PanIN-specific regulation of Wnt signaling by HIF2a during early pancreatic tumorigenesis

Abstract

Hypoxia promotes angiogenesis, proliferation, invasion, and metastasis of pancreatic cancer. Essentially all studies of the hypoxia pathway in pancreatic cancer research to date have focused on fully malignant tumors or cancer cell lines, but the potential role of hypoxia inducible factors (HIF) in the progression of premalignant lesions has not been critically examined. Here, we show that HIF2a is expressed early in pancreatic lesions both in human and in a mouse model of pancreatic cancer. HIF2a is a potent oncogenic stimulus, but its role in Kras-induced pancreatic neoplasia has not been discerned. We used the Ptf1aCre transgene to activate KrasG12D and delete Hif2a solely within the pancreas. Surprisingly, loss of Hif2a in this model led to markedly higher, rather than reduced, number of low-grade pancreatic intraepithelial neoplasia (mPanIN) lesions. These lesions, however, failed to progress to high-grade mPanINs, and displayed exclusive loss of β-catenin and SMAD4. The relationship among HIF2a, β-catenin, and Smad4 was further confirmed in vitro, where silencing of Hif2a resulted in reduced β-catenin and Smad4 transcript levels. Thus, with oncogenic Ras expressed in the pancreas, HIF2a modulates Wnt-signaling during mPanIN progression by maintaining appropriate levels of both Smad4 and β-catenin. © 2013 American Association for Cancer Research.