Microarray analysis to explore the effect of CXCL12 isoforms in a pancreatic pre-tumor cell model.

CXCL12 expression was significantly lower in tumor samples than in corresponding normal samples. CXCL12 expression was significantly positively related to the infiltration levels of T cells, dendritic cells (DCs), immature DCs, cytotoxic cells, Tfh cells, mast cells, B cells, Th1 cells, natural killer (NK) cells, pDCs, neutrophils, and T helper cells (Spearman correlation coefficient > 0.5, P < 0.001) and negatively correlated with the infiltration level of NK CD56bright cells. In addition, pancreatic hTERT-HPNE cells treated with three diverse CXCL12 isoforms exhibited changes mainly in the regulation of the epithelial-mesenchymal transition activation pathway. ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.

Core Tip: CXCL12 expression was significantly lower in tumor samples than in normal samples. CXCL12 expression was significantly positively associated with the infiltration levels of 12 immune cells, especially T cells, which may encourage further exploration of the effect of CXCL12 in pancreatic ductal adenocarcinoma immunotherapy. In addition, treating pancreatic hTERT-HPNE cells with three diverse CXCL12 isoforms mainly affected the regulation of the epithelial-mesenchymal transition activation pathway.

TO THE EDITOR

We read with interest the article by Cecati et al[1]. They investigated the specific roles of α, β, and γ CXCL12 isoforms in pancreatic ductal adenocarcinoma (PDCA) onset by microarray analysis of hTERT-HPNE cells cured by three diverse isoforms of CXCL12, which indicated that CXCL12 isoforms have different roles in PDAC pathogenesis.

We appreciate the unique perspective provided by the authors’ exploration of the roles of the different isomers of CXCL12 in PDAC. However, the results might be made more meaningful if the authors built on this by presenting the differential expression of CXCL12 in normal and tumor tissues of PDCA as a whole, such as through a bioinformatics analysis of PDCA cases in The Cancer Genome Atlas (TCGA) database or their own data. We discovered that the CXCL12 expression was significantly lower in tumor samples than in normal samples (Figure 1A). Detailed statistical results are described in Table 1.

Figure 1

The effect of A: The differential CXCL12 expression in pancreatic ductal adenocarcinoma (PDCA) and normal samples. The expression level of CXCL12 in tumor tissues is indicated in orange, and that in normal tissues is indicated in purple. Data source: UCSC XENA (https://xenabrowser.net/datapages/) RNAseq data in TPM format for The Cancer Genome Atlas (TCGA) and GTEx processed uniformly through the Toil process[4]. PAAD (pancreatic cancer) data were extracted from TCGA, and corresponding normal sample data were from GTEx. Significance markers: NS, P ≥ 0.05, aP < 0.05, bP < 0.01, cP < 0.001; B: The expression level of CXCL12 and its relationship to 24 immune cell infiltration levels in PDCA. Data source: RNAseq data and clinical data in level 3 HTSeq-FPKM format from the TCGA (https://portal.gdc.cancer.gov/) PAAD (pancreatic cancer) project. Data filtering: Removal of paraneoplastic tissue; C: The expression level of CXCL12 and its relationship to the T cell infiltration level in PDCA; D and E: Pathway analysis of differentially expressed genes under all treatment conditions (α, β, and γ CXCL12 isoforms); D: CXCL12 α isoform vs control; E: CXCL12 β isoform vs control; F: CXCL12 γ isoform vs control.

Table 1

Detailed statistical results of CXCL12 differential expression analysis in pancreatic ductal adenocarcinoma (mean ± SD)

Group	Number	Minimum	Maximum	Median	IQR	Lower quartile	Upper quartile	Mean		SE
Normal	171	0	7.296	5.433	0.756	5.028	5.784	5.403	0.88	0.067
Tumor	179	1.333	7.629	4.632	2.134	3.727	5.861	4.803	1.445	0.108

IQR: Interquartile distance; SE: Standard error.

The tumor microenvironment (TME), mediated by interactions between stromal cells and pancreatic epithelial/carcinoma cells, is essential for PDCA progression and has been associated with failure of chemotherapy, radiotherapy, and immunotherapy[2]. The formation of the microenvironment requires interactions between pancreatic cancer cells and stromal cells. A pancreatic cancer microenvironment composition that favors demyelination and immunosuppression is related to poor prognosis[3-5]. Although immunotherapy has transformed cancer therapy, patients with PDCA rarely respond to these regimens, and this failure is attributed to poor infiltration and activation of T cells in the TME. We found that CXCL12 expression was positively correlated with the level of infiltration of 22 immune cells, especially T cells (Figure 1B and C), which may encourage further exploration of the effect of CXCL12 in PDCA immunotherapy. Detailed information on the correlation between CXCL12 expression and immune cell infiltration is shown in Table 2.

Table 2

Detailed information on the correlation between CXCL12 expression and immune cell infiltration

Gene	Cell	Correlation coefficient (Pearson)	P value (Pearson)	Correlation coefficient (Spearman)	P value (Spearman)
CXCL12	aDC	0.355	< 0.001	0.350	< 0.001
CXCL12	B cells	0.614	< 0.001	0.610	< 0.001
CXCL12	CD8 T cells	0.508	< 0.001	0.491	< 0.001
CXCL12	Cytotoxic cells	0.674	< 0.001	0.650	< 0.001
CXCL12	DC	0.668	< 0.001	0.658	< 0.001
CXCL12	Eosinophils	0.488	< 0.001	0.480	< 0.001
CXCL12	iDC	0.639	< 0.001	0.654	< 0.001
CXCL12	Macrophages	0.488	< 0.001	0.487	< 0.001
CXCL12	Mast cells	0.635	< 0.001	0.634	< 0.001
CXCL12	Neutrophils	0.554	< 0.001	0.535	< 0.001
CXCL12	NK CD56bright cells	-0.411	< 0.001	-0.397	< 0.001
CXCL12	NK CD56dim cells	0.376	< 0.001	0.369	< 0.001
CXCL12	NK cells	0.566	< 0.001	0.560	< 0.001
CXCL12	pDC	0.558	< 0.001	0.546	< 0.001
CXCL12	T cells	0.682	< 0.001	0.666	< 0.001
CXCL12	T helper cells	0.511	< 0.001	0.504	< 0.001
CXCL12	Tcm	0.337	< 0.001	0.285	< 0.001
CXCL12	Tem	0.483	< 0.001	0.481	< 0.001
CXCL12	TFH	0.668	< 0.001	0.645	< 0.001
CXCL12	Tgd	0.364	< 0.001	0.472	< 0.001
CXCL12	Th1 cells	0.594	< 0.001	0.605	< 0.001
CXCL12	Th17 cells	0.057	0.453	0.065	0.387
CXCL12	Th2 cells	0.069	0.357	0.032	0.675
CXCL12	TReg	0.493	< 0.001	0.482	< 0.001

aDC: Activated DC; DC: Dendritic cells; iDC: immature DC; pDC: Plasmacytoid DC; Tfh: T follicular helper; Tgd: T gamma delta; NK: Natural killer.

We agree with Cecati et al[1], who reported that all CXCL12 isoforms influenced cell migration, adhesion, and cytoskeleton-associated gene expression. In our study, we found that treating pancreatic hTERT-HPNE cells with three diverse CXCL12 isoforms mainly affects the regulation of the EMT activation pathway (Figure 1D-F), which confirms that the work done by Cecati et al[1] is worthy of recognition and that our findings can be a supplement to their study. In the future, we should investigate the role played by CXCL12 in the PDCA immune microenvironment in depth.

Statistical analysis

Software: R (version 3.6.3) was used to perform statistical analysis and visualization results. Differential expression of CCXL12 between pancreatic cancer tissues and normal tissues was adopted by the Wilcoxon rank-sum test and visualized results using R-package "ggplot2". Immune cell algorithm: ssGSEA (built-in algorithm of GSVA package[6]). Correlation test using Spearman's correlation coefficient. Pathway analysis was performed by the online tool GSCALite (http://bioinfo.life.hust.edu.cn/web/GSCALite/)[7].

ACKNOWLEDGEMENTS

Yan-Dong Miao would like to give particularly grateful to Wu-Xia Quan for her care, patience, and support over the past years and for her contributions to this study.