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CAV1-DOT1L axis in TAM-derived EVs orchestrates VM and sensitises PDAC to combined VM and VEGF targeting - PubMed

2 hours ago
  • #Pancreatic Cancer
  • #Tumor Microenvironment
  • #Vasculogenic Mimicry
  • Vasculogenic mimicry (VM) is crucial for pancreatic ductal adenocarcinoma (PDAC) perfusion and metastasis.
  • Tumor-associated macrophages (TAMs) promote VM, tube formation, invasion, and tumor growth via extracellular vesicles (EVs).
  • EV proteomics identified caveolin-1 (CAV1) as a key cargo correlating with VM density and TAM infiltration.
  • CAV1 interacts with DOT1L, promoting H3K79 methylation-dependent ATG5 transcription, sustaining VM and invasive phenotypes.
  • DOT1L inhibition suppresses VM but induces compensatory endothelial angiogenesis.
  • Combined DOT1L and VEGFR blockade effectively controls tumor progression without toxicity.
  • Dual targeting of VM and angiogenesis presents a promising therapeutic strategy for PDAC.