%0 Journal Article %T Role of c-MET Inhibitors in Overcoming Drug Resistance in Spheroid Models of Primary Human Pancreatic Cancer and Stellate Cells %A Amir Avan %A Btissame El Hassouni %A Elisa Giovannetti %A Giulia Mantini %A Godefridus J. Peters %A Ilaria Carnevale %A Luciano Saso %A Mark Buijs %A Matthias L£¿hr %A Niccola Funel %A Omidreza Firuzi %A Pei Pei Che %A Rainer Heuchel %A Stefano Coppola %A Thomas Schmidt %J Archive of "Cancers". %D 2019 %R 10.3390/cancers11050638 %X Pancreatic stellate cells (PSCs) are a key component of tumor microenvironment in pancreatic ductal adenocarcinoma (PDAC) and contribute to drug resistance. c-MET receptor tyrosine kinase activation plays an important role in tumorigenesis in different cancers including PDAC. In this study, effects of PSC conditioned medium (PCM) on c-MET phosphorylation (by immunocytochemistry enzyme-linked immunosorbent assay (ELISA)) and drug response (by sulforhodamine B assay) were investigated in five primary PDAC cells. In novel 3D-spheroid co-cultures of cyan fluorescence protein (CFP)-firefly luciferase (Fluc)-expressing primary human PDAC cells and green fluorescence protein (GFP)-expressing immortalized PSCs, PDAC cell growth and chemosensitivity were examined by luciferase assay, while spheroids¡¯ architecture was evaluated by confocal microscopy. The highest phospho-c-MET expression was detected in PDAC5 and its subclone sorted for ¡°stage specific embryonic antigen-4¡± (PDAC5 (SSEA4)). PCM of cells pre-incubated with PDAC conditioned medium, containing increased hepatocyte growth factor (HGF) levels, made PDAC cells significantly more resistant to gemcitabine, but not to c-MET inhibitors. Hetero-spheroids containing both PSCs and PDAC5 (SSEA4) cells were more resistant to gemcitabine compared to PDAC5 (SSEA4) homo-spheroids. However, c-MET inhibitors (tivantinib, PHA-665752 and crizotinib) were equally effective in both spheroid models. Experiments with primary human PSCs confirmed the main findings. In conclusion, we developed spheroid models to evaluate PSC¨CPDAC reciprocal interaction, unraveling c-MET inhibition as an important therapeutic option against drug resistant PDAC %K pancreatic cancer %K three-dimensional culture %K drug resistance %K cancer-associated fibroblasts %K primary cultures %U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6562408/