www.impactjournals.com/oncotarget/ Oncotarget, Vol. 7, No. 47 Research Paper Reg proteins promote acinar-to-ductal metaplasia and act as novel diagnostic and prognostic markers in pancreatic ductal adenocarcinoma Qing Li1,*, Hao Wang2,*, George Zogopoulos3,4, Qin Shao5, Kun Dong6, Fudong Lv6, Karam Nwilati1, Xian-yong Gui7, Adeline Cuggia4, Jun-Li Liu1, Zu-hua Gao5 1Fraser Laboratories for Diabetes Research, Department of Medicine, McGill University Health Centre, Montreal, QC, Canada 2Department of Oncology, Qingdao Municipal Hospital, School of Medicine, Qingdao University, Qingdao, China 3Department of Surgery, McGill University Health Centre, Montreal, QC, Canada 4Quebec Pancreas Cancer Study, McGill University Health Centre, Montreal, QC, Canada 5Department of Pathology, McGill University Health Centre, Montreal, QC, Canada 6Department of Pathology, You An Hospital, Capital Medical University, Beijing, China 7Department of Pathology, University of Calgary, Calgary, AB, Canada *These authors have contributed equally Correspondence to: Zu-hua Gao, email:
[email protected] Jun-Li Liu, email:
[email protected] Keywords: Reg family proteins, pancreatic ductal adenocarcinoma, acinar-to-ductal metaplasia, pancreatic intraepithelial neoplasia, cholangiocarcinoma Received: March 01, 2016 Accepted: October 13, 2016 Published: October 24, 2016 ABSTRACT Pancreatic ductal adenocarcinoma (PDAC) is a highly aggressive malignant tumor. Acinar-to-ductal metaplasia (ADM) and pancreatic intraepithelial neoplasia (PanIN) are both precursor lesions that lead to the development of PDAC. Reg family proteins (Reg1A, 1B, 3A/G, 4) are a group of calcium-dependent lectins that promote islet growth in response to inflammation and/or injuries. The aim of this study was to establish a role for Reg proteins in the development of PDAC and their clinical value as biomarkers.