RT Journal Article SR Electronic T1 Cancer-associated fibroblasts in pancreatic ductal adenocarcinoma determine response to SLC7A11 inhibition JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.07.12.199638 DO 10.1101/2020.07.12.199638 A1 George Sharbeen A1 Joshua A. McCarroll A1 Anouschka Akerman A1 Chantal Kopecky A1 Janet Youkhana A1 Jeff Holst A1 Cyrille Boyer A1 Mert Erkan A1 David Goldstein A1 Paul Timpson A1 Thomas R. Cox A1 Brooke A. Pereira A1 Jessica L. Chitty A1 Sigrid Fey A1 Arafath K. Najumudeen A1 Andrew D. Campbell A1 Owen J. Sansom A1 Rosa Mistica C. Ignacio A1 Stephanie Naim A1 Jie Liu A1 Nelson Russia A1 Julia Lee A1 Angela Chou A1 Amber Johns A1 Anthony Gill A1 Estrella Gonzales-Aloy A1 John Kokkinos A1 Val Gebski A1 Nigel Turner A1 Minoti Apte A1 Thomas P. Davis A1 Jennifer P. Morton A1 Koroush Haghighi A1 Australian Pancreatic Cancer Genome Initiative A1 Phoebe A. Phillips YR 2020 UL http://biorxiv.org/content/early/2020/07/12/2020.07.12.199638.abstract AB Cancer-Associated Fibroblasts (CAFs) are major contributors to pancreatic ductal adenocarcinoma (PDAC) progression, through pro-tumour cross-talk and the generation of fibrosis (physical barrier to drugs). CAF inhibition is thus an ideal component of any therapeutic approach for PDAC. SLC7A11 is a cystine transporter that has been identified as a potential therapeutic target in PDAC cells. However, no prior study has evaluated the role of SLC7A11 in PDAC tumour stroma and its prognostic significance. Herein we show that high expression of SLC7A11 in PDAC tumour stroma (but not tumour cells) is independently prognostic of poorer overall survival. We demonstrate using orthogonal approaches that PDAC-derived CAFs are highly dependent on SLC7A11 for cystine uptake and glutathione synthesis, and that SLC7A11 inhibition significantly decreases their proliferation, reduces their resistance to oxidative stress and inhibits their ability to remodel collagen and support PDAC cell growth. Importantly, our paradigm-shifting work demonstrates the need to inhibit SLC7A11 in the PDAC stroma, as genetic ablation of SLC7A11 in PDAC cells alone is not enough to reduce tumour growth. Finally, our work validates that a nano-based gene-silencing drug against SLC7A11, developed by our group, reduces PDAC tumour growth, CAF activation and fibrosis in a mouse model of PDAC.Competing Interest StatementThe authors have declared no competing interest.