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Published in: Digestive Diseases and Sciences 4/2023

13-09-2022 | Pancreatic Cancer | Original Article

NEDD8-Activating Enzyme Inhibitor MLN4924 Inhibits Both the Tumor Stroma and Angiogenesis in Pancreatic Cancer via Gli1 and REDD1

Authors: Weilin Mao, Lei Zhang, Yefei Rong, Tiantao Kuang, Dansong Wang, Xuefeng Xu, Wenhui Lou, Jianang Li

Published in: Digestive Diseases and Sciences | Issue 4/2023

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Abstract

Purpose

Pancreatic cancer is characterized by a dense desmoplasia stroma, which hinders efficient drug delivery and plays a critical role in tumor progression and metastasis. MLN4924 is a first-in-class NEDD8-activating enzyme inhibitor that exhibits anti-tumor activities toward pancreatic cancer, and given the comprehensive effects that MLN4924 could have, we ask what impact MLN4924 would have on the stroma of pancreatic cancer and its underlying mechanisms.

Methods

Primary pancreatic stellate cells (PSCs) and human HMEC-1 cells were treated with MLN4924 in vitro. The proliferation and extracellular matrix protein levels of PSCs were tested, and their relationship with transcription factor Gli1 in PSCs was investigated. The angiogenic phenotypes of HMEC-1 cells were evaluated using capillary-like tube formation assay, and their relationship with REDD1 in HMEC-1 cells was investigated.

Results

In this study, we found that MLN4924 inhibited the proliferation of pancreatic stellate cells and their secretion of collagen and CXCL-1, and the collagen secretion inhibiting effect of MLN4924 was related with transcription factor Gli1. MLN4924 inhibited multiple angiogenic phenotypes of HMEC-1 cells, and mTOR agonist partially relieved the inhibition of MLN4924 on HEMCs. MLN4924 increased the expression of REDD1 and REDD1 knockdown promoted the angiogenic phenotypes of HMEC-1 cells.

Conclusions

Our study suggests that MLN4924 inhibits both the tumor stroma and angiogenesis in pancreatic cancer, and the inhibition effect is related with Gli1 in pancreatic stellate cells and REDD1 in vascular endothelial cells, respectively.
Literature
2.
go back to reference Sung H, Ferlay J, Siegel RL et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 2021;71:209–249.PubMedCrossRef Sung H, Ferlay J, Siegel RL et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 2021;71:209–249.PubMedCrossRef
6.
go back to reference Apte M, Park S, Phillips P et al. Desmoplastic reaction in pancreatic cancer: role of pancreatic stellate cells. Pancreas 2004;29:179–187.PubMedCrossRef Apte M, Park S, Phillips P et al. Desmoplastic reaction in pancreatic cancer: role of pancreatic stellate cells. Pancreas 2004;29:179–187.PubMedCrossRef
7.
go back to reference Biffi G, Oni TE, Spielman B et al. IL1-induced JAK/STAT signaling is antagonized by TGFβ to shape CAF heterogeneity in pancreatic ductal adenocarcinoma. Cancer Discov 2019;9:282–301.PubMedCrossRef Biffi G, Oni TE, Spielman B et al. IL1-induced JAK/STAT signaling is antagonized by TGFβ to shape CAF heterogeneity in pancreatic ductal adenocarcinoma. Cancer Discov 2019;9:282–301.PubMedCrossRef
8.
go back to reference Hessmann E, Patzak M, Klein L et al. Fibroblast drug scavenging increases intratumoural gemcitabine accumulation in murine pancreas cancer. Gut 2018;67:497–507.PubMedCrossRef Hessmann E, Patzak M, Klein L et al. Fibroblast drug scavenging increases intratumoural gemcitabine accumulation in murine pancreas cancer. Gut 2018;67:497–507.PubMedCrossRef
9.
go back to reference Yoshida N, Masamune A, Hamada S et al. Kindlin-2 in pancreatic stellate cells promotes the progression of pancreatic cancer. Cancer Lett 2017;390:103–114.PubMedCrossRef Yoshida N, Masamune A, Hamada S et al. Kindlin-2 in pancreatic stellate cells promotes the progression of pancreatic cancer. Cancer Lett 2017;390:103–114.PubMedCrossRef
10.
go back to reference Qian D, Lu Z, Xu Q et al. Galectin-1-driven upregulation of SDF-1 in pancreatic stellate cells promotes pancreatic cancer metastasis. Cancer Lett 2017;397:43–51.PubMedCrossRef Qian D, Lu Z, Xu Q et al. Galectin-1-driven upregulation of SDF-1 in pancreatic stellate cells promotes pancreatic cancer metastasis. Cancer Lett 2017;397:43–51.PubMedCrossRef
11.
go back to reference Rhim AD, Oberstein PE, Thomas DH et al. Stromal elements act to restrain, rather than support, pancreatic ductal adenocarcinoma. Cancer Cell 2014;25:735–747.PubMedPubMedCentralCrossRef Rhim AD, Oberstein PE, Thomas DH et al. Stromal elements act to restrain, rather than support, pancreatic ductal adenocarcinoma. Cancer Cell 2014;25:735–747.PubMedPubMedCentralCrossRef
12.
go back to reference Vennin C, Murphy KJ, Morton JP, Cox TR, Pajic M, Timpson P. Reshaping the tumor stroma for treatment of pancreatic cancer. Gastroenterology 2018;154:820–838.PubMedCrossRef Vennin C, Murphy KJ, Morton JP, Cox TR, Pajic M, Timpson P. Reshaping the tumor stroma for treatment of pancreatic cancer. Gastroenterology 2018;154:820–838.PubMedCrossRef
13.
go back to reference Park J, Cho J, Song EJ. Ubiquitin–proteasome system (UPS) as a target for anticancer treatment. Arch Pharm Res 2020:1–18. Park J, Cho J, Song EJ. Ubiquitin–proteasome system (UPS) as a target for anticancer treatment. Arch Pharm Res 2020:1–18.
14.
go back to reference Zhao Y, Morgan MA, Sun Y. Targeting Neddylation pathways to inactivate cullin-RING ligases for anticancer therapy. Antioxid Redox Signal 2014;21:2383–2400.PubMedPubMedCentralCrossRef Zhao Y, Morgan MA, Sun Y. Targeting Neddylation pathways to inactivate cullin-RING ligases for anticancer therapy. Antioxid Redox Signal 2014;21:2383–2400.PubMedPubMedCentralCrossRef
16.
17.
go back to reference Luo Z, Yu G, Lee HW et al. The Nedd8-activating enzyme inhibitor MLN4924 induces autophagy and apoptosis to suppress liver cancer cell growth. Cancer Res 2012;72:3360–3371.PubMedCrossRef Luo Z, Yu G, Lee HW et al. The Nedd8-activating enzyme inhibitor MLN4924 induces autophagy and apoptosis to suppress liver cancer cell growth. Cancer Res 2012;72:3360–3371.PubMedCrossRef
18.
go back to reference Lin JJ, Milhollen MA, Smith PG, Narayanan U, Dutta A. NEDD8-targeting drug MLN4924 elicits DNA rereplication by stabilizing Cdt1 in S phase, triggering checkpoint activation, apoptosis, and senescence in cancer cells. Cancer Res 2010;70:10310–10320.PubMedPubMedCentralCrossRef Lin JJ, Milhollen MA, Smith PG, Narayanan U, Dutta A. NEDD8-targeting drug MLN4924 elicits DNA rereplication by stabilizing Cdt1 in S phase, triggering checkpoint activation, apoptosis, and senescence in cancer cells. Cancer Res 2010;70:10310–10320.PubMedPubMedCentralCrossRef
19.
go back to reference Lin S, Shang Z, Li S et al. Neddylation inhibitor MLN4924 induces G2 cell cycle arrest, DNA damage and sensitizes esophageal squamous cell carcinoma cells to cisplatin. Oncol Lett 2018;15:2583–2589.PubMed Lin S, Shang Z, Li S et al. Neddylation inhibitor MLN4924 induces G2 cell cycle arrest, DNA damage and sensitizes esophageal squamous cell carcinoma cells to cisplatin. Oncol Lett 2018;15:2583–2589.PubMed
20.
21.
go back to reference Bachem MG, Schünemann M, Ramadani M et al. Pancreatic carcinoma cells induce fibrosis by stimulating proliferation and matrix synthesis of stellate cells. Gastroenterology 2005;128:907–921.PubMedCrossRef Bachem MG, Schünemann M, Ramadani M et al. Pancreatic carcinoma cells induce fibrosis by stimulating proliferation and matrix synthesis of stellate cells. Gastroenterology 2005;128:907–921.PubMedCrossRef
22.
go back to reference Fang Y, Han X, Li J, Kuang T, Lou W. HEATR1 deficiency promotes chemoresistance via upregulating ZNF185 and downregulating SMAD4 in pancreatic cancer. J Oncol 2020;2020. Fang Y, Han X, Li J, Kuang T, Lou W. HEATR1 deficiency promotes chemoresistance via upregulating ZNF185 and downregulating SMAD4 in pancreatic cancer. J Oncol 2020;2020.
25.
go back to reference Huntzicker EG, Estay IS, Zhen H, Lokteva LA, Jackson PK, Oro AE. Dual degradation signals control Gli protein stability and tumor formation. Genes Dev 2006;20:276–281.PubMedPubMedCentralCrossRef Huntzicker EG, Estay IS, Zhen H, Lokteva LA, Jackson PK, Oro AE. Dual degradation signals control Gli protein stability and tumor formation. Genes Dev 2006;20:276–281.PubMedPubMedCentralCrossRef
26.
go back to reference Erkan M, Kurtoglu M, Kleeff J. The role of hypoxia in pancreatic cancer: a potential therapeutic target? Expert Rev Gastroenterol Hepatol 2016;10:301–316.PubMedCrossRef Erkan M, Kurtoglu M, Kleeff J. The role of hypoxia in pancreatic cancer: a potential therapeutic target? Expert Rev Gastroenterol Hepatol 2016;10:301–316.PubMedCrossRef
27.
go back to reference Humar R, Kiefer FN, Berns H, Resink TJ, Battegay EJ. Hypoxia enhances vascular cell proliferation and angiogenesis in vitro via rapamycin (mTOR)-dependent signaling. FASEB J 2002;16:771–780.PubMedCrossRef Humar R, Kiefer FN, Berns H, Resink TJ, Battegay EJ. Hypoxia enhances vascular cell proliferation and angiogenesis in vitro via rapamycin (mTOR)-dependent signaling. FASEB J 2002;16:771–780.PubMedCrossRef
28.
go back to reference Katiyar S, Liu E, Knutzen CA et al. REDD1, an inhibitor of mTOR signalling, is regulated by the CUL4A–DDB1 ubiquitin ligase. EMBO Rep 2009;10:866–872.PubMedPubMedCentralCrossRef Katiyar S, Liu E, Knutzen CA et al. REDD1, an inhibitor of mTOR signalling, is regulated by the CUL4A–DDB1 ubiquitin ligase. EMBO Rep 2009;10:866–872.PubMedPubMedCentralCrossRef
29.
go back to reference Brugarolas J, Lei K, Hurley RL et al. Regulation of mTOR function in response to hypoxia by REDD1 and the TSC1/TSC2 tumor suppressor complex. Genes Dev 2004;18:2893–2904.PubMedPubMedCentralCrossRef Brugarolas J, Lei K, Hurley RL et al. Regulation of mTOR function in response to hypoxia by REDD1 and the TSC1/TSC2 tumor suppressor complex. Genes Dev 2004;18:2893–2904.PubMedPubMedCentralCrossRef
30.
go back to reference Shi C-S, Kuo K-L, Lin W-C et al. Neddylation inhibitor, MLN4924 suppresses angiogenesis in huvecs and solid cancers: in vitro and in vivo study. Am J Cancer Res 2020;10:953.PubMedPubMedCentral Shi C-S, Kuo K-L, Lin W-C et al. Neddylation inhibitor, MLN4924 suppresses angiogenesis in huvecs and solid cancers: in vitro and in vivo study. Am J Cancer Res 2020;10:953.PubMedPubMedCentral
31.
go back to reference Olive KP, Jacobetz MA, Davidson CJ et al. Inhibition of Hedgehog signaling enhances delivery of chemotherapy in a mouse model of pancreatic cancer. Science 2009;324:1457–1461.PubMedPubMedCentralCrossRef Olive KP, Jacobetz MA, Davidson CJ et al. Inhibition of Hedgehog signaling enhances delivery of chemotherapy in a mouse model of pancreatic cancer. Science 2009;324:1457–1461.PubMedPubMedCentralCrossRef
32.
go back to reference Ikenaga N, Ohuchida K, Mizumoto K et al. CD10+ pancreatic stellate cells enhance the progression of pancreatic cancer. Gastroenterology 2010;139:1041–1051.PubMedCrossRef Ikenaga N, Ohuchida K, Mizumoto K et al. CD10+ pancreatic stellate cells enhance the progression of pancreatic cancer. Gastroenterology 2010;139:1041–1051.PubMedCrossRef
33.
go back to reference Lonardo E, Frias-Aldeguer J, Hermann PC, Heeschen C. Pancreatic stellate cells form a niche for cancer stem cells and promote their self-renewal and invasiveness. Cell Cycle 2012;11:1282–1290.PubMedCrossRef Lonardo E, Frias-Aldeguer J, Hermann PC, Heeschen C. Pancreatic stellate cells form a niche for cancer stem cells and promote their self-renewal and invasiveness. Cell Cycle 2012;11:1282–1290.PubMedCrossRef
34.
go back to reference Thind K, Padrnos LJ, Ramanathan RK, Borad MJ. Immunotherapy in pancreatic cancer treatment: a new frontier. Ther Adv Gastroenterol 2017;10:168–194.CrossRef Thind K, Padrnos LJ, Ramanathan RK, Borad MJ. Immunotherapy in pancreatic cancer treatment: a new frontier. Ther Adv Gastroenterol 2017;10:168–194.CrossRef
35.
go back to reference Özdemir BC, Pentcheva-Hoang T, Carstens JL et al. Depletion of carcinoma-associated fibroblasts and fibrosis induces immunosuppression and accelerates pancreas cancer with reduced survival. Cancer Cell 2014;25:719–734.PubMedPubMedCentralCrossRef Özdemir BC, Pentcheva-Hoang T, Carstens JL et al. Depletion of carcinoma-associated fibroblasts and fibrosis induces immunosuppression and accelerates pancreas cancer with reduced survival. Cancer Cell 2014;25:719–734.PubMedPubMedCentralCrossRef
36.
go back to reference Huang H, Brekken RA. The Next Wave of Stroma-Targeting Therapy in Pancreatic Cancer. Cancer Res 2019;79:328–330.PubMedCrossRef Huang H, Brekken RA. The Next Wave of Stroma-Targeting Therapy in Pancreatic Cancer. Cancer Res 2019;79:328–330.PubMedCrossRef
37.
go back to reference van Mackelenbergh MG, Stroes, CI, Spijker R et al. Clinical Trials Targeting the Stroma in Pancreatic Cancer: A Systematic Review and Meta-Analysis. Cancers (Basel), 2019. 11(5). van Mackelenbergh MG, Stroes, CI, Spijker R et al. Clinical Trials Targeting the Stroma in Pancreatic Cancer: A Systematic Review and Meta-Analysis. Cancers (Basel), 2019. 11(5).
38.
39.
go back to reference Hui C, Angers S. Gli proteins in development and disease. Annu Rev Cell Dev Biol 2011;27:513–537.PubMedCrossRef Hui C, Angers S. Gli proteins in development and disease. Annu Rev Cell Dev Biol 2011;27:513–537.PubMedCrossRef
40.
go back to reference Nagai S, Nakamura M, Yanai K et al. Gli1 contributes to the invasiveness of pancreatic cancer through matrix metalloproteinase-9 activation. Cancer Sci 2008;99:1377–1384.PubMedCrossRef Nagai S, Nakamura M, Yanai K et al. Gli1 contributes to the invasiveness of pancreatic cancer through matrix metalloproteinase-9 activation. Cancer Sci 2008;99:1377–1384.PubMedCrossRef
41.
go back to reference Joost S, Almada LL, Rohnalter V et al. GLI1 inhibition promotes epithelial-to-mesenchymal transition in pancreatic cancer cells. Cancer Res 2012;72:88–99.PubMedCrossRef Joost S, Almada LL, Rohnalter V et al. GLI1 inhibition promotes epithelial-to-mesenchymal transition in pancreatic cancer cells. Cancer Res 2012;72:88–99.PubMedCrossRef
42.
go back to reference Mishra P, Banerjee D, Ben-Baruch A. Chemokines at the crossroads of tumor-fibroblast interactions that promote malignancy. J Leukoc Biol 2011;89:31–39.PubMedCrossRef Mishra P, Banerjee D, Ben-Baruch A. Chemokines at the crossroads of tumor-fibroblast interactions that promote malignancy. J Leukoc Biol 2011;89:31–39.PubMedCrossRef
43.
44.
go back to reference Cheng W-L, Wang C-S, Huang Y-H, Tsai M-M, Liang Y, Lin K-H. Overexpression of CXCL1 and its receptor CXCR2 promote tumor invasion in gastric cancer. Ann Oncol 2011;22:2267–2276.PubMedCrossRef Cheng W-L, Wang C-S, Huang Y-H, Tsai M-M, Liang Y, Lin K-H. Overexpression of CXCL1 and its receptor CXCR2 promote tumor invasion in gastric cancer. Ann Oncol 2011;22:2267–2276.PubMedCrossRef
45.
go back to reference Wang N, Liu W, Zheng Y et al. CXCL1 derived from tumor-associated macrophages promotes breast cancer metastasis via activating NF-κB/SOX4 signaling. Cell Death Dis 2018;9:1–18. Wang N, Liu W, Zheng Y et al. CXCL1 derived from tumor-associated macrophages promotes breast cancer metastasis via activating NF-κB/SOX4 signaling. Cell Death Dis 2018;9:1–18.
46.
go back to reference Wang D, Sun H, Wei J, Cen B, DuBois RN. CXCL1 is critical for premetastatic niche formation and metastasis in colorectal cancer. Cancer Res 2017;77:3655–3665.PubMedPubMedCentralCrossRef Wang D, Sun H, Wei J, Cen B, DuBois RN. CXCL1 is critical for premetastatic niche formation and metastasis in colorectal cancer. Cancer Res 2017;77:3655–3665.PubMedPubMedCentralCrossRef
47.
go back to reference Monti P, Leone BE, Marchesi F et al. The CC chemokine MCP-1/CCL2 in pancreatic cancer progression: regulation of expression and potential mechanisms of antimalignant activity. Cancer Res 2003;63:7451–7461.PubMed Monti P, Leone BE, Marchesi F et al. The CC chemokine MCP-1/CCL2 in pancreatic cancer progression: regulation of expression and potential mechanisms of antimalignant activity. Cancer Res 2003;63:7451–7461.PubMed
48.
go back to reference Lu Y, Chen Q, Corey E et al. Activation of MCP-1/CCR2 axis promotes prostate cancer growth in bone. Clin Exp Metastasis 2009;26:161–169.PubMedCrossRef Lu Y, Chen Q, Corey E et al. Activation of MCP-1/CCR2 axis promotes prostate cancer growth in bone. Clin Exp Metastasis 2009;26:161–169.PubMedCrossRef
49.
go back to reference Furukawa S, Soeda S, Kiko Y et al. MCP-1 promotes invasion and adhesion of human ovarian cancer cells. Anticancer Res 2013;33:4785–4790.PubMed Furukawa S, Soeda S, Kiko Y et al. MCP-1 promotes invasion and adhesion of human ovarian cancer cells. Anticancer Res 2013;33:4785–4790.PubMed
50.
go back to reference Dutta P, Sarkissyan M, Paico K, Wu Y, Vadgama JV. MCP-1 is overexpressed in triple-negative breast cancers and drives cancer invasiveness and metastasis. Breast Cancer Res Treat 2018;170:477–486.PubMedPubMedCentralCrossRef Dutta P, Sarkissyan M, Paico K, Wu Y, Vadgama JV. MCP-1 is overexpressed in triple-negative breast cancers and drives cancer invasiveness and metastasis. Breast Cancer Res Treat 2018;170:477–486.PubMedPubMedCentralCrossRef
52.
go back to reference Jin H-O, An S, Lee H-C et al. Hypoxic condition-and high cell density-induced expression of Redd1 is regulated by activation of hypoxia-inducible factor-1α and Sp1 through the phosphatidylinositol 3-kinase/Akt signaling pathway. Cell Signal 2007;19:1393–1403.PubMedCrossRef Jin H-O, An S, Lee H-C et al. Hypoxic condition-and high cell density-induced expression of Redd1 is regulated by activation of hypoxia-inducible factor-1α and Sp1 through the phosphatidylinositol 3-kinase/Akt signaling pathway. Cell Signal 2007;19:1393–1403.PubMedCrossRef
53.
go back to reference Pinno J, Bongartz H, Klepsch O et al. Interleukin-6 influences stress-signalling by reducing the expression of the mTOR-inhibitor REDD1 in a STAT3-dependent manner. Cell Signal 2016;28:907–916.PubMedCrossRef Pinno J, Bongartz H, Klepsch O et al. Interleukin-6 influences stress-signalling by reducing the expression of the mTOR-inhibitor REDD1 in a STAT3-dependent manner. Cell Signal 2016;28:907–916.PubMedCrossRef
54.
go back to reference Li W, Petrimpol M, Molle KD, Hall MN, Battegay EJ, Humar R. Hypoxia-induced endothelial proliferation requires both mTORC1 and mTORC2. Circ Res 2007;100:79–87.PubMedCrossRef Li W, Petrimpol M, Molle KD, Hall MN, Battegay EJ, Humar R. Hypoxia-induced endothelial proliferation requires both mTORC1 and mTORC2. Circ Res 2007;100:79–87.PubMedCrossRef
55.
56.
go back to reference Öhlund D, Handly-Santana A, Biffi G et al. Distinct populations of inflammatory fibroblasts and myofibroblasts in pancreatic cancer. J Exp Med 2017;214:579–596.PubMedPubMedCentralCrossRef Öhlund D, Handly-Santana A, Biffi G et al. Distinct populations of inflammatory fibroblasts and myofibroblasts in pancreatic cancer. J Exp Med 2017;214:579–596.PubMedPubMedCentralCrossRef
57.
go back to reference Tjomsland V, Aasrum M, Christoffersen T, Gladhaug IP. Functional heterogeneity in tumor-derived human pancreatic stellate cells: Differential expression of HGF and implications for mitogenic signaling and migration in pancreatic cancer cells. Oncotarget 2017;8:71672.PubMedPubMedCentralCrossRef Tjomsland V, Aasrum M, Christoffersen T, Gladhaug IP. Functional heterogeneity in tumor-derived human pancreatic stellate cells: Differential expression of HGF and implications for mitogenic signaling and migration in pancreatic cancer cells. Oncotarget 2017;8:71672.PubMedPubMedCentralCrossRef
58.
go back to reference Fujiwara K, Ohuchida K, Mizumoto K et al. CD271+ subpopulation of pancreatic stellate cells correlates with prognosis of pancreatic cancer and is regulated by interaction with cancer cells. PloS One 2012;7:e52682.PubMedPubMedCentralCrossRef Fujiwara K, Ohuchida K, Mizumoto K et al. CD271+ subpopulation of pancreatic stellate cells correlates with prognosis of pancreatic cancer and is regulated by interaction with cancer cells. PloS One 2012;7:e52682.PubMedPubMedCentralCrossRef
59.
go back to reference Farrow B, Rowley D, Dang T, Berger DH. Characterization of tumor-derived pancreatic stellate cells. J Surg Res 2009;157:96–102.PubMedCrossRef Farrow B, Rowley D, Dang T, Berger DH. Characterization of tumor-derived pancreatic stellate cells. J Surg Res 2009;157:96–102.PubMedCrossRef
60.
go back to reference Hingorani SR, Wang L, Multani AS et al. Trp53R172H and KrasG12D cooperate to promote chromosomal instability and widely metastatic pancreatic ductal adenocarcinoma in mice. Cancer Cell 2005;7:469–483.PubMedCrossRef Hingorani SR, Wang L, Multani AS et al. Trp53R172H and KrasG12D cooperate to promote chromosomal instability and widely metastatic pancreatic ductal adenocarcinoma in mice. Cancer Cell 2005;7:469–483.PubMedCrossRef
Metadata
Title
NEDD8-Activating Enzyme Inhibitor MLN4924 Inhibits Both the Tumor Stroma and Angiogenesis in Pancreatic Cancer via Gli1 and REDD1
Authors
Weilin Mao
Lei Zhang
Yefei Rong
Tiantao Kuang
Dansong Wang
Xuefeng Xu
Wenhui Lou
Jianang Li
Publication date
13-09-2022
Publisher
Springer US
Published in
Digestive Diseases and Sciences / Issue 4/2023
Print ISSN: 0163-2116
Electronic ISSN: 1573-2568
DOI
https://doi.org/10.1007/s10620-022-07671-w

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