Several cancers and a few preinvasive lesions respond to w-3 fatty acids, which serves to promote apoptosis while blocking cellular proliferation. A similar response has been demonstrated in pancreatic cancer, although the suppressive nature of w-3 fatty acids in normal and/or neoplastic cells of the pancreas remains speculative. With the advent of modalities for earlier detection of pancreatic cancer, earlier diagnosis will soon be a reality. Hence, novel approaches to fighting these precancerous conditions must evolve, including chemoprevention, where dietary intake of fats and inhibition of key signaling pathways may reduce production of early cancer before it spreads. To examine this possibility, human pancreatic ductal epithelial (HPDE) cells with and without expression of activated Kras and mice with normal pancreas and those that develop mutant Kras-induced pancreatic precancer will be exposed to high levels of polyunsaturated fatty acids (PUFAs), w-3 and w-6. Observing cellular changes, cell proliferation, and apoptosis in normal tissue and during disease progression along with specific molecular events (activation of Akt, effects of PGE3-bound EP2 on Akt activation, phosphorylation of various proteins like Akt, Foxo, and Bad,) will determine the mechanisms of action for w-3 fatty acids in these modeling systems. The premise of this work is that w-3 fatty acids will function by generating increased levels of PGE3 which will lead to decreased pAkt in an EP2-dependent manner. Subsequent downstream events including dephosphorylation of Foxo and Bad will promote an increase in cell death and reduced cell division. Part of these evaluations will include employing w-6 fatty acids as controls but will also elucidate their potential mechanism in these modeling systems. In vitro manipulation will employ chemical inhibition or activation, siRNA technology, and transfection of expression vectors to suppress or enhance various signals in a stepwise manner through this pathway. In vivo, this work will be done in mutant Kras expressing mouse pancreas void of EP2, PI3K, Cox-2, Akt, Foxo, or Bad. In this manner, a systematic and stepwise analysis can be done at each step in the pathway to demonstrate a direct and critical link between w-3 fatty acids, the Akt pathway, and downstream events altering cell proliferation and inducing apoptosis in normal and precancerous cells of the pancreas. Understanding these processes in human cultured and mouse pancreas cells will illuminate similar dietary effects on human pancreatic precancer and cancer development while potentially providing a more effective means of inhibiting early disease processes in the human population.

Public Health Relevance

The results from this project will provide the rationale for employing w-3 fatty acids (commonly found in fish oils) as an anticancer or chemopreventive measure. The main goal of this study is to establish the predominant means with which w-3 fatty acids oppose the development of cancer by suppressing cell growth and survival while promoting cell death. All of this work will employ either human pancreas cells in culture or living mice that develop features of human pancreatic precancer (abnormal structures that can give rise to cancer). In addition, by identifying the predominant mechanism of action of w-3 fatty acids, certain factors that respond to increased w-3 fatty acids may serve as targets for drug intervention, where the cellular effects of w- 3 fatty acids can be amplified. This type of strateg, along with restoration of a balanced w-3:w-6 fatty acid ratio in the diet, may be an effective means of managing individuals at higher risk for or with pancreatic cancer.

National Institute of Health (NIH)
National Cancer Institute (NCI)
Research Project (R01)
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Chemo/Dietary Prevention Study Section (CDP)
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Ogunbiyi, Peter
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Northwestern University at Chicago
Schools of Medicine
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Torres, Carolina; Grippo, Paul J (2018) Pancreatic cancer subtypes: a roadmap for precision medicine. Ann Med 50:277-287
Torres, Carolina; Diaz, Andrew M; Principe, Daniel R et al. (2018) The Complexity of Omega-3 Fatty Acid Modulation of Signaling Pathways Related to Pancreatic Cancer. Curr Med Chem 25:2608-2623
Ding, Yongzeng; Mullapudi, Bhargava; Torres, Carolina et al. (2018) Omega-3 Fatty Acids Prevent Early Pancreatic Carcinogenesis via Repression of the AKT Pathway. Nutrients 10:
Principe, Daniel R; Overgaard, Nana Haahr; Park, Alex J et al. (2018) KRASG12D and TP53R167H Cooperate to Induce Pancreatic Ductal Adenocarcinoma in Sus scrofa Pigs. Sci Rep 8:12548
Grippo, Paul; Maker, Ajay V (2017) Targeting cancer with tumor-specific therapeutic strategies-metabolic reprogramming beyond the Warburg effect. Transl Cancer Res 6:S585-S586
Schultz, Michelle A; Diaz, Andrew M; Smite, Sharon et al. (2017) Thioredoxin system-mediated regulation of mutant Kras associated pancreatic neoplasia and cancer. Oncotarget 8:92667-92681
Principe, Daniel R; DeCant, Brian; Diaz, Andrew M et al. (2016) PEDF inhibits pancreatic tumorigenesis by attenuating the fibro-inflammatory reaction. Oncotarget 7:28218-34
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Xu, Shiping; Chheda, Chintan; Ouhaddi, Yassine et al. (2015) Characterization of Mouse Models of Early Pancreatic Lesions Induced by Alcohol and Chronic Pancreatitis. Pancreas 44:882-7

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