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Peer-reviewedCC BY 4.0Cancers

Context-Dependent Spatial and Functional Roles of CD44 Across Pancreatic Ductal Adenocarcinoma States

  1. 1State Key Laboratory of Natural Medicines, School of Basic Medicine and Clinical Pharmacy, China Pharmaceutical University, Nanjing 211198, China
  2. 2State Key Laboratory of Medicinal Chemical Biology and College of Pharmacy, Nankai University, Tianjin 300071, China

Abstract

Background/Objectives: Pancreatic ductal adenocarcinoma (PDAC) comprises distinct cellular states characterized by different differentiation programs and therapeutic responses. How a cell-surface receptor adapts its function across these states remains poorly understood. Here, we investigated whether the spatial organization and functional output of CD44 vary across PDAC cellular states. Methods: CD44 expression and spatial distribution were examined in human PDAC tissues and PDAC cell models representing different differentiation states. The functional roles of CD44 were investigated using genetic depletion, transcriptomic analysis, migration and invasion assays, and xenograft and orthotopic models. Hyaluronan (HA) responsiveness and downstream signaling were assessed following exogenous HA stimulation, and the therapeutic effects of HA synthesis inhibition with 4-methylumbelliferone (4-MU) were evaluated alone or in combination with gemcitabine. Results: In differentiated PDAC tissues and classical PDAC models, CD44 was predominantly localized to the basolateral membrane and spatially segregated from E-cadherin at cell–cell junctions, consistent with a role in epithelial organization and cell–matrix interactions. In contrast, poorly differentiated PDAC tissues and basal-like models exhibited increased CD44 abundance, E-cadherin loss, and redistribution of CD44 along the cell periphery. Genetic depletion of CD44 preferentially impaired malignant phenotypes in basal-like models. Mechanistically, basal-like cells exhibited enhanced CD44-dependent responsiveness to extracellular HA, accompanied by activation of EMT-associated signaling and destabilization of E-cadherin. Inhibition of HA synthesis with 4-MU preferentially suppressed basal-like PDAC models and enhanced gemcitabine sensitivity, with these effects further supported in orthotopic models. Conclusions: These findings suggest that the functional output of CD44 in PDAC is influenced not only by its expression level but also by cellular context and spatial organization. The context-dependent responsiveness of the HA–CD44 axis may contribute to functional heterogeneity among PDAC states and represents a potential therapeutic vulnerability of basal-like PDAC.

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BibTeX
@article{fu2026contextdependent,
  title = {{Context-Dependent Spatial and Functional Roles of CD44 Across Pancreatic Ductal Adenocarcinoma States}},
  author = {Bin Fu and Yingying Tan and Yaxin Chen and Yongren Su and Mengran Cao and Dashan Tan and Meng Zhang and Xuewei Chen and Rong Hu},
  journal = {Cancers},
  year = {2026},
  month = oct,
  doi = {10.3390/cancers18203410},
  url = {https://www.mdpi.com/2072-6694/18/20/3410},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Context-Dependent Spatial and Functional Roles of CD44 Across Pancreatic Ductal Adenocarcinoma States
AU  - Bin Fu
AU  - Yingying Tan
AU  - Yaxin Chen
AU  - Yongren Su
AU  - Mengran Cao
AU  - Dashan Tan
AU  - Meng Zhang
AU  - Xuewei Chen
AU  - Rong Hu
PY  - 2026
DA  - 2026/10/01
JO  - Cancers
DO  - 10.3390/cancers18203410
UR  - https://www.mdpi.com/2072-6694/18/20/3410
AB  - Background/Objectives: Pancreatic ductal adenocarcinoma (PDAC) comprises distinct cellular states characterized by different differentiation programs and therapeutic responses. How a cell-surface receptor adapts its function across these states remains poorly understood. Here, we investigated whether the spatial organization and functional output of CD44 vary across PDAC cellular states. Methods: CD44 expression and spatial distribution were examined in human PDAC tissues and PDAC cell models representing different differentiation states. The functional roles of CD44 were investigated using genetic depletion, transcriptomic analysis, migration and invasion assays, and xenograft and orthotopic models. Hyaluronan (HA) responsiveness and downstream signaling were assessed following exogenous HA stimulation, and the therapeutic effects of HA synthesis inhibition with 4-methylumbelliferone (4-MU) were evaluated alone or in combination with gemcitabine. Results: In differentiated PDAC tissues and classical PDAC models, CD44 was predominantly localized to the basolateral membrane and spatially segregated from E-cadherin at cell–cell junctions, consistent with a role in epithelial organization and cell–matrix interactions. In contrast, poorly differentiated PDAC tissues and basal-like models exhibited increased CD44 abundance, E-cadherin loss, and redistribution of CD44 along the cell periphery. Genetic depletion of CD44 preferentially impaired malignant phenotypes in basal-like models. Mechanistically, basal-like cells exhibited enhanced CD44-dependent responsiveness to extracellular HA, accompanied by activation of EMT-associated signaling and destabilization of E-cadherin. Inhibition of HA synthesis with 4-MU preferentially suppressed basal-like PDAC models and enhanced gemcitabine sensitivity, with these effects further supported in orthotopic models. Conclusions: These findings suggest that the functional output of CD44 in PDAC is influenced not only by its expression level but also by cellular context and spatial organization. The context-dependent responsiveness of the HA–CD44 axis may contribute to functional heterogeneity among PDAC states and represents a potential therapeutic vulnerability of basal-like PDAC.
SN  - 2072-6694
ER  -