Abstract
Mucin4 (MUC4) appears early during pancreatic intraepithelial neoplasia-1 (PanIN1), coinciding with the expression of epidermal growth factor receptor-1 (EGFR). The EGFR signaling is required for the onset of Kras-driven pancreatic ductal adenocarcinoma (PDAC); however, the players and mechanisms involved in sustained EGFR signaling in early PanIN lesions remain elusive. We generated a unique Esai-CRISPR-based Muc4 conditional knockout murine model to evaluate its effect on PDAC pathology. The Muc4 depletion in the autochthonous murine model carrying K-ras and p53 mutations (K-rasG12D; TP53R172H; Pdx-1cre, KPC) to generate the KPCM4−/− murine model showed a significant delay in the PanIN lesion formation with a significant reduction (p < 0.01) in EGFR (Y1068) and ERK1/2 (T202/Y204) phosphorylation. Further, a significant decrease (p < 0.01) in Sox9 expression in PanIN lesions of KPCM4−/− mice suggested the impairment of acinar-to-ductal metaplasia in Muc4-depleted cells. The biochemical analyses demonstrated that MUC4, through its juxtamembrane EGF-like domains, interacts with the EGFR ectodomain, and its cytoplasmic tail prevents EGFR ubiquitination and subsequent proteasomal degradation upon ligand stimulation, leading to sustained downstream oncogenic signaling. Targeting the MUC4 and EGFR interacting interface provides a promising strategy to improve the efficacy of EGFR-targeted therapies in PDAC and other MUC4-expressing malignancies.
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Acknowledgements
We sincerely thank Dr. Imayavaramban Lakshmanan for providing Her2 silenced CD18/HPAF cell line. We thank Jessica Mercer for editing the manuscript. We thank the UNMC Department of Pathology for providing the patient tissue samples. We thank Saswati Karmakar and Ramesh Pothuraju for helping us in characterizing Muc4 COIN mice.
Funding
The authors/work was partly supported by funding from the National Institutes of Health (P01 CA217798, U01 CA210240, U01 CA200466, R01 CA206444, R21 AA026428, R01 CA228524, R01 CA247471, R01 CA254036, R01 CA256973, R01 CA263575, R01 CA273349, R01 CA218545, R01 CA241752, and R44 CA235991), and W81XWH-21-1-0640.
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RB performed biochemical analysis and wrote the manuscript. RB, JAS, NP, SKM, and XL generated and characterized KPCM4−/− murine model. KG performed I.H.C. experiments. CMT and AC performed bioinformatics analysis. AA generated the MUC4 monoclonal antibody. JLC scored I.H.C. slides. CBG helped in the generation of Muc4 COIN mice. SR, MJ, and MWN provided inputs in murine model studies. SK conceived the idea and designed the experiments. SK and SKB supervised the project and approved the manuscript.
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SKB is a founder of Sanguine Diagnostics and Therapeutics, Inc. Other authors have no competing interests to declare.
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Bhatia, R., Siddiqui, J.A., Ganguly, K. et al. Muc4 loss mitigates epidermal growth factor receptor activity essential for PDAC tumorigenesis. Oncogene 42, 759–770 (2023). https://doi.org/10.1038/s41388-022-02587-1
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DOI: https://doi.org/10.1038/s41388-022-02587-1