CXCL12/CXCR4 Protein Signaling Axis Induces Sonic Hedgehog Expression in Pancreatic Cancer Cells via Extracellular Regulated Kinase- and Akt Kinase-mediated Activation of Nuclear Factor κB

Background: CXCL12/CXCR4 and hedgehog pathways, predominantly acting in paracrine fashion, play important roles in pancreatic cancer pathobiology. Results: CXCL12/CXCR4 signaling regulates the expression of hedgehog ligand, the sonic hedgehog, in pancreatic cancer cells. Conclusion: Our findings indicate a novel molecular link between CXCL12/CXCR4 and hedgehog pathways. Significance: Our data provide a molecular basis for an active bidirectional tumor-stromal interaction in pancreatic cancer. Recent evidence suggests a major role of tumor-stromal interactions in pancreatic cancer pathobiology. The chemokine CXCL12 (stromal cell-derived factor 1 (SDF-1)), abundantly produced by stromal cells, promotes progression, metastasis, and chemoresistance of pancreatic cancer cells. On the other hand, pancreatic tumor cell-derived sonic hedgehog (SHH) acts predominantly on stromal cells to induce desmoplasia and, thus, has a paracrine effect on tumorigenesis and therapeutic outcome. In this study, we examined the association between these two proteins of pathological significance in pancreatic cancer. Our data demonstrate that CXCL12 leads to a dose- and time-dependent up-regulation of SHH in pancreatic cancer cells. CXCL12-induced SHH up-regulation is specifically mediated through the receptor CXCR4 and is dependent on the activation of downstream Akt and ERK signaling pathways. Both Akt and ERK cooperatively promote nuclear accumulation of NF-κB by inducing the phosphorylation and destabilization of its inhibitory protein, IκB-α. Using dominant negative IκB-α, a SHH promoter (deletion mutant) reporter, and chromatin immunoprecipitation assays, we demonstrate that CXCL12 exposure enhances direct binding of NF-κB to the SHH promoter and that suppression of NF-κB activation abrogates CXCL12-induced SHH expression. Finally, our data demonstrate a strong correlative expression of CXCR4 and SHH in human pancreatic cancer tissues, whereas their expression is not observed in the normal pancreas. Altogether, our data reveal a novel mechanism underlying aberrant SHH expression in pancreatic cancer and identify a molecular link facilitating bidirectional tumor-stromal interactions.

Significant progress has been made in our understanding of the biology of pancreatic cancer over the past decade. However, it still remains as one of the most lethal malignancies (1)(2)(3). Currently, it is the fourth leading cause of cancer-related mortality in the United States, and its incidence is increasing with every coming year (4). Emerging data now suggest that tumorstromal interactions play a major role during early and late stages of pancreatic cancer development (5,6). Indeed, tumor cells remodel the surrounding stroma over the course of malignant progression and establish mutual functional association to cooperatively promote their growth. Despite this recognition, we are still in the beginning phase of understanding this essential "give and take" relationship between pancreatic tumor and stromal cells at the molecular level.
Hedgehog signaling has been shown to play important roles in the pathobiology of pancreatic cancer (7). Accumulating evidence indicates that ligand-dependent activation of the hedgehog pathway generally occurs in the stromal compartment through a tumor-derived hedgehog signal (sonic hedgehog (SHH) 4 ligand) that phenotypically culminates into desmopla-sia (8). It was shown recently that extensive desmoplasia is one of the underlying causes of pancreatic cancer chemoresistance (9). Inhibition of the hedgehog pathway depleted tumor-associated stromal tissue, enhanced intratumoral vascularity and drug accumulation, and thus led to disease stabilization. Although these effects were transient, they clearly highlighted the importance of tumor stroma and paracrine hedgehog signaling.
The CXCL12/CXCR4 pathway is critical for many normal cellular processes, including hematopoiesis, organogenesis, and vascularization, and is also utilized by the cancer cells to promote the processes of metastasis, growth, and survival (10,11). CXCR4 expression is elevated in majority of pancreatic cancers and preinvasive neoplastic lesions, suggesting its role in the pathogenesis and progression of pancreatic neoplasia (12,13). CXCL12, the sole ligand for CXCR4, is also abundantly produced by tumor-associated stromal cells and promotes pancreatic cancer progression and metastasis through CXCR4 activation (14,15). CXCR4 expression by pancreatic cancer stem cells is also essential for their invasive and metastatic properties (16). Importantly, in a recent study, we have demonstrated that CXCL12-CXCR4 signaling, through activation of survival pathways, confers gemcitabine resistance to pancreatic cancer cells (17).
The aforementioned findings clearly suggest important roles for CXCL12/CXCR4 and hedgehog pathways in pancreatic cancer pathobiology. In this study, we have examined the molecular association between these two pathways of pathological significance in pancreatic cancer. Our findings demonstrate, for the first time, that the CXCL12/CXCR4 signaling axis regulates SHH expression in pancreatic cancer cells. Our data show that CXCL12 specifically signals through CXCR4 to activate Akt and ERK, which then phosphorylate IB-␣. This phosphorylation directs IB-␣ to degradation pathways, causing a release and nuclear translocation of NF-B, which then directly binds to the SHH promoter. We also present data demonstrating a correlative expression of CXCR4 and SHH in pancreatic cancer clinical specimens, whereas their expression is not detected in normal pancreatic tissues. Thus, our findings suggest a novel molecular link between paracrine-acting chemokine and hedgehog pathways, and they are indicative of an active bidirectional tumor-stromal interaction.
Cell Lines, Culture Conditions, and Pancreatic Tissue Specimens-Pancreatic cancer cell lines (MiaPaCa, HPAF, and ASPC1) were purchased from the ATCC, and the Colo357 cell line was provided by Dr. Subhash Chauhan (University of South Dakota/Sanford Health). All cell lines were maintained as monolayer cultures in RPMI 1640 medium (Invitrogen) supplemented with 10% FBS (Atlanta Biologicals, Lawrenceville, GA) and 100 M each of penicillin and streptomycin (Invitrogen) in a humidified atmosphere of 5% CO 2 at 37°C. Cell line validation was done by sequence tandem repeat (STR) genotyping and presence of defined markers (MUC1, MUC4, Vimentin, and DPC4). Cells were continuously monitored for their typical morphology and intermittently tested for mycoplasma using a MycoSensorPCR assay kit (Stratagene, catalog no. 302109) according to the protocol of the manufacturer. Frozen pancreatic tissue samples (normal and malignant) were obtained through the Cooperative Human Tissue Network at the University of Alabama at Birmingham under an Institutional Review Board-approved protocol.
Treatments and Transfections-Cells were cultured in complete medium in 6-or 12-well plates until they reached 50 -60% confluence. Subsequently, cells were incubated in serum-free medium overnight, followed by treatments with different doses of CXCL12 (R&D Systems, Minneapolis, MN) under similar conditions for various time intervals (as indicated in the pertinent figure legends). To dissect the role of specific signaling pathways, cells were pretreated for 1 h with 20 M LY294002 (PI3K inhibitor) and 25 M PD98059 (ERK inhibitor) (Cell Signaling Technology) alone or in combination. For neutralization of CXCL12 binding, cells were pretreated for 60 min with CXCR4-neutralizing antibody. For the knockdown of CXCR4 and CXCR7, cells were cultured in 6-well plates and transiently transfected with 50 nM of non-target or target-specific siRNAs using DharmaFECT according to the protocol of the manufacturer. To achieve constitutive activation of Akt and ERK, cells were transiently transfected with constitutively active mutant plasmids of Akt and MEK alone or in combination. Empty plasmids were used in control transfections. FuGENE (Roche) was used as the transfection reagent for plasmid transfection.
RNA Isolation and RT-PCR-Total RNA was isolated using RNeasy purification kit (Qiagen), and subsequently cDNA was synthesized using a high-capacity cDNA reverse transcription kit (Applied Biosystems, Carlsbad, CA) following the instruc-tions of the manufacturer. Quantitative real-time PCR was performed in 96-well plates using SYBR Green MasterMix (Applied Biosystems) on an iCycler system (Bio-Rad). The following PCR primer pairs were used: SHH, 5Ј-ACCGAGGGC-TGGGACGAAGA-3Ј (forward) and 5Ј-ATTTGGCCGCCAC-CGAGTT-3Ј (reverse) and GAPDH, 5Ј-gctgtgtggcaaagtccaag-3Ј (forward) and 5Ј-ggtcaggctcctggaagata-3Ј (reverse). The thermal conditions for real-time PCR assays were as follows: cycle 1, 95°C for 10 min; cycle 2, (ϫ40), 95°C for 10 s and 58°C for 45 s. Threshold cycle (C T ) values for SHH were normalized against C T values for GAPDH, and a relative fold change in expression with respect to a reference sample was calculated by the 2 Ϫ⌬⌬Ct method.
ELISA Assay-Culture supernatants of CXCL12-treated pancreatic cancer cells were collected at different time intervals (24 -72 h), centrifuged, and subjected to ELISA using an human SHH-specific ELISA kit (Abcam) according to the protocol of the manufacturer.
Nuclear and Cytoplasmic Fractionation-The preparation of cytoplasmic and nuclear extracts was performed using the nuclear extract kit (Active Motif, Carlsbad, CA). In brief, cells were washed following treatment with 1 ml ice-cold PBS/phosphatase inhibitors (Roche), lysed in 500 l of hypotonic buffer, and then centrifuged at 14,000 ϫ g for 30 s at 4°C. After collecting supernatant (cytoplasmic fraction), pellets were resuspended in 50 l of complete lysis buffer and centrifuged at 14,000 ϫ g for 10 min at 4°C. Supernatants (nuclear fraction) were stored at Ϫ80°C.
Immunoblot Analysis-Immunoblotting was performed as described earlier (19). In brief, total or fractionated protein lysates (20 -60 g) were resolved by electrophoresis on 10% SDS-PAGE and transferred onto PVDF membranes. Blots were subjected to a standard immunodetection procedure using specific antibodies against various proteins and a SuperSignal West Femto Maximum sensitivity substrate kit (Thermo Scientific, Logan, UT). The signal was detected using an LAS-3000 image analyzer (Fuji Photo Film Co., Tokyo, Japan).
Promoter-Reporter Assay-Cells were transiently cotransfected with 1 g of pGL4.32 (luc2P/NF-B-RE/Hygro) or pGL3-SHH along with 0.25 g pRL-TK (a control reporter plasmid containing a Renilla reniformis luciferase gene downstream of the thymidine kinase (TK) promoter). 24 h after transfection, cells were treated with CXCL12 for 24 h as described earlier and harvested in reporter lysis buffer (Promega, Madison, WI). Firefly and Renilla luciferase activities were measured using a dual-luciferase assay kit (Promega) according to the manufacturer instructions. The luciferase activity normalized as a ratio of firefly luciferase to Renilla luciferase units. To further confirm the role of NF-B in the CXCL12/CXCR4-induced SHH expression, we mutated the putative NF-B binding region in the minimal CXCL12-responsive reporter construct (Ϫ102 to Ϫ1) using a Quikchange XL site-directed mutagenesis kit (Agilent Technologies, Santa Clara, CA). The primer sequences used were as follows: forward, 5Ј-ctgggtggggagcggtgtg-tgacaccccgcagccgcggcgggcaagg-3Ј and reverse, 5Ј-ccttgcccgccgcgg-ctgcggggtgtcacacaccgctccccacccag-3Ј. NF-B transcriptional activity after CXCL12 treatment was measured using wild-type or mutant-reporter plasmids as described above.
ChIP Assay-Pancreatic cancer cells (untreated or treated with CXCL12) were subjected to ChIP analyses using a ChIP-IT enzymatic kit (Active Motif). In brief, DNA-protein cross-linking was done with paraformaldehyde (37%) followed by enzymatic DNA shearing. Anti-NF-B/p65 antibody was added to the sheared DNA-protein (chromatin) complexes. A normal rabbit IgG was added to serve as a background control antibody. Following immunoprecipitation, cross-linking was reversed, the proteins were digested by proteinase K, and the DNA was isolated for PCR analyses. The primer set used was as follows: SHH, 5Ј-ACCAAACTCCGATGTGTTCC-3Ј (forward) and 5Ј-GTGCGCTCTCTCTTTTGCTTC-3Ј (reverse). Input DNA (cross-linked chromatin without immunoprecipitation) and negative control antibody-precipitated DNA were used as positive and negative controls, respectively.

CXCL12 Induces the Expression of SHH in Pancreatic Cancer
Cells-The effect of CXCL12 on SHH expression was studied in four pancreatic cancer cell lines (HPAF, Colo357, AsPC1, and MiaPaCa). We observed a dose-dependent up-regulation of SHH at both transcript and protein levels upon CXCL12 treatment of pancreatic cancer cells (Fig. 1A). A 2.0-to 3.0-fold induction of SHH was detected with the lowest dose of 25 ng/ml, which increased further (over 10-fold) with higher doses of CXCL12. In a time course assay, we observed an induction of SHH as early as 4 h after treatment at both mRNA and protein levels (Fig. 1B). The SHH expression increased with exposure time, and maximum up-regulation of SHH was observed after 24 h of exposure to CXCL12, which decreased thereafter. As SHH is a secreted protein, we also measured its levels in culture media of CXCL12-treated pancreatic cancer cells. Our data demonstrate a significant accumulation of secreted SHH in the media over the 1-to 3-day period (supplemental Fig. 1). Together, these data demonstrate that CXCL12 up-regulates the expression of SHH in a dose-and time-dependent manner in pancreatic cancer cells.
CXCR4, Not CXCR7, Mediates CXCL12-induced Expression of SHH-CXCL12 can produce its stimulatory effects by binding to its two receptors, CXCR4 and CXCR7 (10, 11). Therefore, we next examined the expression of both these receptors in pancreatic cancer cell lines. Expression of both CXCR4 and CXCR7 was observed in all four pancreatic cancer cell lines (data not shown). Subsequently, we examined which of these two chemokine receptors mediate SHH induction upon CXCL12 treatment. For this, we silenced the expression of CXCR4 and CXCR7 through RNA interference in two pancreatic cancer cell lines (MiaPaCa and Colo357) prior to treatment with CXCL12. CXCR4-and CXCR7-targeted siRNAs led to specific and effective silencing of gene expression (Fig. 2). Furthermore, we observed that CXCL12-induced SHH expression was abrogated only in cells transfected with CXCR4-targeted siRNAs, whereas CXCR7 silencing did not have any suppressive effect on SHH induction (Fig. 2). Interestingly, we also observed an increased expression of CXCR4 in CXCL12-treated pancreatic cells, indicating a positive feedback regulation. A similar observation has been made earlier in glioma cells (20). To further ascertain the role of CXCR4 in mediating CXCL12-induced SHH up-regulation, we treated the cells with CXCR4neutralizing antibody prior to the induction with CXCL12. We observed that pretreatment of pancreatic cancer cells with CXCR4-neutralizing antibody abolished CXCL12-induced SHH up-regulation (supplemental Fig. 2). Together, these data demonstrate that CXCR4, not CXCR7, mediates CXCL12-induced up-regulation of SHH in pancreatic cancer cells.
Inhibition of CXCL12-induced Akt and ERK Activation Abrogates SHH Up-regulation-We next set out to examine the effector signaling pathways involved in CXCL12-induced SHH FIGURE 2. CXCL12-induced expression of SHH is mediated through CXCR4 in pancreatic cancer cells. MiaPaCa and Colo357 cells were transiently transfected with non-target (NT) or CXCR4-and CXCR7-targeted siRNAs. Following 24 h of transfection, cells were treated with CXCL12 (100 ng/ml) for another 24 h period. Total protein was isolated and subjected to immunoblot analysis to assess the expression of CXCR4, CXCR7, and SHH. ␤-actin was used as an internal control. Data indicate specific silencing of CXCR4 and CXCR7 by target-specific siRNAs, and clearly demonstrate that CXCL12-induced SHH expression is specifically mediated through CXCR4 in pancreatic cancer cells.
expression. CXCL12 induces receptor phosphorylation, which leads to conformational changes and subsequent activation of a heterotrimeric G protein complex bound to the receptor intracellular domain, thus initiating downstream signaling (11). We and others have reported earlier that treatment of pancreatic cancer cells with CXCL12 elicits the activation of Akt and ERK (17,21,22). Activation of Akt and ERK by CXCL12 occurs as early as 1 min and starts diminishing by 30 min post-treatment (supplemental Fig. 3A). Therefore, to examine the role of these signaling nodes in CXCL12-induced expression of SHH, we treated the pancreatic cancer cells with specific pharmacological inhibitors of Akt (LY294002) and ERK (PD98059) prior to

. CXCL12-induced activation of Akt and ERK promotes nuclear accumulation and transcriptional activity of NF-B in pancreatic cancer cells.
A, pancreatic cancer cells were pretreated with Akt inhibitor (LY294002, 20 M) or ERK inhibitor (PD98059, 25 M) for 1 h, followed by treatment with CXCL12 (100 ng/ml). Total, nuclear (Nuc), and cytoplasmic (Cyto) extracts were prepared after 8 h of CXCL12 treatment to examine effects on NF-B/p65, p-IB-␣, and IB-␣. Effects on various proteins were examined by immunoblot analysis. Laminin (for nuclear fraction) and ␣-tubulin (for cytoplasmic fraction) were used as loading controls. B, cells were transiently cotransfected with NF-B-responsive or control reporter plasmids for 24 h. Subsequently, cells were pretreated (for 1 h) with Akt and ERK inhibitors and stimulated with CXCL12 for the next 24 h. Firefly and Renilla luciferase activities were examined in the treated cells as a measure of NF-B transcriptional activity and transfection efficiency, respectively. Data are presented as the normalized luciferase units (firefly/Renilla luciferase). Error bars represent the mean of triplicates Ϯ S.D. *, p Յ 0.01. NOVEMBER 9, 2012 • VOLUME 287 • NUMBER 46 JOURNAL OF BIOLOGICAL CHEMISTRY 39119 stimulation with CXCL12. Immunoblot analyses of the extracted proteins demonstrated an effective and specific inhibition of CXCL12-induced phosphorylation of Akt and ERK by their respective pharmacological inhibitors (Fig. 3, upper  panel). Furthermore, we observed that inhibition of either Akt or ERK led to abrogation of CXCL12-induced SHH expression, whereas their combined inhibition led to a more potent suppression (Fig. 3, lower panel). Together, these findings indicate that both the Akt and ERK pathways cooperatively mediate CXCL12-induced SHH up-regulation.

CXCL12/CXCR4 Signaling Induces SHH Expression
CXCL12-induced Activation of Akt and ERK Promotes Nuclear Accumulation and Transcriptional Activity of NF-B-To further explore downstream of Akt and ERK, we focused on NF-B, which has been shown earlier to be activated by CXCL12 (17) and to be implicated in transcriptional regulation of SHH (23). We observed a time-dependent enhanced nuclear accumulation of NF-B in pancreatic cancer cells upon CXCL12 treatment that correlated with a concomitant decrease in its cytoplasmic levels (supplemental Fig. 3B). Similarly, we also observed an increased transcriptional activity of the NF-B-responsive promoter in CXCL12-treated pancreatic cancer cells (data not shown). When we treated pancreatic cancer cells (MiaPaCa and Colo357) with Akt and ERK inhibitors, alone or in combination, prior to exposing them to CXCL12, a decreased nuclear accumulation of NF-B was observed (Fig.  4A). These data were corroborated with increased cytoplasmic levels of NF-B in Akt-and/or ERK inhibitor-treated pancreatic cancer cells (Fig. 4A). To further substantiate the role of Akt and ERK in NF-B translocation, we transfected the pancreatic cancer cells with active mutants of Akt and MEK (an upstream kinase of ERK). We observed an enhanced nuclear localization of NF-B in activated Akt-and/or MEK-expressing cells that was also correlated with increased SHH expression (supplemental Fig. 4). To examine what causes the reduction in NF-B nuclear accumulation upon activation of Akt and/or ERK, we analyzed the cytoplasmic extracts of treated pancreatic cancer cells for determination of IB-␣ levels. IB is a biological inhibitor of NF-B that keeps it sequestered in the cytoplasm in an inactive complex (24). We observed that CXCL12 treatment led to a drastic decrease in IB-␣ level, which was associated with a concomitant increase in its phosphorylation, thus indicating the destabilization of IB-␣ after exposure to CXCL12. This effect was abrogated in cells that were pretreated with Akt and/or ERK inhibitors prior to stimulation with CXCL12 (Fig.  4A). To further investigate the functional consequence of this observation, we examined whether inhibition of Akt and/or ERK also suppressed CXCL12-induced NF-B transcriptional activity. For this, we examined the CXCL12-induced transcriptional activation of NF-B-responsive promoter in Akt and ERK-inhibited pancreatic cancer cells. We observed that inhibition of Akt and/or ERK overrode the CXCL12-induced increase in the transcriptional activity of the NF-B-responsive promoter (Fig. 4B). Together, these data confirm a role for both Akt and ERK pathways in CXCL12-induced NF-B activation.
Suppression of NF-B Inhibits CXCL12-induced Up-regulation of SHH-Having observed CXCL12-induced Akt-/ERKmediated activation of NF-B, we next evaluated the role of NF-B in SHH up-regulation. For this, we utilized a degradation-resistant IB-␣ mutant that carries serine-to-alanine mutations at the 32 and 36 positions and thus cannot be phos- phorylated in response to upstream kinase stimuli. Pancreatic cancer cells were transfected with either WT or mutant (MUT) IB-␣, and the effect on cellular distribution of NF-B in response to CXCL12 treatment was examined. Although CXCL12 induced considerable phosphorylation and degradation of IkB-␣ in IB-␣-WT transfected cells, IB-␣-MUTtransfected cells exhibited limited phosphorylation and degradation of IB-␣ (Fig. 5A). As a consequence, NF-B remained sequestered in the cytoplasm in IB-␣-MUT-transfected cells, whereas substantial nuclear localization of NF-B was observed in IB-␣-WT-transfected and CXCL12-treated pancreatic cancer cells. When we examined the effect of NF-B activation blockade on CXCL12 induced up-regulation of SHH, we observed that it was significantly inhibited in pancreatic cancer cells transfected with IB-␣-MUT (Fig. 5B). To further confirm the role of NF-B in transcriptional up-regulation of SHH by CXCL12, we utilized SHH promoter (deletion mutant)-reporter plasmids carrying various sequences upstream of the SHH open reading frame (18). We observed that the region between Ϫ102 to Ϫ1 of the SHH promoter, which contains a NF-B binding site, was essential for CXCL12-induced transactivation (Fig. 6, A and B). We next mutated the putative NF-B binding site in the minimal responsive promoter by sitedirected mutagenesis and found that this led to the abrogation of CXCL12-induced transcriptional activity (supplemental Fig.   5). Finally, we found that NF-B directly bound to the SHH promoter and exhibited greater binding in CXCL12-treated cells (Fig. 6C). Together, these findings confirm that the SHH up-regulation by CXCL12 occurs through Akt-and ERK-mediated NF-B activation.
CXCR4 and SHH Exhibit Correlative Expression in Pancreatic Cancer Tissues-To determine the association of CXCR4 and SHH in clinical cases, we examined their expression along with CXCR7 in protein lysates from an available limited set of normal (n ϭ 7) and cancerous (n ϭ 21) pancreatic tissues. Our study demonstrated no expression of CXCR4 or SHH in normal pancreatic samples, whereas a low expression of CXCR7 was detected in two of seven tissues (Fig. 7A). On the other hand, a variable expression (low to high) of CXCR4 was detected in all pancreatic cancer tissues, whereas one case each was negative for CXCR7 (C12) and SHH (C8) (Fig. 7A). We next performed densitometry to estimate the level of CXCR4, CXCR7, and SHH expression, and resulting data were subjected to Pearson correlation coefficient analysis. Our analysis demonstrated a strong correlation between CXCR4 and SHH (r ϭ 0.863, p Յ 0.0001), whereas no significant correlation was observed between CXCR7 and SHH (0.16, p ϭ 0.4889) (Fig. 7B). These findings are suggestive of a clinical association between CXCL12/ CXCR4 and hedgehog pathways in pancreatic cancer.

FIGURE 6. Direct binding of NF-B to the SHH promoter is essential for CXCL12-induced SHH expression.
A, pancreatic cancer cells were cotransfected with plasmids containing a firefly luciferase gene downstream of the SHH promoter deletion mutants and a control Renilla luciferase plasmid. After 24 h of transfection, cells were treated with CXCL12 (100 ng/ml) for another 24 h. Firefly and Renilla luciferase activities were analyzed, and data are presented as the normalized fold difference with respect to untreated cells (mean Ϯ S.D.; n ϭ 3; *, p Յ 0.01). B, the SHH promoter region (-1 to Ϫ102) containing an NF-Bbinding site depicting the sequence and location of primers used in the ChIP assay. C, pancreatic cancer cells were treated with CXCL12 (100 ng/ml), and proteins and DNA were cross-linked with formaldehyde. Cross-linked chromatin was sheared and immunoprecipitated (IP) with an anti-NF-B/p65 or nonspecific IgG. Immunoprecipitated chromatin was subjected to PCR amplification using SHH promoter-specific primers, and amplified products were resolved by electrophoresis. NOVEMBER 9, 2012 • VOLUME 287 • NUMBER 46

DISCUSSION
There has been a renewed interest in defining the importance of microenvironmental control in cancer pathobiology. It is now well recognized that the microenvironment plays important roles in cancer progression, metastasis, and therapeutic resistance (25,26). This has led to a major shift in scientific efforts to identify and characterize the molecular factors and pathways that facilitate interactions between neoplastic cells and the microenvironment. The chemokine CXCL12 has been implicated in chemotaxis, cell survival, and/or proliferation by acting through several divergent pathways (11,17). In this study, we have delineated a molecular pathway through which stromal cell-derived CXCL12 induces SHH expression in pancreatic cancer cells (Fig. 8). CXCL12 signals through CXCR4 and activates the Akt and ERK pathways, which then induce phosphorylation and destabilization of IB-␣. As a consequence, NF-B is released, translocated to the nucleus, binds to the SHH promoter, and thus directly up-regulates SHH expression.
Hedgehog signaling is activated upon binding of hedgehog ligands (SHH and others) to their receptor (patched, PTCH), which relieves the inhibitory effect of patched on another transmembrane protein, smoothened (SMO) (27,28). This initiates a series of downstream signaling events culminating into the nuclear translocation of Gli transcription factors and regulation of their target genes (27,28). Aberrant hedgehog activation under malignant condition occurs through a variety of mechanisms, including gene mutations in the receptor and effector signaling molecules, aberrant expression of ligands, and noncanonical up-regulation of Gli transcription factors (29 -35). SHH is expressed in preinvasive neoplastic and malignant pancreatic ductal epithelial cells of the pancreas but is absent in the normal pancreas (34). Recent findings have clearly suggested a role of SHH in the initiation and progression of pancreatic cancer. It either acts through autocrine signaling, causing selective activation of cancer stem cells, and/or through a paracrine mechanism impacting the stromal cells (8, 36 -38). Therapeutic applicability of the latter mechanism was tested recently in a multicenter study using KPC (Kras G12D/ϩ ; Trp53 R172H/ϩ ; Pdx-1-Cre) mice (9). It was shown that inhibition of hedgehog signaling with a small molecule antagonist improves drug delivery at the tumor site by impacting tumor stroma and vasculature. In another study, inhibition of hedgehog signaling prolonged the survival in a genetically engineered mouse and abrogated systemic metastasis (37). Therefore, observed up-regulation of SHH by CXCL12 in this study has unfolded a novel mechanism FIGURE 7. Expression of CXCR4 and SHH correlates in pancreatic cancer tissues. A, expression of CXCR4, CXCR7, and SHH was examined in normal (N1-N7) and pancreatic cancerous (C1-C21) tissues at protein level by Western blot analysis. There was no expression of CXCR4 or SHH in normal pancreatic samples, whereas a low expression of CXCR7 was detected in two of seven normal tissues. A variable expression (low to high) of CXCR4, SHH, and CXCR7 was detected in the majority or all pancreatic cancer tissues. ␤-actin was used as a loading control. B, intensities of the immunoreactive bands were quantified by densitometry. Normalized densitometric values of CXCR4, CXCR7, and SHH expression were subjected to Pearson correlation coefficient (R) analysis. Our analysis demonstrated a strong correlation between CXCR4 and SHH (r ϭ 0.863, p Ͻ 0.0001), whereas no significant correlation was observed between CXCR7 and SHH (r ϭ 0.16, p ϭ 0.4889). for the pathobiological actions of CXCL12 in pancreatic cancer and, thus, holds significant translational value.
In most cases, there is multiplicity of chemokine ligands and/or their receptors (10). CXCL12/SDF-1 binds to the receptors CXCR4 and CXCR7 to initiate its downstream signaling (39). On the other hand, CXCR4 has CXCL12 as its only ligand, whereas CXCR7 can bind to another chemokine, CXCL11 (10). Knockout studies in mice have identified critical functions of CXCL12, CXCR4, and CXCR7 in hematopoiesis, vascularization, and cardiac development (40 -42). Although not much is known about CXCL12 signaling downstream of CXCR7, it is believed that both CXCR4 and CXCR7 may confer diverse functions. In fact, it was initially thought that CXCR7 primarily acts as a CXCL12 scavenger, thus negatively regulating CXCL12-CXCR4 signaling (43,44). It has been shown that CXCR7 forms a heterodimer with CXCR4 and changes the conformation of the CXCR4/G-protein complexes to repress its signaling (45). Our data clearly demonstrate that up-regulation of SHH by CXCL12 is specifically mediated through CXCR4, thus further highlighting the functional significance of this signaling node in pancreatic cancer cells.
The binding of CXCL12 to CXCR4 induces diverse signaling pathways that act independently or cross-talk to promote a variety of cellular and molecular responses (11). Importantly, we and others have characterized significant roles of the ERK and Akt pathways in promoting pancreatic cancer proliferation, survival, invasion, and chemoresistance through direct and indirect mechanisms (15,17,22,46). Dependence of SHH up-regulation by CXCL12 on ERK and Akt in our study further adds to the diversity of phenotypic responses influenced by these pathways. These responses were mediated by NF-B, which serves as an intermediary for various inflammatory responses and is aberrantly activated in pancreatic cancer (47,48). ERK-and Akt-dependent activation of NF-B correlated with enhanced phosphorylation and degradation of IB-␣, an inhibitor of NF-B that keeps it sequestered in the cytoplasm. A similar mechanism of NF-B activation by Akt and ERK has been reported earlier by others, which likely involves phosphorylation of IB kinase (IKK), a kinase that phosphorylates the IB inhibitor protein (21,49). A role of NF-B has also been reported previously in SHH regulation through direct binding and transactivation of its promoter. Therefore, our data are consistent with these observations and provide further support for the pathobiological significance of NF-B in pancreatic cancer.
In summary, we have identified a novel role of the CXCL12-CXCR4 signaling axis in SHH up-regulation in pancreatic cancer. This is particularly significant, as other studies have ascribed important pathobiological roles to both the CXCR4 and hedgehog pathways in pancreatic cancer (7,22). Data from human clinical specimens and transgenic mouse models of spontaneous pancreatic cancer progression have suggested a role for these signaling nodes in early development and progression of pancreatic cancer (13,34). Interestingly, in pancreatic cancer, both CXCL12 and SHH act predominantly in a paracrine manner. Abundant levels of CXCL12 produced by the stromal cells influence the growth and malignant behavior of the pancreatic tumor cells, whereas SHH secreted by the tumor cells promotes desmoplasia (8). Extensive desmoplasia is a hallmark of pancreatic cancer and is proposed to be a restraining factor in the outcome of chemotherapy (9). On the other hand, we have recently shown that the CXCL12-CXCR4 signaling axis protects pancreatic cancer cells from drug toxicity by potentiating intrinsic survival mechanisms (17). The findings from this study further emphasize the importance of this signaling node and suggest that it can confer chemoresistance not only by directly impacting the tumor cells but also indirectly through SHH-induced pancreatic fibrosis. In conclusion, our data provide novel insight into the mechanisms that allow tumor-stromal interactions and highlight the potential of the CXCL12-CXCR4 pathway as a therapeutic target in pancreatic cancer.