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 345 OP 359 DO 10.1136/gutjnl-2021-325564 VO 72 IS 2 A1 Alonso-Nocelo, Marta A1 Ruiz-Cañas, Laura A1 Sancho, Patricia A1 Görgülü, Kıvanç A1 Alcalá, Sonia A1 Pedrero, Coral A1 Vallespinos, Mireia A1 López-Gil, Juan Carlos A1 Ochando, Marina A1 García-García, Elena A1 David Trabulo, Sara Maria A1 Martinelli, Paola A1 Sánchez-Tomero, Patricia A1 Sánchez-Palomo, Carmen A1 Gonzalez-Santamaría, Patricia A1 Yuste, Lourdes A1 Wörmann, Sonja Maria A1 Kabacaoğlu, Derya A1 Earl, Julie A1 Martin, Alberto A1 Salvador, Fernando A1 Valle, Sandra A1 Martin-Hijano, Laura A1 Carrato, Alfredo A1 Erkan, Mert A1 García-Bermejo, Laura A1 Hermann, Patrick C A1 Algül, Hana A1 Moreno-Bueno, Gema A1 Heeschen, Christopher A1 Portillo, Francisco A1 Cano, Amparo A1 Sainz, Bruno YR 2023 UL http://gut.bmj.com/content/72/2/345.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;Trp53 LSL-R172H;Pdx1-Cre mice (KPC) and the K-Ras +/LSL-G12D;Pdx1-Cre mice (KC) were crossed with Loxl2 allele floxed mice (Loxl2Exon2 fl/fl) or conditional Loxl2 overexpressing mice (R26Loxl2 KI/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.