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DPEP1 inhibits tumor cell invasiveness, enhances chemosensitivity and predicts clinical outcome in pancreatic ductal adenocarcinoma

Pancreatic ductal adenocarcinoma (PDAC) is one of the most lethal cancers worldwide. To identify biologically relevant genes with prognostic and therapeutic significance in PDAC, we first performed the microarray gene-expression profiling in 45 matching pairs of tumor and adjacent non-tumor tissues...

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Published in:PloS one 2012-02, Vol.7 (2), p.e31507
Main Authors: Zhang, Geng, Schetter, Aaron, He, Peijun, Funamizu, Naotake, Gaedcke, Jochen, Ghadimi, B Michael, Ried, Thomas, Hassan, Raffit, Yfantis, Harris G, Lee, Dong H, Lacy, Curtis, Maitra, Anirban, Hanna, Nader, Alexander, H Richard, Hussain, S Perwez
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cited_by cdi_FETCH-LOGICAL-c691t-f5f79abbd3a1f5af8181dd29a15e1ed35016ead913a2d061b23ee498a1e84b983
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container_title PloS one
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creator Zhang, Geng
Schetter, Aaron
He, Peijun
Funamizu, Naotake
Gaedcke, Jochen
Ghadimi, B Michael
Ried, Thomas
Hassan, Raffit
Yfantis, Harris G
Lee, Dong H
Lacy, Curtis
Maitra, Anirban
Hanna, Nader
Alexander, H Richard
Hussain, S Perwez
description Pancreatic ductal adenocarcinoma (PDAC) is one of the most lethal cancers worldwide. To identify biologically relevant genes with prognostic and therapeutic significance in PDAC, we first performed the microarray gene-expression profiling in 45 matching pairs of tumor and adjacent non-tumor tissues from resected PDAC cases. We identified 36 genes that were associated with patient outcome and also differentially expressed in tumors as compared with adjacent non-tumor tissues in microarray analysis. Further evaluation in an independent validation cohort (N = 27) confirmed that DPEP1 (dipeptidase 1) expression was decreased (T:N ratio ∼0.1, P
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To identify biologically relevant genes with prognostic and therapeutic significance in PDAC, we first performed the microarray gene-expression profiling in 45 matching pairs of tumor and adjacent non-tumor tissues from resected PDAC cases. We identified 36 genes that were associated with patient outcome and also differentially expressed in tumors as compared with adjacent non-tumor tissues in microarray analysis. Further evaluation in an independent validation cohort (N = 27) confirmed that DPEP1 (dipeptidase 1) expression was decreased (T:N ratio ∼0.1, P&lt;0.01) in tumors as compared with non-tumor tissues. DPEP1 gene expression was negatively correlated with histological grade (Spearman correlation coefficient = -0.35, P = 0.004). Lower expression of DPEP1 in tumors was associated with poor survival (Kaplan Meier log rank) in both test cohort (P = 0.035) and validation cohort (P = 0.016). DPEP1 expression was independently associated with cancer-specific mortality when adjusted for tumor stage and resection margin status in both univariate (hazard ratio = 0.43, 95%CI = 0.24-0.76, P = 0.004) and multivariate analyses (hazard ratio = 0.51, 95%CI = 0.27-0.94, P = 0.032). We further demonstrated that overexpression of DPEP1 suppressed tumor cells invasiveness and increased sensitivity to chemotherapeutic agent Gemcitabine. Our data also showed that growth factor EGF treatment decreased DPEP1 expression and MEK1/2 inhibitor AZD6244 increased DPEP1 expression in vitro, indicating a potential mechanism for DPEP1 gene regulation. Therefore, we provide evidence that DPEP1 plays a role in pancreatic cancer aggressiveness and predicts outcome in patients with resected PDAC. In view of these findings, we propose that DPEP1 may be a candidate target in PDAC for designing improved treatments.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0031507</identifier><identifier>PMID: 22363658</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adenocarcinoma ; Adult ; Aged ; Aged, 80 and over ; Antineoplastic Agents - pharmacology ; Antineoplastic Agents - therapeutic use ; Biology ; Breast cancer ; Cancer ; Cancer therapies ; Carcinoma, Pancreatic Ductal - drug therapy ; Carcinoma, Pancreatic Ductal - genetics ; Carcinoma, Pancreatic Ductal - mortality ; Carcinoma, Pancreatic Ductal - pathology ; Cell adhesion &amp; migration ; Cell Cycle Proteins - genetics ; Cell Cycle Proteins - metabolism ; Cell growth ; Cell Line, Tumor ; Chemotherapy ; Chromosomes ; Cohort Studies ; Comparative analysis ; Correlation coefficient ; Correlation coefficients ; Deoxycytidine - analogs &amp; derivatives ; Deoxycytidine - pharmacology ; Deoxycytidine - therapeutic use ; Dipeptidase ; Dipeptidases - genetics ; Dipeptidases - metabolism ; DNA microarrays ; Epidermal growth factor ; Female ; Gemcitabine ; Gene expression ; Gene Expression Regulation, Neoplastic - drug effects ; Gene regulation ; Genes ; Genetic aspects ; Genetic Association Studies ; Genomics ; GPI-Linked Proteins - genetics ; GPI-Linked Proteins - metabolism ; Humans ; Invasiveness ; Laboratories ; Male ; MAP Kinase Signaling System - drug effects ; Maryland - epidemiology ; Medical research ; Medicine ; Microtubule-Associated Proteins - genetics ; Microtubule-Associated Proteins - metabolism ; Middle Aged ; Mortality ; Neoplasm Invasiveness ; Nuclear Proteins - genetics ; Nuclear Proteins - metabolism ; Oligonucleotide Array Sequence Analysis ; Oxidative stress ; Pancreatic cancer ; Pancreatic Neoplasms - drug therapy ; Pancreatic Neoplasms - genetics ; Pancreatic Neoplasms - mortality ; Pancreatic Neoplasms - pathology ; Pathology ; Patient outcomes ; Patients ; Prognosis ; Proportional Hazards Models ; Quality ; Reproducibility of Results ; Surgery ; Tissues ; Treatment Outcome ; Tumor cells ; Tumors</subject><ispartof>PloS one, 2012-02, Vol.7 (2), p.e31507</ispartof><rights>COPYRIGHT 2012 Public Library of Science</rights><rights>2012. This is an open-access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 public domain dedication. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>This is an open-access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. 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To identify biologically relevant genes with prognostic and therapeutic significance in PDAC, we first performed the microarray gene-expression profiling in 45 matching pairs of tumor and adjacent non-tumor tissues from resected PDAC cases. We identified 36 genes that were associated with patient outcome and also differentially expressed in tumors as compared with adjacent non-tumor tissues in microarray analysis. Further evaluation in an independent validation cohort (N = 27) confirmed that DPEP1 (dipeptidase 1) expression was decreased (T:N ratio ∼0.1, P&lt;0.01) in tumors as compared with non-tumor tissues. DPEP1 gene expression was negatively correlated with histological grade (Spearman correlation coefficient = -0.35, P = 0.004). Lower expression of DPEP1 in tumors was associated with poor survival (Kaplan Meier log rank) in both test cohort (P = 0.035) and validation cohort (P = 0.016). DPEP1 expression was independently associated with cancer-specific mortality when adjusted for tumor stage and resection margin status in both univariate (hazard ratio = 0.43, 95%CI = 0.24-0.76, P = 0.004) and multivariate analyses (hazard ratio = 0.51, 95%CI = 0.27-0.94, P = 0.032). We further demonstrated that overexpression of DPEP1 suppressed tumor cells invasiveness and increased sensitivity to chemotherapeutic agent Gemcitabine. Our data also showed that growth factor EGF treatment decreased DPEP1 expression and MEK1/2 inhibitor AZD6244 increased DPEP1 expression in vitro, indicating a potential mechanism for DPEP1 gene regulation. Therefore, we provide evidence that DPEP1 plays a role in pancreatic cancer aggressiveness and predicts outcome in patients with resected PDAC. In view of these findings, we propose that DPEP1 may be a candidate target in PDAC for designing improved treatments.</description><subject>Adenocarcinoma</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Antineoplastic Agents - pharmacology</subject><subject>Antineoplastic Agents - therapeutic use</subject><subject>Biology</subject><subject>Breast cancer</subject><subject>Cancer</subject><subject>Cancer therapies</subject><subject>Carcinoma, Pancreatic Ductal - drug therapy</subject><subject>Carcinoma, Pancreatic Ductal - genetics</subject><subject>Carcinoma, Pancreatic Ductal - mortality</subject><subject>Carcinoma, Pancreatic Ductal - pathology</subject><subject>Cell adhesion &amp; migration</subject><subject>Cell Cycle Proteins - genetics</subject><subject>Cell Cycle Proteins - metabolism</subject><subject>Cell growth</subject><subject>Cell Line, Tumor</subject><subject>Chemotherapy</subject><subject>Chromosomes</subject><subject>Cohort Studies</subject><subject>Comparative analysis</subject><subject>Correlation coefficient</subject><subject>Correlation coefficients</subject><subject>Deoxycytidine - analogs &amp; derivatives</subject><subject>Deoxycytidine - pharmacology</subject><subject>Deoxycytidine - therapeutic use</subject><subject>Dipeptidase</subject><subject>Dipeptidases - genetics</subject><subject>Dipeptidases - metabolism</subject><subject>DNA microarrays</subject><subject>Epidermal growth factor</subject><subject>Female</subject><subject>Gemcitabine</subject><subject>Gene expression</subject><subject>Gene Expression Regulation, Neoplastic - drug effects</subject><subject>Gene regulation</subject><subject>Genes</subject><subject>Genetic aspects</subject><subject>Genetic Association Studies</subject><subject>Genomics</subject><subject>GPI-Linked Proteins - genetics</subject><subject>GPI-Linked Proteins - metabolism</subject><subject>Humans</subject><subject>Invasiveness</subject><subject>Laboratories</subject><subject>Male</subject><subject>MAP Kinase Signaling System - drug effects</subject><subject>Maryland - epidemiology</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Microtubule-Associated Proteins - genetics</subject><subject>Microtubule-Associated Proteins - metabolism</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Neoplasm Invasiveness</subject><subject>Nuclear Proteins - genetics</subject><subject>Nuclear Proteins - metabolism</subject><subject>Oligonucleotide Array Sequence Analysis</subject><subject>Oxidative stress</subject><subject>Pancreatic cancer</subject><subject>Pancreatic Neoplasms - drug therapy</subject><subject>Pancreatic Neoplasms - genetics</subject><subject>Pancreatic Neoplasms - mortality</subject><subject>Pancreatic Neoplasms - pathology</subject><subject>Pathology</subject><subject>Patient outcomes</subject><subject>Patients</subject><subject>Prognosis</subject><subject>Proportional Hazards Models</subject><subject>Quality</subject><subject>Reproducibility of Results</subject><subject>Surgery</subject><subject>Tissues</subject><subject>Treatment Outcome</subject><subject>Tumor cells</subject><subject>Tumors</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNqNk2-L1DAQxoso3nn6DUQLgiC4a9M0bfpGOM5TFw7u8N_bME2m2yxtsibp4r32i5u77R1bUJC8SJj5PU8mQyZJnpNsSWhF3m3s6Az0y601uMwySlhWPUiOSU3zRZln9OHB-Sh54v0myxjlZfk4OcpzWtKS8ePk94er8yuSatPpRgefhnGwLpXY9zG2A693aND7tymaDoxEn8oOB-vReB30TofrFIxKtw6VllEve220hD61Y5B2wOiSbqPQIQQtUzXKEJOg0FgJTmpjB3iaPGqh9_hs2k-S7x_Pv519XlxcflqdnV4sZFmTsGhZW9XQNIoCaRm0nHCiVF4DYUhQUZaREkHVhEKuspI0OUUsag4EedHUnJ4kL_e-2956MfXPC0JzyllZcBqJ1Z5QFjZi6_QA7lpY0OI2YN1agIvv6FHwusScVpJxxguOhFeqqIu2zrOGlrzA6PV-um1sBlQSTXDQz0znGaM7sbY7QXOeV4xFg1eTgbM_R_ThHyVP1BpiVdq0NprJQXspTouqyhint17Lv1BxKRy0jD-o1TE-E7yZCSIT8FdYw-i9WH398v_s5Y85-_qA7RD60Hnbj0Fb4-dgsQels947bO87RzJxMwB33RA3AyCmAYiyF4ddvxfd_Xj6B-LuAt4</recordid><startdate>20120220</startdate><enddate>20120220</enddate><creator>Zhang, Geng</creator><creator>Schetter, Aaron</creator><creator>He, Peijun</creator><creator>Funamizu, Naotake</creator><creator>Gaedcke, Jochen</creator><creator>Ghadimi, B Michael</creator><creator>Ried, Thomas</creator><creator>Hassan, Raffit</creator><creator>Yfantis, Harris G</creator><creator>Lee, Dong H</creator><creator>Lacy, Curtis</creator><creator>Maitra, Anirban</creator><creator>Hanna, Nader</creator><creator>Alexander, H Richard</creator><creator>Hussain, S Perwez</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20120220</creationdate><title>DPEP1 inhibits tumor cell invasiveness, enhances chemosensitivity and predicts clinical outcome in pancreatic ductal adenocarcinoma</title><author>Zhang, Geng ; Schetter, Aaron ; He, Peijun ; Funamizu, Naotake ; Gaedcke, Jochen ; Ghadimi, B Michael ; Ried, Thomas ; Hassan, Raffit ; Yfantis, Harris G ; Lee, Dong H ; Lacy, Curtis ; Maitra, Anirban ; Hanna, Nader ; Alexander, H Richard ; Hussain, S Perwez</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c691t-f5f79abbd3a1f5af8181dd29a15e1ed35016ead913a2d061b23ee498a1e84b983</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adenocarcinoma</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Antineoplastic Agents - 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metabolism</topic><topic>DNA microarrays</topic><topic>Epidermal growth factor</topic><topic>Female</topic><topic>Gemcitabine</topic><topic>Gene expression</topic><topic>Gene Expression Regulation, Neoplastic - drug effects</topic><topic>Gene regulation</topic><topic>Genes</topic><topic>Genetic aspects</topic><topic>Genetic Association Studies</topic><topic>Genomics</topic><topic>GPI-Linked Proteins - genetics</topic><topic>GPI-Linked Proteins - metabolism</topic><topic>Humans</topic><topic>Invasiveness</topic><topic>Laboratories</topic><topic>Male</topic><topic>MAP Kinase Signaling System - drug effects</topic><topic>Maryland - epidemiology</topic><topic>Medical research</topic><topic>Medicine</topic><topic>Microtubule-Associated Proteins - genetics</topic><topic>Microtubule-Associated Proteins - metabolism</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Neoplasm Invasiveness</topic><topic>Nuclear Proteins - genetics</topic><topic>Nuclear Proteins - metabolism</topic><topic>Oligonucleotide Array Sequence Analysis</topic><topic>Oxidative stress</topic><topic>Pancreatic cancer</topic><topic>Pancreatic Neoplasms - drug therapy</topic><topic>Pancreatic Neoplasms - genetics</topic><topic>Pancreatic Neoplasms - mortality</topic><topic>Pancreatic Neoplasms - pathology</topic><topic>Pathology</topic><topic>Patient outcomes</topic><topic>Patients</topic><topic>Prognosis</topic><topic>Proportional Hazards Models</topic><topic>Quality</topic><topic>Reproducibility of Results</topic><topic>Surgery</topic><topic>Tissues</topic><topic>Treatment Outcome</topic><topic>Tumor cells</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhang, Geng</creatorcontrib><creatorcontrib>Schetter, Aaron</creatorcontrib><creatorcontrib>He, Peijun</creatorcontrib><creatorcontrib>Funamizu, Naotake</creatorcontrib><creatorcontrib>Gaedcke, Jochen</creatorcontrib><creatorcontrib>Ghadimi, B Michael</creatorcontrib><creatorcontrib>Ried, Thomas</creatorcontrib><creatorcontrib>Hassan, Raffit</creatorcontrib><creatorcontrib>Yfantis, Harris G</creatorcontrib><creatorcontrib>Lee, Dong H</creatorcontrib><creatorcontrib>Lacy, Curtis</creatorcontrib><creatorcontrib>Maitra, Anirban</creatorcontrib><creatorcontrib>Hanna, Nader</creatorcontrib><creatorcontrib>Alexander, H Richard</creatorcontrib><creatorcontrib>Hussain, S Perwez</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing &amp; Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological &amp; Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science &amp; Engineering Collection</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>Advanced Technologies &amp; Aerospace Collection</collection><collection>Agricultural &amp; Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Meteorological &amp; Geoastrophysical Abstracts - Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>ProQuest Biological Science Journals</collection><collection>Engineering Database</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Advanced Technologies &amp; Aerospace Database</collection><collection>ProQuest Advanced Technologies &amp; Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials science collection</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Engineering collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Open Access: DOAJ - Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhang, Geng</au><au>Schetter, Aaron</au><au>He, Peijun</au><au>Funamizu, Naotake</au><au>Gaedcke, Jochen</au><au>Ghadimi, B Michael</au><au>Ried, Thomas</au><au>Hassan, Raffit</au><au>Yfantis, Harris G</au><au>Lee, Dong H</au><au>Lacy, Curtis</au><au>Maitra, Anirban</au><au>Hanna, Nader</au><au>Alexander, H Richard</au><au>Hussain, S Perwez</au><au>El-Rifai, Wael</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>DPEP1 inhibits tumor cell invasiveness, enhances chemosensitivity and predicts clinical outcome in pancreatic ductal adenocarcinoma</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2012-02-20</date><risdate>2012</risdate><volume>7</volume><issue>2</issue><spage>e31507</spage><pages>e31507-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Pancreatic ductal adenocarcinoma (PDAC) is one of the most lethal cancers worldwide. To identify biologically relevant genes with prognostic and therapeutic significance in PDAC, we first performed the microarray gene-expression profiling in 45 matching pairs of tumor and adjacent non-tumor tissues from resected PDAC cases. We identified 36 genes that were associated with patient outcome and also differentially expressed in tumors as compared with adjacent non-tumor tissues in microarray analysis. Further evaluation in an independent validation cohort (N = 27) confirmed that DPEP1 (dipeptidase 1) expression was decreased (T:N ratio ∼0.1, P&lt;0.01) in tumors as compared with non-tumor tissues. DPEP1 gene expression was negatively correlated with histological grade (Spearman correlation coefficient = -0.35, P = 0.004). Lower expression of DPEP1 in tumors was associated with poor survival (Kaplan Meier log rank) in both test cohort (P = 0.035) and validation cohort (P = 0.016). DPEP1 expression was independently associated with cancer-specific mortality when adjusted for tumor stage and resection margin status in both univariate (hazard ratio = 0.43, 95%CI = 0.24-0.76, P = 0.004) and multivariate analyses (hazard ratio = 0.51, 95%CI = 0.27-0.94, P = 0.032). We further demonstrated that overexpression of DPEP1 suppressed tumor cells invasiveness and increased sensitivity to chemotherapeutic agent Gemcitabine. Our data also showed that growth factor EGF treatment decreased DPEP1 expression and MEK1/2 inhibitor AZD6244 increased DPEP1 expression in vitro, indicating a potential mechanism for DPEP1 gene regulation. Therefore, we provide evidence that DPEP1 plays a role in pancreatic cancer aggressiveness and predicts outcome in patients with resected PDAC. In view of these findings, we propose that DPEP1 may be a candidate target in PDAC for designing improved treatments.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>22363658</pmid><doi>10.1371/journal.pone.0031507</doi><tpages>e31507</tpages><oa>free_for_read</oa></addata></record>
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subjects Adenocarcinoma
Adult
Aged
Aged, 80 and over
Antineoplastic Agents - pharmacology
Antineoplastic Agents - therapeutic use
Biology
Breast cancer
Cancer
Cancer therapies
Carcinoma, Pancreatic Ductal - drug therapy
Carcinoma, Pancreatic Ductal - genetics
Carcinoma, Pancreatic Ductal - mortality
Carcinoma, Pancreatic Ductal - pathology
Cell adhesion & migration
Cell Cycle Proteins - genetics
Cell Cycle Proteins - metabolism
Cell growth
Cell Line, Tumor
Chemotherapy
Chromosomes
Cohort Studies
Comparative analysis
Correlation coefficient
Correlation coefficients
Deoxycytidine - analogs & derivatives
Deoxycytidine - pharmacology
Deoxycytidine - therapeutic use
Dipeptidase
Dipeptidases - genetics
Dipeptidases - metabolism
DNA microarrays
Epidermal growth factor
Female
Gemcitabine
Gene expression
Gene Expression Regulation, Neoplastic - drug effects
Gene regulation
Genes
Genetic aspects
Genetic Association Studies
Genomics
GPI-Linked Proteins - genetics
GPI-Linked Proteins - metabolism
Humans
Invasiveness
Laboratories
Male
MAP Kinase Signaling System - drug effects
Maryland - epidemiology
Medical research
Medicine
Microtubule-Associated Proteins - genetics
Microtubule-Associated Proteins - metabolism
Middle Aged
Mortality
Neoplasm Invasiveness
Nuclear Proteins - genetics
Nuclear Proteins - metabolism
Oligonucleotide Array Sequence Analysis
Oxidative stress
Pancreatic cancer
Pancreatic Neoplasms - drug therapy
Pancreatic Neoplasms - genetics
Pancreatic Neoplasms - mortality
Pancreatic Neoplasms - pathology
Pathology
Patient outcomes
Patients
Prognosis
Proportional Hazards Models
Quality
Reproducibility of Results
Surgery
Tissues
Treatment Outcome
Tumor cells
Tumors
title DPEP1 inhibits tumor cell invasiveness, enhances chemosensitivity and predicts clinical outcome in pancreatic ductal adenocarcinoma
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