, MA Jacobetz, S Ross…
Cancer cell, 2003cell.com
To evaluate the role of oncogenic RAS mutations in pancreatic tumorigenesis, we directed
endogenous expression of KRAS G12D to progenitor cells of the mouse pancreas. We find
that physiological levels of Kras G12D induce ductal lesions that recapitulate the full
spectrum of human pancreatic intraepithelial neoplasias (PanINs), putative precursors to
invasive pancreatic cancer. The PanINs are highly proliferative, show evidence of
histological progression, and activate signaling pathways normally quiescent in ductal …
Abstract
To evaluate the role of oncogenic RAS mutations in pancreatic tumorigenesis, we directed endogenous expression of KRASG12D to progenitor cells of the mouse pancreas. We find that physiological levels of KrasG12D induce ductal lesions that recapitulate the full spectrum of human pancreatic intraepithelial neoplasias (PanINs), putative precursors to invasive pancreatic cancer. The PanINs are highly proliferative, show evidence of histological progression, and activate signaling pathways normally quiescent in ductal epithelium, suggesting potential therapeutic and chemopreventive targets for the cognate human condition. At low frequency, these lesions also progress spontaneously to invasive and metastatic adenocarcinomas, establishing PanINs as definitive precursors to the invasive disease. Finally, mice with PanINs have an identifiable serum proteomic signature, suggesting a means of detecting the preinvasive state in patients.
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