RT Journal Article SR Electronic T1 GM-CSF Mediates Mesenchymal–Epithelial Cross-talk in Pancreatic Cancer JF Cancer Discovery JO Cancer Discov FD American Association for Cancer Research SP 886 OP 899 DO 10.1158/2159-8290.CD-15-0947 VO 6 IS 8 A1 Waghray, Meghna A1 Yalamanchili, Malica A1 Dziubinski, Michele A1 Zeinali, Mina A1 Erkkinen, Marguerite A1 Yang, Huibin A1 Schradle, Kara A. A1 Urs, Sumithra A1 Pasca Di Magliano, Marina A1 Welling, Theodore H. A1 Palmbos, Phillip L. A1 Abel, Ethan V. A1 Sahai, Vaibhav A1 Nagrath, Sunitha A1 Wang, Lidong A1 Simeone, Diane M. YR 2016 UL http://cancerdiscovery.aacrjournals.org/content/6/8/886.abstract AB Pancreatic ductal adenocarcinoma (PDA) is characterized by a dense stroma consisting of a prevalence of activated fibroblasts whose functional contributions to pancreatic tumorigenesis remain incompletely understood. In this study, we provide the first identification and characterization of mesenchymal stem cells (MSC) within the human PDA microenvironment, highlighting the heterogeneity of the fibroblast population. Primary patient PDA samples and low-passage human pancreatic cancer–associated fibroblast cultures were found to contain a unique population of cancer-associated MSCs (CA-MSC). CA-MSCs markedly enhanced the growth, invasion, and metastatic potential of PDA cancer cells. CA-MSCs secreted the cytokine GM-CSF that was required for tumor cell proliferation, invasion, and transendothelial migration. Depletion of GM-CSF in CA-MSCs inhibited the ability of these cells to promote tumor cell growth and metastasis. Together, these data identify a population of MSCs within the tumor microenvironment that possesses a unique ability, through GM-CSF signaling, to promote PDA survival and metastasis.Significance: The role of stroma in pancreatic cancer is controversial. Here, we provide the first characterization of MSCs within the human PDA microenvironment and demonstrate that CA-MSCs promote tumorigenesis through the production of GM-CSF. These data identify a novel cytokine pathway that mediates mesenchymal–epithelial cross-talk and is amenable to therapeutic intervention. Cancer Discov; 6(8); 886–99. ©2016 AACR.This article is highlighted in the In This Issue feature, p. 803