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ER-phagy and proteostasis defects prime pancreatic epithelial state changes in KRAS-mediated oncogenesis

  • Carla Salomó Coll
  • , Marisa Di Monaco
  • , Jocelyn Holkham
  • , Matthew Smith
  • , Morwenna Muir
  • , Philippe Gautier
  • , Hywel Dunn-Davies
  • , Xiaozhong Zheng
  • , Roopesh Krishnankutty
  • , Alain J. Kemp
  • , Katie Winnington-Ingram
  • , Alex von Kriegsheim
  • , Jennifer P. Morton
  • , Natalia Jimenez-Moreno
  • , Damian Mole
  • , Simon Wilkinson (Lead / Corresponding author)

Research output: Contribution to journalArticlepeer-review

Abstract

Pre-malignant transformation of pancreatic acinar cells by oncogenic Kras is dependent upon stochastic emergence of metaplastic cell states. Here, we reveal that an early, transcriptionally mediated effect of Kras is sporadic failure of proteostatic endoplasmic reticulum (ER)-phagy. Genetically altered mice deficient in ER-phagy demonstrate that this event cooperates with Kras to drive acinar-ductal metaplasia (ADM) and subsequent cancer. Mechanistically, proteomics and high-resolution imaging uncover pathologic aggregation of a subset of ER proteins, including the injury marker REG3B, resulting from failure to physically interact with the ER-phagy receptor CCPG1. Spatial transcriptomics demonstrate that the appearance of sporadic intracellular aggregates upon Kras activation marks rare acinar cells existing in an injured, ADM-primed state. Importantly, engineered mutants of REG3B establish that aggregate formation is sufficient to directly engender this epithelial cell state. Pancreatic cancer can thus arise from stochastic pathologic protein aggregates that are influenced by, and cooperate with, an oncogene.

Original languageEnglish
JournalDevelopmental Cell
Volume60
Early online date14 Aug 2025
DOIs
Publication statusE-pub ahead of print - 14 Aug 2025

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • ADM
  • autophagy
  • CANCER
  • CCPG1
  • ER-phagy
  • inflammation
  • KRAS
  • metaplasia
  • pancreas
  • proteostasis

ASJC Scopus subject areas

  • Molecular Biology
  • General Biochemistry,Genetics and Molecular Biology
  • Developmental Biology
  • Cell Biology

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