Phosphoinositides serve as key membrane determinants for assembly of clathrin coat proteins that drive formation of clathrin-coated vesicles. At the trans-Golgi network (TGN), phosphatidylinositol 4-phosphate (PtdIns4P) plays important roles in recruitment of two major clathrin adaptors, Gga (Golgi-localized, gamma-adaptin ear homology, Arf-binding) proteins and the AP-1 (assembly protein-1) complex. The molecular mechanisms that mediate localization of phosphatidylinositol kinases responsible for synthesis of PtdIns4P at the TGN are not well characterized. We identify two motifs in the yeast phosphatidylinositol 4-kinase, Pik1, which are required for binding to the VHS domain of Gga2. Mutations in these motifs that inhibit Gga2-VHS binding resulted in reduced Pik1 localization and delayed accumulation of PtdIns4P and recruitment of AP-1 to the TGN. The Pik1 homolog in mammals, PI4KIIIβ, interacted preferentially with the VHS domain of GGA2 compared with VHS domains of GGA1 and GGA3. Depletion of GGA2, but not GGA1 or GGA3, specifically affected PI4KIIIβ localization. These results reveal a conserved role for Gga proteins in regulating phosphatidylinositol 4-kinase function at the TGN.clathrin | Gga adaptors | phosphatidylinositol 4-kinase | phosphatidylinositol 4-phosphate | trans-Golgi network

Functional lysosomes mediate autophagy and macropinocytosis for nutrient acquisition. Pancreatic ductal adenocarcinoma (PDAC) tumors exhibit high basal lysosomal activity, and inhibition of lysosome function suppresses PDAC cell proliferation and tumor growth. However, the codependencies induced by lysosomal inhibition in PDAC have not been systematically explored. We performed a comprehensive pharmacological inhibition screen of the protein kinome and found that replication stress response (RSR) inhibitors were synthetically lethal with chloroquine (CQ) in PDAC cells. CQ treatment reduced de novo nucleotide biosynthesis and induced replication stress. We found that CQ treatment caused mitochondrial dysfunction and depletion of aspartate, an essential precursor for de novo nucleotide synthesis, as an underlying mechanism. Supplementation with aspartate partially rescued the phenotypes induced by CQ. The synergy of CQ and the RSR inhibitor VE-822 was comprehensively validated in both 2D and 3D cultures of PDAC cell lines, a heterotypic spheroid culture with cancerassociated fibroblasts, and in vivo xenograft and syngeneic PDAC mouse models. These results indicate a codependency on functional lysosomes and RSR in PDAC and support the translational potential of the combination of CQ and RSR inhibitors. lysosome | autophagy | replication stress | pancreatic cancer | nucleotide metabolism P ancreatic ductal adenocarcinoma (PDAC) is the fourth leading cause of cancer-related death in the United States, and its incidence is increasing (1). PDAC carries a 5-y survival of less than 10%, as it is often diagnosed at a late stage and is widely refractory to available therapies. This lack of effective treatment options suggests an incomplete understanding of the biologic complexity of PDAC and mechanisms of therapeutic resistance.PDAC tumors are hypoperfused, resulting in poor nutrient delivery (2). To exist in this hostile microenvironment, PDAC cells rely on intracellular and extracellular scavenging pathways to acquire metabolic substrates for growth. Autophagy, a selfdegradative mechanism employed to recycle damaged cytosolic proteins and organelles, and macropinocytosis, the process of uptaking bulk extracellular material, are up-regulated in PDAC (3-6). As the final step of both autophagy and macropinocytosis, autophagic and endocytic cargo fuse with the lysosome, where macromolecules are degraded and substrates for metabolism are released (3, 4, 7). Inhibition of these pathways suppresses PDAC tumor growth and prolongs survival in animal models (4, 6, 8). Additionally, engaging autophagic programs confers resistance to chemoradiation in PDAC cells (9-11), and high levels of autophagy markers are correlated with worse survival in resected PDAC patients (12).The study of lysosomal function often focuses on proteolysis, which degrades misfolded proteins and damaged organelles (13,14). However, lysosomal degradation pathways also play a critical role in lipid (15-17) and nucleic acid metabolism. The recycling of nucleic ac...

In an appropriately-powered, single-institution prospective study, pasireotide was not validated as a preventive measure for pancreatic fistula.

Although histone deacetylase inhibitors (HDACi) are a promising class of anti-cancer drugs, thus far, they have been unsuccessful in early phase clinical trials for pancreatic ductal adenocarcinoma (PDAC). One potential reason for their poor efficacy is the tumor stroma, where cancer-associated fibroblasts (CAFs) are a prominent cell type and a source of resistance to cancer therapies. Here, we demonstrate that stromal fibroblasts contribute to the poor efficacy of HDACi's in PDAC. HDACi-treated fibroblasts show increased biological aggressiveness and are characterized by increased secretion of pro-inflammatory tumor-supportive cytokines and chemokines. We find that HDAC2 binds to the enhancer and promoter regions of pro-inflammatory genes specifically in CAFs and in silico analysis identified AP-1 to be the most frequently associated transcription factor bound in these regions. Pharmacologic inhibition of pathways upstream of AP-1 suppresses the HDACi-induced inflammatory gene expression and tumor-supportive responses in fibroblasts. Our findings demonstrate that the combination of HDACi's with chemical inhibitors of the AP-1 signaling pathway attenuate the inflammatory phenotype of fibroblasts and may improve the efficacy of HDACi in PDAC and, potentially, in other solid tumors rich in stroma.

income were less educated, treated less, and were more likely to live in rural places, have advanced stages of HCC, and therefore, poorer long-term survival (in total and after surgical resection) than high-income groups. By Cox regression analysis, lower household income was independently associated with poorer outcome (hazard ratio 1.2, 95% CI 1.0e1.4, p ¼ 0.036). CONCLUSIONS: These results indicate that education and income are critically associated with early diagnosis, treatments, and prognosis of HCC. Much more effort should be taken to support the patients with less education and lower income to improve the outcomes of HCC.