Stromal/tumor cells dialogue and metabolic reprogramming in pancreatic cancer

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The Marseille Cancer Research Center celebrates its 50th anniversary ! -

The Tomasini/Vasseur team is part of the COMET department

The team “Stromal/tumor cells dialogue and metabolic reprogramming in pancreatic cancer” (DISARM PDAC) studies the impact of intra-tumoral microenvironment and metabolic reprogramming in pancreatic cancers aggressiveness and therapeutic resistance.

Pancreatic ductal adenocarcinoma (PDAC) represents, with the fourth leading cause of cancer-related death worldwide and a 5-year survival rate of 12%, a challenging public health issue. At diagnosis, 80% of PDAC patients present a metastatic and unresectable disease, with a poor response to classical therapies which makes metastasis to distant organs the determinant of PDA outcome. Surprisingly, while combinatory chemotherapeutic protocols, such as FOLFIRINOX, improved life expectancy for some PDAC patients, the rise of immunotherapy in cancer did not lead to further refinement of PDAC patients’ management.

One could argue that such negative picture relies mainly on two interconnected specific traits of PDAC;

1/ its specific cellular composition in which epithelial tumor cells (TCs) are embedded in a highly fibrotic tumor microenvironment (TME) and outnumbered by several non-tumoral cell types (stromal cells) such as cancer-associated fibroblasts (CAFs), immune cells as well as endothelial and nerve cells, favoring an immunosuppressive ecosystem and

2/ the poor perfusion of TCs with oxygen and nutrients, due to a low vascularization of the tumor, which forces tumor and stromal cells to metabolically adapt to these stringent microenvironmental conditions.

In regards with such statements, and due to the expertise of our team members, we are focusing our projects on 3 axes, including sub-axes:

  1. Impact of Stromal/tumor cell crosstalk on PDAC aggressiveness
    – Impact of extra-cellular vesicles in therapeutic resistance
    – Epigenetic and onco-immunology
    – Impact of extra-cellular vesicles in vascular and nervous reprogramming

  2.  Metabolic adaptation of PDAC tumor cells
    – Targeting amino acid promoting PDAC aggressiveness
    – PDAC metastases and hepatocytes metabolic crosstalk
    – Role of cPLA2 in PDAC growth
    – Chronotherapies and metabolic drugs

  3.  Impact of the stroma on metabolic flexibility/plasticity of tumor cells
    – Biochemistry and biomechanics of ECM in tumoral metabolism
    – Targeting the metabolic stromal/tumor cell crosstalk in chemoresistance

 

 

Keywords

  • Inter-cellular Dialogue
  • Intra-tumoral microenvironment
  • Metabolism
  • Onco-immunology
  • Clinical tools

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