Biochem Biophys Res Commun. 2025 Nov 08. pii: S0006-291X(25)01668-7. [Epub ahead of print]791 152952
Perineural invasion (PNI) is a pivotal prognostic factor in pancreatic ductal adenocarcinoma (PDAC), associated with aggressive tumor behavior and poor patient outcomes. This study investigated the role of Slc26a9 in regulating peripheral nerve invasion in pancreatic cancer. Bioinformatic analysis of GEO datasets showed markedly higher Slc26a9 expression in PNI-positive patients than in those without PNI. A PDAC model was established by implanting Panc02-luc cells into C57BL/6 mice. Abdominal mechanical hyperalgesia, hunching behavior, and anxiety-like behaviors were assessed using von Frey, hunch-score, and open field tests. PNI in pancreatic tissue was evaluated by immunohistochemistry. On postoperative days 7, 14, and 21, PDAC mice exhibited significantly increased tumor volume and weight, and decreased spleen weight (days 14 and 21) compared to the sham group. By day 21, body weight was also significantly reduced. On day 7, there were no significant differences in mechanical sensitivity, hunch scores, or anxiety-like behaviors, and no PNI was observed. By day 14, PDAC mice showed marked increases in pain, hunch scores, and anxiety-like behaviors, accompanied by evidence of PNI. To further explore the mechanism, we engineered a Slc26a9-overexpressing Panc02 cell line. Transwell and scratch assays demonstrated that Slc26a9 overexpression promotes Panc02 cell migration in vitro. In vivo, mice implanted with Slc26a9-overexpressing cells exhibited pronounced abdominal mechanical hyperalgesia, elevated hunch scores, and anxiety-like behaviors as early as day 7, along with confirmed PNI in the pancreas. These results suggest that Slc26a9 facilitates PNI in pancreatic cancer and may serve as a promising therapeutic target.
Keywords: Pain; Pancreatic cancer; Perineural invasion; Slc26a9; panc02