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Tumor Discovery                                                      HHT inhibits pancreatic cancer progress



            p53 and checkpoint protein kinases checkpoint kinase   026), Haihe Laboratory of Cell Ecosystem Innovation
            1 (CHK1) and checkpoint kinase 2 (CHK2) regulate the   Fund (22HHXBSS00040) and Beijing Natural Science
            phosphorylation of CDC25c, inhibiting its activity during   Foundation (7244372).
            DNA damage. This results in the breakdown of CDC25c
            in the cytoplasm, prevents the activation of the cyclin   Conflict of interest
            B1/CDK1 complex, and induces G2/M phase cell cycle   The authors declare they have no competing interests.
            arrest. 35-37  In this study, the downregulation of mp53 by
            HHT treatment may be associated with its impact on cell   Author contributions
            cycle proteins.
                                                               Conceptualization: Haiyan Xu
              Moreover, pancreatic cancer is well-known for its   Formal analysis: Xiaoxia Wang
            characteristic immunosuppressive TME, which includes a   Funding acquisition: Haiyan Xu
            large population of macrophages and fibroblasts. This study   Methodology: Xiaoxia Wang, Tao Wang, Jie Meng, Xuelu
            revealed that macrophages were more sensitive to HHT   Peng, Ke Zhu, Ming Ye
            than PANC-1  cells, suggesting that HHT might alleviate   Project administration: Haiyan Xu
            the TME. Tumor-associated macrophages are widely   Resources: Haiyan Xu
            recognized for their role in facilitating the TME, 38,39  which   Supervision: Haiyan Xu
            may contribute to the inhibitory effect of HHT on pancreatic   Validation: Xiaoxia Wang, Tao Wang
            cancer progression. In addition, this effect may promote the   Writing – original draft: Jie Meng, Xiaoxia Wang
            therapeutic efficacy of pancreatic cancer treatments when   Writing – review & editing: Haiyan Xu, Tao Wang
            combined with other existing drugs. Although no clear
            mechanisms have been established, prior investigations have   Ethics approval and consent to participate
            shown signs of HHT sensitizing other chemotherapeutic   All the animal experiments reported were carried out in
            drugs in immunosuppressive  cancers. For  example,  HHT   accordance with the guidelines stipulated by the committee
            acts synergistically with paclitaxel to combat triple-negative   on the Animal Care and Use of Institute of Basic Medical
            breast  cancer  cell  lines   and  sensitizes  resistant  human   Sciences, Chinese Academy of Medical Sciences and
                               40
            colorectal carcinoma cells to tumor necrosis factor-related   Peking Union Medical College (Ethics Approval ID:
            apoptosis-inducing ligand-induced apoptosis. 41    ACUC-A02-2023-015).  Mice  were  euthanized  using
                                                               cervical dislocation following isoflurane anesthesia, in
            5. Conclusion                                      accordance with the 2020 AVMA Guidelines  for  the
            HHT showed potent antiproliferative effects on pancreatic   Euthanasia of Animals to ensure humane treatment.
            cancer by inducing ROS elevation, impairing mitochondrial
            energy metabolism, and causing cell cycle arrest. In   Consent for publication
            addition, it reduced macrophages in the TME to alleviate   Not applicable.
            the immunosuppressive status. These findings suggest that
            HHT could potentially serve as a novel therapeutic agent for   Availability of data
            this devastating disease. Investigating the long-term effects   The datasets used and analyzed during the current study are
            of HHT on PDAC relapse and its efficacy in combination   available from the corresponding author upon reasonable
            with other existing drugs is worthy of future studies.  request.
            Acknowledgments                                    References

            The confocal microscopy was performed at the Core Labs,   1.   Cai J, Chen H, Lu M, et al. Advances in the epidemiology
            Institute of Basic Medical Sciences Chinese Academy   of pancreatic cancer: Trends, risk factors, screening, and
            of Medical Sciences. The optical small animal imaging   prognosis. Cancer Lett. 2021;520:1-11.
            was performed at the State Key Laboratory of Common      doi: 10.1016/j.canlet.2021.06.027
            Mechanism Research of Major Disease Platform. We
            would like to thank the lab personnel for their help in data   2.   Bray F, Laversanne M, Sung H, et al. Global cancer statistics
            collection.                                           2022: GLOBOCAN estimates of incidence and mortality
                                                                  worldwide for 36 cancers in 185 countries. CA Cancer J Clin.
            Funding                                               2024;74(3):229-263.

            This  work  was supported  by CAMS  Innovation        doi: 10.3322/caac.21834
            Fund for Medical Science (CIFMS  2021-I2M-1-       3.   Connor AA, Gallinger S. Pancreatic cancer evolution and


            Volume 4 Issue 1 (2025)                        110                                doi: 10.36922/td.7825
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