TY - JOUR A1 - Biederstädt, Alexander A1 - Hassan, Zonera A1 - Schneeweis, Christian A1 - Schick, Markus A1 - Schneider, Lara A1 - Muckenhuber, Alexander A1 - Hong, Yingfen A1 - Siegers, Gerrit A1 - Nilsson, Lisa A1 - Wirth, Matthias A1 - Dantes, Zahra A1 - Steiger, Katja A1 - Schunck, Kathrin A1 - Langston, Steve A1 - Lenhof, Hans-Peter A1 - Coluccio, Andrea A1 - Orben, Felix A1 - Slawska, Jolanta A1 - Scherger, Anna A1 - Saur, Dieter A1 - Müller, Stefan A1 - Rad, Roland A1 - Weichert, Wilko A1 - Nilsson, Jonas A1 - Reichert, Maximilian A1 - Schneider, Günter A1 - Keller, Ulrich T1 - SUMO pathway inhibition targets an aggressive pancreatic cancer subtype T2 - Gut N2 - Objective: Pancreatic ductal adenocarcinoma (PDAC) still carries a dismal prognosis with an overall 5-year survival rate of 9%. Conventional combination chemotherapies are a clear advance in the treatment of PDAC; however, subtypes of the disease exist, which exhibit extensive resistance to such therapies. Genomic MYC amplifications represent a distinct subset of PDAC with an aggressive tumour biology. It is clear that hyperactivation of MYC generates dependencies that can be exploited therapeutically. The aim of the study was to find and to target MYC-associated dependencies. Design: We analysed human PDAC gene expression datasets. Results were corroborated by the analysis of the small ubiquitin-like modifier (SUMO) pathway in a large PDAC cohort using immunohistochemistry. A SUMO inhibitor was used and characterised using human and murine two-dimensional, organoid and in vivo models of PDAC. Results: We observed that MYC is connected to the SUMOylation machinery in PDAC. Components of the SUMO pathway characterise a PDAC subtype with a dismal prognosis and we provide evidence that hyperactivation of MYC is connected to an increased sensitivity to pharmacological SUMO inhibition. Conclusion: SUMO inhibitor-based therapies should be further developed for an aggressive PDAC subtype. KW - cancer KW - pancreatic cancer Y1 - 2020 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/53079 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-530798 SN - 1468-3288 SN - 0017-5749 N1 - This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. VL - 0 SP - 1 EP - 11 PB - BMJ Publishing Group CY - London ER -