Biochem Pharmacol. 2026 Jan 14. pii: S0006-2952(26)00038-9. [Epub ahead of print]
117707
Cristina Di Giorgio,
Maria Rosaria Sette,
Benedetta Sensini,
Eleonora Giannelli,
Ginevra Lachi,
Silvia Marchianò,
Francesca Paniconi,
Carmen Massa,
Ginevra Urbani,
Rosa De Gregorio,
Valentina Sepe,
Maria Chiara Monti,
Federica Moraca,
Bruno Catalanotti,
Fabio Cartaginese,
Eleonora Distrutti,
Angela Zampella,
Michele Biagioli,
Stefano Fiorucci.
Extracellular matrix remodelling that occurs in pancreatic ductal adenocarcinoma (PDAC) is considered a promoting factor of cancer growth, immune evasion and therapeutic resistance. Cancer-associated fibroblasts (CAFs) that constitute the dominant stromal population, arise primarily from activated pancreatic stellate cells and display remarkable functional heterogeneity, encompassing inflammatory iCAFs and contractile myCAFs. Although epithelial-stromal communication is central to PDAC biology, the upstream mechanisms that prime tumour cells toward CAF-Activating cells remain incompletely defined. The leukaemia inhibitory factor (LIF), a pleiotropic cytokine of the IL-6 family, is highly expressed in PDAC and has been implicated in tumour progression. However, the role of LIF and LIF receptor (LIFR):gp130 complex in promoting CAF activation is poorly defined. Here, we combined human PDAC transcriptomics, immunofluorescence and epithelial-stromal co-culture assays to define LIF-driven pro-CAF programs and evaluate their pharmacological reversibility. In PDAC cancer cells, MIAPaCa-2 cells, LIF induced a coordinated transcriptional network encompassing inflammatory mediators, paracrine fibroblast-activating signals and ECM/mechanotransductive modules, while repressing stromal-inhibitory genes. These signatures were recapitulated in PDAC tissues, where LIF expression directly correlated with CAF markers and with stromal remodelling genes. On this background, we have developed a novel steroidal LIFR antagonist, LRI310, and evaluate its effects on LIF:LIFR axis. Exposure of PDCA cell lines to LRI310 suppresses STAT3 activation and counteracts effects of LIF on proliferation and CAF-inducing transcriptional programs. Collectively, these findings identify LIF as an important epithelial driver of CAF-oriented transcriptional programs in PDAC and support the development of LIFR antagonism as a promising strategy to modulate the desmoplastic microenvironment.
Keywords: Cancer-associated fibroblasts; Desmoplasia; JAK/STAT3; LIF/LIFR signalling; LIFR antagonists; Pancreatic ductal adenocarcinoma; Stromal activation