Oncogenic and tumor-suppressive forces converge on a progenitor-orchestrated niche to shape early tumorigenesis
Reyes, J.; Del Priore, I.; Chaikovsky, A. C.; Pasnuri, N.; Elhossiny, A. M.; Krause, T.; Moorman, A.; Snopkowski, C.; Takizawa, M.; Burdziak, C.; Ratnayeke, N.; Masillioni, I.; Ho, Y.-J.; Chaligne, R.; Romesser, P. B.; Filliol, A.; Nawy, T.; Morris, J. P.; Zhao, Z.; Di Magliano, M. P.; Alonso-Curbelo, D.; Pe'er, D.; Lowe, S. W.
Show abstract
The transition from benign to malignant growth is a pivotal yet poorly understood step in cancer progression that marks the shift from a pathologically inert condition to a clinically lethal disease. Here, we integrate lineage tracing, single-cell and spatial transcriptomics to visualize the molecular, cellular and tissue-level events that promote or restrain malignancy during the tumor initiation in mouse models of pancreatic ductal adenocarcinoma (PDAC). We identify a discrete progenitor-like population of KRAS-mutant cells that co-activates oncogenic and tumor-suppressive programs--including p53, CDKN2A, and SMAD4--engaging senescence-like responses and remodeling their microenvironment, ultimately assembling a niche that mirrors invasive PDAC. KRAS inhibition depletes progenitor-like cells and dismantles their niche. Conversely, p53 suppression enables progenitor cell expansion, epithelial-mesenchymal reprogramming, and immune-privileged niche formation. These findings position the progenitor-like state as the convergence point of cancer-driving mutations, plasticity, and tissue remodeling--revealing a critical window for intercepting malignancy at its origin.
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