PDX-1 is a therapeutic target for pancreatic cancer, insulinoma and islet neoplasia using a novel RNA interference platform

  • Shi He Liu
  • , Donald D. Rao
  • , John Nemunaitis
  • , Neil Senzer
  • , Guisheng Zhou
  • , David Dawson
  • , Marie Claude Gingras
  • , Zhaohui Wang
  • , Richard Gibbs
  • , Michael Norman
  • , Nancy S. Templeton
  • , Francesco J. DeMayo
  • , Bert O'Malley
  • , Robbi Sanchez
  • , William E. Fisher
  • , F. Charles Brunicardi

Research output: Contribution to journalArticlepeer-review

28 Scopus citations

Abstract

Pancreatic and duodenal homeobox-1 (PDX-1) is a transcription factor that regulates insulin expression and islet maintenance in the adult pancreas. Our recent studies demonstrate that PDX-1 is an oncogene for pancreatic cancer and is overexpressed in pancreatic cancer. The purpose of this study was to demonstrate that PDX-1 is a therapeutic target for both hormonal symptoms and tumor volume in mouse models of pancreatic cancer, insulinoma and islet neoplasia. Immunohistochemistry of human pancreatic and islet neoplasia specimens revealed marked PDX-1 overexpression, suggesting PDX-1 as a "drugable" target within these diseases. To do so, a novel RNA interference effector platform, bifunctional shRNAPDX-1, was developed and studied in mouse and human cell lines as well as in mouse models of pancreatic cancer, insulinoma and islet neoplasia. Systemic delivery of bi-shRNAhumanPDX-1 lipoplexes resulted in marked reduction of tumor volume and improved survival in a human pancreatic cancer xenograft mouse model. bi-shRNAmousePDX-1 lipoplexes prevented death from hyperinsulinemia and hypoglycemia in an insulinoma mouse model. shRNAmousePDX-1 lipoplexes reversed hyperinsulinemia and hypoglycemia in an immune-competent mouse model of islet neoplasia. PDX-1 was overexpressed in pancreatic neuroendocrine tumors and nesidioblastosis. These data demonstrate that PDX-1 RNAi therapy controls hormonal symptoms and tumor volume in mouse models of pancreatic cancer, insulinoma and islet neoplasia, therefore, PDX-1 is a potential therapeutic target for these pancreatic diseases.

Original languageEnglish (US)
Article numbere40452
JournalPloS one
Volume7
Issue number8
DOIs
StatePublished - Aug 8 2012
Externally publishedYes

ASJC Scopus subject areas

  • General

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