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ENPP1-Regulated Extracellular Purine Metabolism Drives Pancreatitis-Mediated Pancreatic Cancer  期刊论文  

  • 编号:
    53EB9E0E12A560AE02890E7F10612B81
  • 作者:
    Ma, Zhilong#[1,2,3,4,5]Dong, Mingwei[1,2,3,4,5];Pan, Haoqi[1,2,3,4,5];Xu, Junyi[1,2,3,4,5];Luo, Tingyi[6];Xie, Wangcheng[6];Xiao, Mingming[1,2,3,4,5];Wen, Xin[7];Hua, Jie[1,2,3,4,5];Qian, Daohai(钱道海)[8]Meng, Qingcai[1,2,3,4,5];Wang, Yufeng[1,2,3,4,5];Wu, Di[1,2,3,4,5];Zhang, Xiaobing[9];Yang, Tingsong[6];Song, Zhenshun[10];Wang, Wei[1,2,3,4,5];Xu, Jin[1,2,3,4,5];Yu, Xianjun*[1,2,3,4,5]Shi, Si*[1,2,3,4,5]
  • 语种:
    英文
  • 期刊:
    GASTROENTEROLOGY ISSN:0016-5085 2026 年 170 卷 4 期 (735 - 752) ; APR
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  • 摘要:

    BACKGROUND & AIMS: Patients with chronic pancreatitis (CP) have a higher risk of developing pancreatic ductal adenocarcinoma (PDAC). Although pancreatitis has been found to promote PDAC initiation and progression, its role in PDAC tumorigenesis remains poorly understood. METHODS: A multiomics analysis of the transcriptome, proteome, and metabolome was performed in human pancreatic samples from patients with CP and CP-related PDAC (CP-PDAC). The CP-PDAC model was constructed in Ptf1aCre/+; LSL-KrasG12D/+ mice and Ptf1aCre/+; LSL-KrasG12D/+; ectonucleotide pyrophosphatase/phosphodiesterase 1 (Enpp1) mice. Single-cell sequencing analysis of pancreatic tissue samples from Ptf1aCre/+; LSL-KrasG12D/+ mice and Ptf1aCre/+; LSL-KrasG12D/+; Enpp1 mice revealed the role of the immune micro-environment in the progression from pancreatitis to cancer. Pharmacologic ENPP1 inhibition was studied in the orthotopic transplantation model and CP-PDAC model mice. RESULTS: Multiomics analysis of samples from patients with CP and CP-PDAC revealed that ENPP1-regulated extracellular purine metabolism plays an important role in pancreatitis-cancer transformation. Mechanistically, inflammatory damage to pancreatic acinar cells leads to the release of purine nucleotide metabolites, which are degraded by ENPP1-CD73 on the surface of pancreatic stellate cells into adenosine. This process activates pancreatic stellate cells and promotes fibrosis. Activated pancreatic stellate cells then release CXCL17, which recruits myeloid-derived suppressor cells and regulatory T cells in the microenvironment, resulting in immunosuppressive effects. Finally, ENPP1 was confirmed to be an effective target for immunotherapy in PDAC and early intervention in pancreatitis-cancer transformation. CONCLUSIONS: The study results identified ENPP1 as a contributor to pancreatitis-mediated pancreatic cancer and a potential therapeutic target for pancreatic carcinogenesis.

  • 推荐引用方式
    GB/T 7714:
    Ma Zhilong,Dong Mingwei,Pan Haoqi, et al. ENPP1-Regulated Extracellular Purine Metabolism Drives Pancreatitis-Mediated Pancreatic Cancer [J].GASTROENTEROLOGY,2026,170(4):735-752.
  • APA:
    Ma Zhilong,Dong Mingwei,Pan Haoqi,Xu Junyi,&Shi Si.(2026).ENPP1-Regulated Extracellular Purine Metabolism Drives Pancreatitis-Mediated Pancreatic Cancer .GASTROENTEROLOGY,170(4):735-752.
  • MLA:
    Ma Zhilong, et al. "ENPP1-Regulated Extracellular Purine Metabolism Drives Pancreatitis-Mediated Pancreatic Cancer" .GASTROENTEROLOGY 170,4(2026):735-752.
  • 入库时间:
    4/7/2026 9:51:42 PM
  • 更新时间:
    4/7/2026 9:51:42 PM
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