RT Journal Article SR Electronic T1 Stromal protein βig-h3 reprogrammes tumour microenvironment in pancreatic cancer JF Gut JO Gut FD BMJ Publishing Group Ltd and British Society of Gastroenterology SP 693 OP 707 DO 10.1136/gutjnl-2018-317570 VO 68 IS 4 A1 Delphine Goehrig A1 Jérémy Nigri A1 Rémi Samain A1 Zhichong Wu A1 Paola Cappello A1 Gaëlle Gabiane A1 Xinyi Zhang A1 Yajie Zhao A1 In-San Kim A1 Marie Chanal A1 Roberta Curto A1 Valerie Hervieu A1 Christelle de La Fouchardière A1 Francesco Novelli A1 Pascale Milani A1 Richard Tomasini A1 Corinne Bousquet A1 Philippe Bertolino A1 Ana Hennino YR 2019 UL http://gut.bmj.com/content/68/4/693.abstract AB Objective Pancreatic cancer is associated with an abundant stromal reaction leading to immune escape and tumour growth. This massive stroma drives the immune escape in the tumour. We aimed to study the impact of βig-h3 stromal protein in the modulation of the antitumoural immune response in pancreatic cancer.Design We performed studies with p48-Cre;KrasG12D, pdx1-Cre;KrasG12D;Ink4a/Arffl/fl, pdx1-Cre;KrasG12D; p53R172H mice and tumour tissues from patients with pancreatic ductal adenocarcinoma (PDA). Some transgenic mice were given injections of anti-βig-h3, anti-CD8, anti-PD1 depleting antibodies. Tumour growth as well as modifications in the activation of local immune cells were analysed by flow cytometry, immunohistochemistry and immunofluorescence. Tissue stiffness was measured by atomic force microscopy.Results We identified βig-h3 stromal-derived protein as a key actor of the immune paracrine interaction mechanism that drives pancreatic cancer. We found that βig-h3 is highly produced by cancer-associated fibroblasts in the stroma of human and mouse. This protein acts directly on tumour-specific CD8+ T cells and F4/80 macrophages. Depleting βig-h3 in vivo reduced tumour growth by enhancing the number of activated CD8+ T cell within the tumour and subsequent apoptotic tumour cells. Furthermore, we found that targeting βig-h3 in established lesions released the tissue tension and functionally reprogrammed F4/80 macrophages in the tumour microenvironment.Conclusions Our data indicate that targeting stromal extracellular matrix protein βig-h3 improves the antitumoural response and consequently reduces tumour weight. Our findings present βig-h3 as a novel immunological target in pancreatic cancer.