Abstract 1373: Cell-in-cell mediated entosis reveals a progression mechanism in pancreatic cancer

Abstract Pancreatic cancer (PC) is a deadly malignancy with high intra-tumoral heterogeneity and lacks effective therapeutics. Entosis is a non-apoptotic regulated cell death mediated by cell-in-cell (CIC) structures. However, the impact of entosis on PC progression needs to be determined. This study analyzes the expression levels and prognostic values of entosis-related regulators in public datasets. It identifies that these regulators are commonly upregulated in PC and associated with worse prognosis. We further find that the entotic CIC structures detected in PC specimens have a possible correlation with PC metastases. We enrich a cell population of PC cells undergoing entotic CIC using fluorescence-activated cell sorting (FACS), and several oncogenes, such as NET1, ALDH3A1, PLAT, GALNT5, and FAM3C, were defined as the marker genes of this population using single-cell RNA sequencing (scRNA-seq) analysis. Functionally, this population demonstrates enhanced cell proliferation, migration, invasion, anoikis resistance, sphere formation in vitro, and tumorigenicity in vivo. Moreover, NET1 (neuroepithelial cell transforming gene 1) overexpression promotes cell proliferation, migration, invasion, anoikis resistance, CIC formation, cell competition in vitro, and tumorigenicity in vivo of PC cells. NTE1 is also associated with unfavorable prognosis for PC patients. These results indicate that entosis may play a vital oncogenic role in PC progression. PC cells generate a highly “progressive” subpopulation marked by NET1 via entotic CIC. NET1 is a newly validated gene related to entosis. Targeting entotic processes may be a potential therapeutic option for PC. Citation Format: Jianlu Song, Rexiati Ruze, Yuan Chen, Ruiyuan Xu, Xinpeng Yin, Chengcheng Wang, Yupei Zhao. Cell-in-cell mediated entosis reveals a progression mechanism in pancreatic cancer [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2023; Part 1 (Regular and Invited Abstracts); 2023 Apr 14-19; Orlando, FL. Philadelphia (PA): AACR; Cancer Res 2023;83(7_Suppl):Abstract nr 1373.