RT Journal Article SR Electronic T1 ESE3/EHF, a promising target of rosiglitazone, suppresses pancreatic cancer stemness by downregulating CXCR4 JF Gut JO Gut FD BMJ Publishing Group Ltd and British Society of Gastroenterology SP 357 OP 371 DO 10.1136/gutjnl-2020-321952 VO 71 IS 2 A1 Tianxing Zhou A1 Jing Liu A1 Yongjie Xie A1 Shuai Yuan A1 Yu Guo A1 Weiwei Bai A1 Kaili Zhao A1 Wenna Jiang A1 Hongwei Wang A1 Haotian Wang A1 Tiansuo Zhao A1 Chongbiao Huang A1 Song Gao A1 Xiuchao Wang A1 Shengyu Yang A1 Jihui Hao YR 2022 UL http://gut.bmj.com/content/71/2/357.abstract AB Background and aims The crosstalk between cancer stem cells (CSCs) and their niche is required for the maintenance of stem cell-like phenotypes of CSCs. Here, we identified E26 transformation-specific homologous factor (EHF) as a key molecule in decreasing the sensitivity of pancreatic cancer (PC) cells to CSCs’ niche stimulus. We also explored a therapeutic strategy to restore the expression of EHF.Design We used a LSL-KrasG12D/+mice, LSL-Trp53R172H/+ and Pdx1-Cre (KPC) mouse model and samples from patients with PC. Immunostaining, flow cytometry, sphere formation assays, anchorage-independent growth assay, in vivo tumourigenicity, reverse transcription PCR, chromatin immunoprecipitation (ChIP) and luciferase analyses were conducted in this study.Results CXCL12 derived from pancreatic stellate cells (PSCs) mediates the crosstalk between PC cells and PSCs to promote PC stemness. Tumorous EHF suppressed CSC stemness by decreasing the sensitivity of PC to CXCL12 stimulus and inhibiting the crosstalk between PC and CSC-supportive niches. Mechanically, EHF suppressed the transcription of the CXCL12 receptor CXCR4. EHF had a cell autonomous role in suppressing cancer stemness by inhibiting the transcription of Sox9, Sox2, Oct4 and Nanog. Rosiglitazone suppressed PC stemness and inhibited the crosstalk between PC and PSCs by upregulating EHF. Preclinical KPC mouse cohorts demonstrated that rosiglitazone sensitised PDAC to gemcitabine therapy.Conclusions EHF decreased the sensitivity of PC to the stimulus from PSC-derived CSC-supportive niche by negatively regulating tumorous CXCR4. Rosiglitazone could be used to target PC stem cells and the crosstalk between CSCs and their niche by upregulating EHF.All data relevant to the study are included in the article or uploaded as supplementary information.