RT Journal Article SR Electronic T1 Macrophages direct cancer cells through a LOXL2-mediated metastatic cascade in pancreatic ductal adenocarcinoma JF Gut JO Gut FD BMJ Publishing Group Ltd and British Society of Gastroenterology SP gutjnl-2021-325564 DO 10.1136/gutjnl-2021-325564 A1 Marta Alonso-Nocelo A1 Laura Ruiz-Cañas A1 Patricia Sancho A1 Kıvanç Görgülü A1 Sonia Alcalá A1 Coral Pedrero A1 Mireia Vallespinos A1 Juan Carlos López-Gil A1 Marina Ochando A1 Elena García-García A1 Sara Maria David Trabulo A1 Paola Martinelli A1 Patricia Sánchez-Tomero A1 Carmen Sánchez-Palomo A1 Patricia Gonzalez-Santamaría A1 Lourdes Yuste A1 Sonja Maria Wörmann A1 Derya Kabacaoğlu A1 Julie Earl A1 Alberto Martin A1 Fernando Salvador A1 Sandra Valle A1 Laura Martin-Hijano A1 Alfredo Carrato A1 Mert Erkan A1 Laura García-Bermejo A1 Patrick C Hermann A1 Hana Algül A1 Gema Moreno-Bueno A1 Christopher Heeschen A1 Francisco Portillo A1 Amparo Cano A1 Bruno Sainz, Jr YR 2022 UL http://gut.bmj.com/content/early/2022/04/14/gutjnl-2021-325564.abstract AB Objective The lysyl oxidase-like protein 2 (LOXL2) contributes to tumour progression and metastasis in different tumour entities, but its role in pancreatic ductal adenocarcinoma (PDAC) has not been evaluated in immunocompetent in vivo PDAC models.Design Towards this end, we used PDAC patient data sets, patient-derived xenograft in vivo and in vitro models, and four conditional genetically-engineered mouse models (GEMMS) to dissect the role of LOXL2 in PDAC. For GEMM-based studies, K-Ras+/LSL-G12D;Trp53LSL-R172H;Pdx1-Cre mice (KPC) and the K-Ras+/LSL-G12D;Pdx1-Cre mice (KC) were crossed with Loxl2 allele floxed mice (Loxl2Exon2fl/fl) or conditional Loxl2 overexpressing mice (R26Loxl2KI/KI) to generate KPCL2KO or KCL2KO and KPCL2KI or KCL2KI mice, which were used to study overall survival; tumour incidence, burden and differentiation; metastases; epithelial to mesenchymal transition (EMT); stemness and extracellular collagen matrix (ECM) organisation.Results Using these PDAC mouse models, we show that while Loxl2 ablation had little effect on primary tumour development and growth, its loss significantly decreased metastasis and increased overall survival. We attribute this effect to non-cell autonomous factors, primarily ECM remodelling. Loxl2 overexpression, on the other hand, promoted primary and metastatic tumour growth and decreased overall survival, which could be linked to increased EMT and stemness. We also identified tumour-associated macrophage-secreted oncostatin M (OSM) as an inducer of LOXL2 expression, and show that targeting macrophages in vivo affects Osm and Loxl2 expression and collagen fibre alignment.Conclusion Taken together, our findings establish novel pathophysiological roles and functions for LOXL2 in PDAC, which could be potentially exploited to treat metastatic disease.Data from datasets used in this manuscript are available in a public, open access repository. Other data are available upon reasonable request. https://www.nature.com/articles/ng.3398; https://bmccancer.biomedcentral.com/articles/10.1186/s12885-016-2540-6; https://gut.bmj.com/content/66/9/1665.