BTK-activated signaling regulates PDAC tumorigenesis.

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BTK-activated signaling regulates PDAC tumorigenesis. BTK-activated signaling regulates PDAC tumorigenesis. A, schemas for therapeutic administration of PCI-32765 (in drinking water [0.16% w/v]) beginning on day 14 after implantation and gemcitabine (Gem; 15 mg/kg, i.v., beginning on day 18) to late-stage PDAC tumor–bearing mice. 500 μg depleting αCD8 mAb antibody administered i.p. on days 15, 20, and 25. Cross signifies end point or death. B, percentage change in Ink4 2.2 (left) or p53 2.1.1 (right) tumor size from days 14 to 27 after implantation measured by ultrasonography and assessed following treatment with vehicle (−), PCI-32765, or Gem, and combinations as indicated. For Ink4 2.2, data from 3 independent experiments are shown, reflective of 5 independent experiments. For p53 2.1.1, data from one experiment are shown and are representative of 2 independent experiments. C, CD45+ leukocyte frequency from end-stage tumors as a percentage of total viable cells determined by FACS analysis of single-cell suspensions of tumors from treatment groups indicated. Data from 2 independent experiments are shown and are representative of 5 independent studies. D, representative photomicrographs showing immune-detection of αSMA in mice bearing end-stage Ink4 2.2 PDAC tumors treated as shown. Scale bars, 100 μm. E, percentage of granzyme B-positive (GnzB) cells of CD3+CD8+ cells as determined by FACS of end-stage Ink4 2.2 PDAC tumors treated as shown. Data from 2 independent experiments are shown and are representative of 4 independent studies. F, percentage of IFNγ+CD8+ T cells of CD3+CD8+ cells as determined by intracellular FACS assessment of ex vivo–stimulated Ink4 2.2 PDAC tumors harvested from mice at day 23 after implant. Data from 2 independent experiments are shown. G, fold change of percent of CD107a+CD8+ T cells of CD3+CD8+ cells analyzed by FACS of Ink4 2.2 PDAC tumors harvested from mice at day 23 after implant. Data from 2 independent experiments are shown. H, FACS analysis of Ink4 2.2 tumors from day 23 time points for percentages of PD-1+EOMES+ populations of CD3+CD8+ T cells. Data from 2 independent experiments are shown. Statistical significance was determined using the Student t test or one-way ANOVA when analyzing more than two groups. I, percentage change in Ink4 2.2 tumor size from days 14 to 27 after implantation measured by ultrasonography and assessed following treatment with vehicle (−), PCI-32765, or Gem, and combinations in mice also administered depleting monoclonal antibodies for CD8+ (αCD8) T cells as indicated. Data from 2 independent experiments are shown. *, P < 0.05; **, P < 0.01; ***, P < 0.001. For B–C and E–G and I, each data point reflects an individual tumor, with statistical means shown. Andrew J. Gunderson et al. Cancer Discov 2016;6:270-285 ©2016 by American Association for Cancer Research