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Cited by 360

The DOI matches its Crossref record; 11 of the 11 references it cites were found in a registry or an index.

Cholinergic Signaling via Muscarinic Receptors Directly and Indirectly Suppresses Pancreatic Tumorigenesis and Cancer Stemness

Open access
Renz, Bernhard W., Tanaka, Takayuki, Sunagawa, Masaki, Takahashi, Ryota, Jiang, Zhengyu, Macchini, Marina, Dantes, Zahra, Valenti, Giovanni, White, Ruth A., Middelhoff, Moritz A., Ilmer, Matthias, Oberstein, Paul E., Angele, Martin K., Deng, Huan, Hayakawa, Yoku, Westphalen, C. Benedikt, Werner, Jens, Remotti, Helen, Reichert, Maximilian, Tailor, Yagnesh H., Nagar, Karan, Friedman, Richard A., Iuga, Alina C., Olive, Kenneth P., Wang, Timothy C.·2018·Cancer Discovery

Abstract

In many solid tumors, parasympathetic input is provided by the vagus nerve, which has been shown to modulate tumor growth. However, whether cholinergic signaling directly regulates progression of pancreatic ductal adenocarcinoma (PDAC) has not been defined. Here, we found that subdiaphragmatic vagotomy in LSL-Kras+/G12D;Pdx1-Cre (KC) mice accelerated PDAC development, whereas treatment with the systemic muscarinic agonist bethanechol restored the normal KC phenotype, thereby suppressing the accelerated tumorigenesis caused by vagotomy. In LSL-Kras+/G12D;LSL-Trp53+/R172H;Pdx1-Cre mice with established PDAC, bethanechol significantly extended survival. These effects were mediated in part through CHRM1, which inhibited downstream MAPK/EGFR and PI3K/AKT pathways in PDAC cells. Enhanced cholinergic signaling led to a suppression of the cancer stem cell (CSC) compartment, CD11b+ myeloid cells, TNFα levels, and metastatic growth in the liver. Therefore, these data suggest that cholinergic signaling directly and indirectly suppresses growth of PDAC cells, and therapies that stimulate muscarinic receptors may be useful in the treatment of PDAC. Significance: Subdiaphragmatic vagotomy or Chrm1 knockout accelerates pancreatic tumorigenesis, in part via expansion of the CSC compartment. Systemic administration of a muscarinic agonist suppresses tumorigenesis through MAPK and PI3K/AKT signaling, in early stages of tumor growth and in more advanced, metastatic disease. Therefore, CHRM1 may represent a potentially attractive therapeutic target. Cancer Discov; 8(11); 1458–73. ©2018 AACR. This article is highlighted in the In This Issue feature, p. 1333

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Metadata

Authors
Renz, B. W., Tanaka, T., Sunagawa, M., Takahashi, R., Jiang, Z., Macchini, M., Dantes, Z., Valenti, G., White, R. A., Middelhoff, M. A., Ilmer, M., Oberstein, P. E., Angele, M. K., Deng, H., Hayakawa, Y., Westphalen, C. B., Werner, J., Remotti, H., Reichert, M., Tailor, Y. H., Nagar, K., Friedman, R. A., Iuga, A. C., Olive, K. P., & Wang, T. C.
Venue
Cancer Discovery
Published
2018-11-01
Volume
8
Issue
11
Pages
1458-1473
ISSN
  • 2159-8274 (ISSN-L)
  • 2159-8290
OpenAlex
W2891570794
Cited by
360
References
11
FWCI
14.05
Type
journal article
Language
en
Open access
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CoChat. (2026). Citation check: Cholinergic Signaling via Muscarinic Receptors Directly and Indirectly Suppresses Pancreatic Tumorigenesis and Cancer Stemness. https://app.cochat.ai/papers/10.1158/2159-8290.cd-18-0046
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Renz, B. W., Tanaka, T., Sunagawa, M., Takahashi, R., Jiang, Z., Macchini, M., Dantes, Z., Valenti, G., White, R. A., Middelhoff, M. A., Ilmer, M., Oberstein, P. E., Angele, M. K., Deng, H., Hayakawa, Y., Westphalen, C. B., Werner, J., Remotti, H., Reichert, M., . . . Wang, T. C. (2018). Cholinergic Signaling via Muscarinic Receptors Directly and Indirectly Suppresses Pancreatic Tumorigenesis and Cancer Stemness. Cancer Discovery. https://doi.org/10.1158/2159-8290.cd-18-0046

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.