CANCER

REFERENCE TO RELATED APPLICATIONS

[0001] This is a non-provisional application of U.S. Provisional Application No. 61/445,795 entitled "TARGETING CXCL12-CXCR4 SIGNALING AXIS TO OVERCOME GEMCrfABINE-RESISTANCE TO PANCREATIC CANCER CELLS" and filed October 26, 2010, the disclosure of which is incorporated herein by reference in its entirety.

STATEMENT REGARDING FEDERALLY SPONSORED R&D

[0002] This work is supported, in part, by a grant from the National Institutes of Health (CA137513). The government may have rights in the subject matter provided herein.

REFERENCE TO SEQUENCE LISTING

[0003] The present application is being filed along with a Sequence Listing in electronic format. The Sequence Listing is provided as a file entitled USA_011WO.TXT, created October 25, 2011, which is approximately 17 KB in size. The information in the electronic format of the Sequence Listing is incorporated herein by reference in its entirety.

FIELD OF THE INVENTION

[0004] Embodiments of the present invention include methods and compositions for ameliorating cancer. Some embodiments include methods and compositions for ameliorating pancreatic cancer targeting the CXCR4 receptor and the CXCL12 ligand.

BACKGROUND OF THE INVENTION

[0005] Pancreatic cancer is a highly lethal malignancy with an extremely poor prognosis. The overall median survival after diagnosis is 2- 8 months, and only 1-4% of all patients with pancreatic adenocarcinoma survive 5 years after diagnosis (Singh et ah, 2004). According to an estimate of the American Cancer Society, 42,470 Americans were diagnosed with pancreatic cancer in 2009 and 35,240 died from it, marking this malignancy as the fourth leading cause of cancer deaths (Jemal et ah, 2009). Surgical resection is the best and most effective choice for treatment, but in majority of cases, the disease is locally advanced or has already metastasized to distant organs at the time of diagnosis. In the latter scenario, chemotherapy is considered as an option, but the effects are usually modest due to chemo-resistance (Rejiba et ah, 2009; Liau and Whang, 2008). Drug-resistance in pancreatic cancer cells is thought to occur mainly as a result of active survival mechanisms and/or inefficient drug delivery because of the fibrotic nature of pancreatic tumors (Olive et ah, 2009; Pei et ah, 2009). Hence, there is an urgent need to develop alternative strategies and novel therapeutics for effective treatments of this devastating malignancy and improve clinical outcome.

SUMMARY OF THE INVENTION

[0006] Embodiments of the present invention include methods and compositions for ameliorating cancer. Some embodiments include methods and compositions for ameliorating pancreatic cancer targeting the CXCR4 receptor and the CXCL12 ligand. Some embodiments provided herein relate to methods of reducing the resistance of a tumor cell to a chemotherapeutic agent comprising inhibiting CXCL12. In some embodiments, inhibiting CXCL12 comprises contacting the cell with a CXCR4 antagonist.

[0007] In some embodiments, the CXCR4 antagonist is selected from the group consisting of Plerixafor (AMD3100), BKT140, TN14003, CTCE-9908, KRH-2731, TC14012, KRH-3955, and AMD070. In some embodiments, the CXCR4 antagonist comprises Plerixafor (AMD3100).

[0008] In some embodiments, inhibiting CXCL12 comprises reducing expression of a nucleic acid encoding CXCR4.

[0009] In some embodiments, reducing the expression of a nucleic acid encoding CXCR4 comprises contacting the cell with a nucleic acid selected from the group consisting of an antisense RNA, siRNA and ribozyme.

[0010] In some embodiments, the tumor cell comprises a pancreatic tumor cell. In some embodiments, the tumor cell is selected from the group consisting of CFPAC-1, AsPc-1, SW1990, Colo-357, MiaPaCa, Panel, Panc02.37, Pancl0.05, BxPC3, Panc02.03, HPAF-II, and CaPan-1. [0011] In some embodiments, the tumor cell comprises a mammalian tumor cell. In some embodiments, the tumor cell comprises a human tumor cell.

[0012] In some embodiments, the chemotherapeutic agent comprises gemcitabine. In some embodiments, the chemotherapeutic agent comprises gemcitabine and erlotinib.

[0013] Some embodiments provided herein relate to methods of reducing growth of a tumor cell comprising inhibiting CXCL12.

[0014] In some embodiments, inhibiting CXCL12 comprises contacting the tumor cell with a CXCR4 antagonist. In some embodiments, the CXCR4 antagonist is selected from the group consisting of Plerixafor (AMD3100), BKT140, TN14003, CTCE- 9908, KRH-2731, TC14012, KRH-3955, and AMD070. In some embodiments, the CXCR4 antagonist comprises Plerixafor (AMD3100).

[0015] In some embodiments, inhibiting CXCL12 comprises reducing the expression of a nucleic acid encoding CXCR4.

[0016] In some embodiments, reducing the expression of a nucleic acid encoding CXCR4 comprises contacting the tumor cell with a nucleic acid selected from the group consisting of an antisense RNA, siRNA and ribozyme.

[0017] In some embodiments, the tumor cell comprises a pancreatic tumor cell. In some embodiments, the tumor cell is selected from the group consisting of CFPAC-1, AsPc-1, SW1990, Colo-357, MiaPaCa, Panel, Panc02.37, Pancl0.05, BxPC3, Panc02.03, HPAF-II, and CaPan-1.

[0018] In some embodiments, the tumor cell comprises a mammalian tumor cell. In some embodiments, the tumor cell comprises a human tumor cell.

[0019] Some embodiments provided herein relate to methods of enhancing apoptosis in a tumor cell comprising inhibiting CXCL12.

[0020] In some embodiments, inhibiting CXCL12 comprises contacting the tumor cell with a CXCR4 antagonist. In some embodiments, the CXCR4 antagonist is selected from the group consisting of Plerixafor (AMD3100), BKT140, TN14003, CTCE- 9908, KRH-2731, TC14012, KRH-3955, and AMD070. In some embodiments, the CXCR4 antagonist comprises Plerixafor (AMD3100).

[0021] In some embodiments, inhibiting CXCL12 comprises reducing the expression of a nucleic acid encoding CXCR4. [0022] In some embodiments, reducing the expression of a nucleic acid encoding CXCR4 comprises contacting the tumor cell with a nucleic acid selected from the group consisting of an antisense RNA, siRNA and ribozyme.

[0023] In some embodiments, the tumor cell comprises a pancreatic tumor cell. In some embodiments, the tumor cell is selected from the group consisting of CFPAC-1, AsPc-1, SW1990, Colo-357, MiaPaCa, Panel, Panc02.37, Pancl0.05, BxPC3, Panc02.03, HPAF-II, and CaPan-1.

[0024] In some embodiments, the tumor cell comprises a mammalian tumor cell. In some embodiments, the tumor cell comprises a human tumor cell.

[0025] Some embodiments provided herein relate to methods of identifying a therapeutic compound comprising contacting a target cell with a test compound and a CXCR4 agonist; and determining whether the test compound significantly changes the level of expression or activity in the target cell of a protein selected from the group consisting of FAK, Akt, ERK, β-catenin, NF-κΒ, Bcl-2, Bcl-xL, Notchl, phosphorylated BAD, and SHH.

[0026] In some embodiments, the CXCR4 agonist comprises CXCL12.

[0027] Some embodiments also include comparing the level of the protein in a target cell which has been contacted with the CXCR4 agonist and has not been contacted with the test compound to the level of the protein in a target cell contacted with the test compound and the CXCR4 agonist.

[0028] Some embodiments also include determining whether the test compound decreases the level or activity of the protein.

[0029] In some embodiments, the cell comprises a pancreatic cell. In some embodiments, the cell is selected from the group consisting of CFPAC-1, AsPc-1, SW1990, Colo-357, MiaPaCa, Panel, Panc02.37, Pancl0.05, BxPC3, Panc02.03, HPAF- II, and CaPan-1.

[0030] In some embodiments, the cell comprises a tumor cell.

[0031] In some embodiments, the cell comprises a mammalian cell. In some embodiments, the cell comprises a human cell.

[0032] Some embodiments provided herein relate to methods of ameliorating cancer in a subject comprising administering an effective amount of a CXCL12 inhibitor to the subject. [0033] In some embodiments, the CXCL12 inhibitor comprises a CXCR4 antagonist. In some embodiments, the CXCR4 antagonist is selected from the group consisting of Plerixafor (AMD3100), BKT140, TN14003, CTCE-9908, KRH-2731, TC14012, KRH-3955, and AMD070. In some embodiments, the CXCR4 antagonist comprises Plerixafor (AMD3100).

[0034] Some embodiments also include administering a chemotherapeutic agent to the subject.

[0035] In some embodiments, the administration of the CXCL12 inhibitor to the subject decreases the resistance of the tumor to the chemotherapeutic agent.

[0036] In some embodiments, the cancer comprises pancreatic cancer.

[0037] In some embodiments, the subject is mammalian. In some embodiments, the subject is human.

[0038] Some embodiments provided herein relate to kits for identifying a therapeutic agent comprising a CXCL12 inhibitor; and an isolated tumor cell.

[0039] In some embodiments, the CXCL12 inhibitor comprises a CXCR4 antagonist. In some embodiments, the CXCR4 antagonist is selected from the group consisting of Plerixafor (AMD3100), BKT140, TN14003, CTCE-9908, KRH-2731, TC14012, KRH-3955, and AMD070. In some embodiments, the CXCR4 antagonist comprises Plerixafor (AMD3100).

[0040] In some embodiments, the cell comprises a pancreatic cell. In some embodiments, the cell is selected from the group consisting of CFPAC-1, AsPc-1, SW1990, Colo-357, MiaPaCa, Panel, Panc02.37, Pancl0.05, BxPC3, Panc02.03, HPAF- Π, and CaPan-1.

[0041] In some embodiments, the cell comprises a mammalian cell. In some embodiments, the cell comprises a human cell.

BRIEF DESCRIPTION OF THE DRAWINGS

[0042] FIG. 1 relates to CXCR4 and CXCL12 expression and growth response in pancreatic cancer cells. FIG. 1A depicts a Western blot. Total protein was isolated from twelve pancreatic cancer cell lines and resolved on 10% SDS polyacrylamide gels by electrophoresis; the gels were immunoblotted with anti-CXCR4 rabbit polyclonal antibodies and reprobed with anti-β actin (internal control) mouse monoclonal antibody. CXCR4 was expressed at varying levels in all pancreatic cancer cell lines tested. FIG. IB depicts a graph of CXCL12 expression in various pancreatic cancer cell lines. An enzyme-linked immunosorbant assay (ELISA) was performed on conditioned culture media from pancreatic cancer cells grown under serum-free conditions for 72 h using a commercial kit. Low level of CXCL12 expression (13-230 pg/mL/10 ⁶ cells) was detected in all pancreatic cancer cell lines. FIG. 1C depicts a graph of relative growth of MiaPaCa and Panel pancreatic cancer cells upon CXCL12 treatment (100 ng/ml) indicating the functionality of CXCL12-CXCR4 signaling axis. CXCL12 stimulation (in serum-deprived and -supplemented media) led to the significant induction (* p<.01) of growth in pancreatic cancer cells. Responses were more pronounced under serum- free conditions than in serum-containing cultures likely due to the compensatory growth promoting effects of other serum factors.

[0043] FIG. 2 relates to relative survival of pancreatic cancer cells and rescue of cells from gemcitabine-induced toxicity upon CXCL12 treatment. FIG. 2A and FIG. 2B depict graphs of relative survival of the pancreatic cancer cells, Panel and MiaPaCa, respectively. Cells were treated with various doses of gemcitabine (0-10 μΜ) under serum- supplemented condition in presence and absence of CXCL12 (100 ng/mL). Cancer cell viability was examined 72 h post-treatment by MTT assay. Significant protection of pancreatic cancer cells from gemcitabine toxicity (at 5 and 10 μΜ) by CXCL12 was observed. Data is presented as relative survival with respect to untreated or CXCL12 only-treated cells to control for the growth promoting effect of CXCL12 (*p<0.01).

[0044] FIG. 3 relates to anti-apoptotic effects of CXCL12 treatment on gemcitabine-induced cell death. FIG. 3A depicts a photomicrograph of a DNA fragmentation assay. Cells were seeded in 6 cm Petri-dishes and treated with 5 and 10 μΜ gemcitabine in the absence or presence of CXCL12 (100 ng/mL) for 48 h. Subsequently, genomic DNA was isolated and resolved (2 μg/lane) on 1% agarose gel. Lane 1: untreated, lanes 2 & 3: gemcitabine-treated (5 and 10 μΜ), respectively, and lanes 4 & 5: gemcitabine-treated (5 and 10 μΜ, respectively) in presence of CXCL12. CXCL12- treated pancreatic cancer cells exhibit reduced DNA laddering compared to cells treated with gemcitabine only. FIG 3B relates to an in situ determination of apoptosis, and depicts a series of photomicrographs of treated cells. Panel and MiaPaCa cells were cultured on chamber slides and treated with gemcitabine (5 μΜ) in absence and presence of CXCL12 (100 ng/mL). Apoptosis was detected by staining the cells with CaspACE FITC-VAD-FMK solution in PBS for 2 h at 37°C. Following fixation, bound marker was visualized by fluorescent detection under a confocal microscope. CXCL12 co-treated cells exhibit reduced apoptosis by gemcitabine as evident by the decreased fluorescence intensity and number of positively (dark green florescent) stained cells. Representative pictures are from one of the random fields of untreated (upper panel), gemcitabine only (middle panel) and gemcitabine + CXCL12-treated (lower panel) MiaPaCa cells. Similar findings were also reported for Panel cells (data not shown). DAPI stained cells: panels a, d, and g; FITC stained cells: panels b, e, and h: Overlay: panels c, f, and i.

[0045] FIG. 4 relates to CXCL12-induced activation of FAK, Akt and ERK pathways and depicts Western blots. Sub-confluent Panel and MiaPaCa cell cultures were treated with CXCL12 (100 ng/mL) for 5, 15 and 30 min durations. Protein was extracted and resolved on SDS-polyacrylamide gels by electrophoresis. Activation of FAK, Akt and ERK pathways was assessed by immunoblotting using total and phospho- form specific antibodies as indicated. B-Actin served as an internal control. CXCL12- treatment induced the phosphorylation of all three effector proteins with a concomitant inactivating phosphorylation of pro-apoptotic BAD protein in both Panel and MiaPaCa cell lines.

[0046] FIG. 5 relates to induction of β-catenin/TCF and NF-κΒ transcriptional activities and expression of survival proteins by CXCL12 in pancreatic cancer cells. FIG. 5 A depicts graphs for relative β-catenin and NF-κΒ activity in Panel and MiaPaCa cells. Pancreatic cancer cells were transfected with TOPflash or FOPflash or NF-κΒ luciferase reporter constructs along with Renilla luciferase construct to control for the transfection efficiency. Cells were treated with CXCL12 24 h post-transfection and protein isolated in passive lysis buffer. Luciferase activity was assessed using a dual-luciferase assay system and data presented as fold change in luciferase activity after normalization. Bars represent the average of triplicates + S.D., *, statistically significant difference (p<0.01). FIG. 5B depicts Western blots showing the change in expression of Bcl-2, Bcl-xL, Notch I and survivin examined in CXCL12-treated cells at different time durations by immunoblotting. An increased expression of all the four survival proteins was detected in CXCL12-treated pancreatic cancer cells.

[0047] FIG. 6 relates to the effect of CXCR4 targeting and blockade of PI3K or Erk pathways on the cytoprotective effect of CXCL12 in pancreatic cancer cells from gemcitabine-induced toxicity. FIG 6A depicts Western blots of pancreatic cancer cells (Panel and MiaPaCa) treated with AMD31 00 (5 μg/mL) or LY294002 (20 μΜ) or PD98059 (25 μΜ) for 1 h prior to induction with CXCL12. Total protein was isolated 15 min post-CXCL12 treatment and activation of Akt and ERK was examined by immunoblotting for their total and phospho-forms. AMD3100 inhibited the activation of both Akt and ERK pathways, while LY294002 and PD980S9 specifically inhibited Akt and ERK pathways, respectively. FIG. 6B depicts graphs of relative survival of cells. Cells were pre-treated with AMD3100 or LY294002 or PD980S9 or PBS for 1 h. Subsequently, cells were treated with CXCL12 or gemcitabine either alone or in combination. Cell viability was assessed by MIT assay. Bars represent the average of triplicates + S.D.; *, statistically significant difference (p<0.01) with respect to Gemcitabine + CXCL12-treated cells. Bars 1: untreated, 2: CXCL12-treated, 3: AMD3100- pretreated+CXCL12-treated, 4: gemcitabine-treated, 5: gemcitabine + CXCL12-treated, 6: AMD3100-pretreated + gemcitabine + CXCL12-treated, 7: LY294002-pretreated + gemcitabine + CXCL12-treated, and 8: PD980S9-pretreated + gemcitabine + CXCL12-treated.

[0048] FIG. 7 relates to a time-course of CXCL12-induced sonic hedgehog (SHH) expression in Panel (left-most six columns/lanes) and MiaPaCa (right- most six columns/lanes) treated cells, and depict graphs of fold-expression of sonic hedgehog (SHH) measured using Q-RT-PCR, and photomicrographs of agarose gels of amplified products and Western blots of protein expression of SHH.

DETAILED DESCRIPTION

[0049] Embodiments of the present invention relate to methods and compositions for ameliorating cancer. Some embodiments include methods and compositions for ameliorating pancreatic cancer targeting the CXCR4 receptor and the CXCL12 ligand. Pancreatic cancer cells are highly resistant to drug therapy; however, underlying causes remain largely unknown. Activation of CXCL12-CXCR4 signaling may confer drug-resistance to pancreatic cancer cells by potentiating survival. CXCR4 is overexpressed in precancerous/malignant pancreatic lesions and cancer stem cells, and implicated in its pathogenesis. As described in this application, pancreatic cancer cells treated with gemcitabine exhibited reduced cytotoxicity in presence of CXCL12 as compared to the cells treated with drug alone. CXCL12 induced the activation of FAK, ERK and Akt signaling pathways, enhanced transcriptional activities of β-catenin and NF- KB, and expression of survival proteins. AMD3100 arrested the CXCL12-induced pancreatic cancer cell growth and drug-resistance. These findings demonstrate a role of the CXCL12/CXCR4 signaling axis in conferring drug -resistance to pancreatic cancer cells and suggest a novel therapeutic target for pancreatic cancer therapy.

[0050] The chemokine receptor, CXCR4, is expressed in a variety of malignancies and has been extensively studied for its role in cancer pathogenesis (Singh et ah, 2007; Gelmini et ah, 2008). CXCR4 expression is elevated in majority of pancreatic cancer tissues and pre-cancerous lesions, suggesting its role in pancreatic cancer pathogenesis (Marechal et ah, 2009; Thomas et ah, 2008). CXCL12, a ligand for CXCR4, is also abundantly produced by neighboring stromal cells and activation of CXCR4-expressing pancreatic cancer cells by CXCL12 leads to enhanced chemotaxis, transendothelial migration and Matrigel invasion (Matsuo et ah, 2009; Marchesi et ah, 2004). Furthermore, high concentrations of CXCL12 are present at the common sites of pancreatic metastases (lymph nodes, liver, lungs, etc.), suggesting that CXCL12-CXCR4 signaling may play a role in the homing of pancreatic cancer cells to specific organs (Saur et ah, 2005; Mori et ah, 2004). Importantly, a recent study also showed that a distinct subpopulation of CD133 ⁺ ;CXCR4 ⁺ cancer stem cells (CSCs) was present at the leading edge of invasive pancreatic tumors indicating a potential role of CXCR4 in the invasion process (Hermann et ah, 2007). CXCR4 expressed on pancreatic cancer stem cells was shown to be essential for their invasive and metastatic properties, suggesting a strong correlation with disease aggression (Hermann et ah, 2007). The CXCL12-CXCR4 signaling axis has also been implicated in desmoplastic alterations of surrounding stroma favoring tumor cell growth (Marlow et al, 2008). In other studies, CXCL 12-CXCR4 signaling was shown to stimulate pancreatic cancer cell proliferation and protection of cancer cells from serum deprivation-induced apoptosis (Marchesi et ah, 2004; Saur et ah, 2005; Koshiba et ah, 2000; Marlow et ah, 2008). Altogether, these observations indicate an important role of CXCR4 signaling in pancreatic cancer survival, proliferation, invasion, and metastasis, suggesting this signaling axis as a potential target for cancer therapy.

[0051] Gemcitabine is the only FDA-approved chemotherapeutic drug for the treatment of advanced and metastatic pancreatic cancer. However, it has not proven very effective clinically and improvement in patient's survival undergoing gemcitabine therapy is only minimal (Olive et ah, 2009; Wong and Lemoine, 2009). It was hypothesized that the CXCL12- CXCR4 signaling axis is involved in pancreatic cancer drug-resistance by stimulating intrinsic cell survival mechanisms. The effect of CXCL12 in restricting the gemcitabine-induced toxicity of pancreatic cancer cells and activation of survival signaling pathways was investigated. Furthermore, the therapeutic significance of a CXCR4 antagonist, AMD3100, in preventing the rescue effect of activated CXCL12- CXCR4 signaling was examined. The data demonstrated that CXCL12 induces a series of signaling events in pancreatic cancer cells and counteracts the cytotoxic effects of gemcitabine. In addition, the data shows that AMD3100 can abrogate the survival effect of CXCL12-CXCR4 signaling and can serve as a therapeutic modality either alone or in combination with Gemcitabine to effectively inhibit the growth of pancreatic cancer cells.

Methods of treatment

[0052] Some embodiments provided herein relate to methods for reducing the resistance of a tumor cell to chemotherapy. More embodiments provided herein relate to increasing the sensitivity of a tumor cell to a chemotherapeutic compound. More embodiments provided herein relate to methods for reducing growth of a tumor cell. More embodiments provided herein relate to methods of ameliorating cancer in a subject.

[0053] In some embodiments, the tumor cell comprises a mammalian cell. In some embodiments, the tumor cell comprises a human cell. In some embodiments, the tumor cell comprises a pancreatic cell. In some embodiments, the tumor cell comprises a cell selected from a pancreatic tumor cell line, such as CFPAC-1, AsPc-1, SW1990, Colo- 357, MiaPaCa, Panel, Panc02.37, Pancl0.05, BxPC3, Panc02.03, HPAF-II, and CaPan-1.

[0054] Some of the foregoing methods can include inhibiting CXCL12, such as contacting a cell with a CXCL12 inhibitor. In some embodiments, inhibiting CXCL12 can include contacting a tumor cell with an effective amount of a CXCR4 antagonist. In some embodiments, the tumor cell is contacted with the CXCR4 antagonist in vitro. In some embodiments, the tumor cell is contacted with the CXCR4 antagonist ex vivo or in vivo. Examples of CXCR4 antagonists Plerixafor (AMD3100), BKT140, TN14003, CTCE-9908, KRH-2731, TC14012, KRH-3955, and AMD070. In particular embodiments, the antagonist comprises Plerixafor (AMD3100).

[0055] In some embodiments, inhibiting CXCL12 can include reducing the level of expression of a nucleic acid encoding CXCR4. Methods to reduce the level of expression of a nucleic acid in a cell are well known in the art some of which are described herein, such as RNA interference or antisense technologies. Examples of methods for reducing the level of expression of a nucleic acid in a cell include contacting a cell with an effective amount of a nucleic acid such as an antisense RNA, a siRNA, or a ribozyme. In some embodiments, the tumor cell is contacted with the CXCL12 inhibitor in vitro. In some embodiments, the tumor cell is contacted with the CXCL12 inhibitor in vivo.

[0056] In some embodiments, increasing the sensitivity of a tumor cell to a chemotherapeutic compound can include contacting the cell with an effective amount of a CXCL12 inhibitor and an effective amount of a chemotherapeutic agent. In some embodiments, the effective amount of the chemotherapeutic compound is less than the effective amount of the chemotherapeutic compound in the absence of the CXCL12 inhibitor by at least about 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, 100%, or more. In some embodiments, the effective amount of the CXCL12 inhibitor is an amount which significantly reduces the IC50 of the chemotherapeutic compound. In some such embodiments, the IC50 of the chemotherapeutic agent is reduced by at least about 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, 100%, or more.

[0057] In some embodiments, decreasing the resistance of a tumor cell to a chemotherapeutic compound can include contacting the cell with an effective amount of a CXCL12 inhibitor and an effective amount of a chemotherapeutic agent. In some embodiments, the effective amount of the chemotherapeutic compound is less than the effective amount of the chemotherapeutic compound in the absence of the CXCL12 inhibitor by at least about 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, 100%, or more. In some embodiments, the effective amount of the CXCL12 inhibitor is an amount which significantly reduces the IC50 of the chemotherapeutic compound. In some such embodiments, the IC50 of the chemotherapeutic agent is reduced by at least about 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, 100%, or more.

[0058] In some embodiments, increasing the cytotoxicity of a chemotherapeutic compound to a tumor cell can include contacting the cell with an effective amount of a CXCL12 inhibitor and an effective amount of a chemotherapeutic agent. In some embodiments, the effective amount of the chemotherapeutic compound is less than the effective amount of the chemotherapeutic compound in the absence of the CXCL12 inhibitor by at least about 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, 100%, or more. In some embodiments, the effective amount of the CXCL12 inhibitor is an amount which significantly reduces the IC50 of the chemotherapeutic compound. In some such embodiments, the IC50 of the chemotherapeutic agent is reduced by at least about 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, 100%, or more.

[0059] Contacting a cell with a CXCL12 inhibitor in combination with a chemotherapeutic agent can include contacting the cell with the CXCL12 inhibitor and the chemotherapeutic agent at the same time, at different times, and at overlapping time periods. The cell inhibitor may be contacted with the CXCL12 inhibitor before, after, or during the period of time the cell is contacted with the chemotherapeutic agent. In some embodiments, contacting the cell with the chemotherapeutic agent commences before contacting the cell with the CXCL12 inhibitor. In some embodiments, contacting the cell with the chemotherapeutic agent is before contacting the cell with the CXCL12 inhibitor. In some embodiments, contacting the cell with the CXCL12 inhibitor commences before contacting the cell with the chemotherapeutic agent. In some embodiments, contacting the cell with the CXCL12 inhibitor is before contacting the cell with the chemotherapeutic agent.

[0060] In some embodiments, the time period between contacting the cell with the chemotherapeutic agent and contacting the cell with the CXCL12 inhibitor is less than or more than about 5 minutes, 10 minutes, 20 minutes, 30 minutes, 40 minutes, 50 minutes, or 60 minutes. In some embodiments, the period of time between contacting the cell with the chemotherapeutic agent and contacting the cell with the CXCL12 inhibitor is less than or more than about 1 hour, 2 hours, 3 hours, 4 hours, 5 hours, 6 hours, 7 hours, 8 hours, 9 hours, 10 hours, 11 hours, or 12 hours. In some embodiments, the period of time between contacting the cell with the chemotherapeutic agent and contacting the cell with the CXCL12 inhibitor is less than or more than about 12 hour, 24 hours, 36 hours, or 48 hours.

[0061] Some embodiments include methods of ameliorating cancer in a subject. Some such embodiments include administering an effective amount a CXCL12 inhibitor and an effective amount of the chemotherapeutic compound to the subject, wherein the effective amount of the chemotherapeutic compound is significantly less than the effective amount of the chemotherapeutic compound in the absence of the CXCL12 inhibitor. Some embodiments include methods for reducing the dosage of a chemotherapeutic agent needed to treat a cancer in a subject. Some such embodiments include administering an effective amount a CXCL12 inhibitor and an effective amount of the chemotherapeutic compound to the subject, wherein the effective amount of the chemotherapeutic compound is significantly less than the effective amount of the chemotherapeutic compound in the absence of CXCL12 inhibitor. More embodiments include decreasing the resistance of a cancer in a subject to a chemotherapeutic compound. More embodiments include increasing the sensitivity of a cancer in a subject to a chemotherapeutic compound. Some such embodiments include administering an effective amount a CXCL12 inhibitor and an effective amount of the chemotherapeutic compound to the subject, wherein the effective amount of the chemotherapeutic compound is significantly less than the effective amount of the chemotherapeutic compound in the absence of the CXCL12 inhibitor. In particular embodiments, the cancer comprises a pancreatic cancer. In some embodiments, the chemotherapeutic compound comprises gemcitabine. In some embodiments the chemotherapeutic compound comprises gemcitabine and Erlotinib.

CXCL12 inhibitors

[0062] In some embodiments a CXCL12 inhibitor comprises a CXCR4 antagonist. Examples of CXCR4 antagonists include:

[0063] Plerixafor (AMD3100; Mozobil), the structure of which is:

[0064] BKT140 (4F-benzoyl-TN 14003; 4F-benzoyl-Arg-Arg-Nal-Cys-Tyr- Cit-Lys-DLys-Pro-Tyr-Arg-Cit-Cys-Arg-NH ₂ ; (SEQ ID NO: 01) and those CXCR4 antagonists described in U.S. Pub. No. 20100184694, and U.S. Patent No. 7423007, the contents of which are hereby incorporated by reference in their entireties.

[0065] TN14003 (H-Arg-Arg-Nal-Cys-Tyr-Cit-Lys-DLys-Pro-Tyr-Arg-Cit- Cys-Arg-OH, SEQ ID NO:06; Tamamura et al, 2004, FEBS Lett., 569:99; and Liang et ah, 2004, Cancer Res., 64:4302, the contents of which are hereby incorporated by reference in their entireties).

[0066] CTCE-9908 (peptide antagonist of CXCR4 (amino acid sequence: KGVSLSYR-X-RYSLSVGK, SEQ ID NO:07; Chemokine Therapeutics Corp., Vancouver, Canada), and those CXCR4 antagonists described in WO 01/76615, WO 01/85196 and U.S. Pub. No. 20070160574, the contents of which are hereby incorporated by reference in their entireties.

[0067] KRH-2731 (CS-3955) and those CXCR4 antagonists described in WO/2006095542 and WO/02094261, the contents of which are hereby incorporated by reference in their entireties.

[0068] TC14012 (Arg-Arg-Nal-Cys-Tyr-Arg-Lys-DCit-Pro-Tyr-Arg-Cit-Cys- Arg-NH ₂ , (SEQ ID NO: 02), where Nal=L-3-(2-naphthylalanine), Cit=citruline and the peptide is cyclized with the cysteines) and those CXCR4 antagonists described in U.S. Pub. No. 20100184694 and U.S. Pub. No. 20100222256, the contents of which are hereby incorporated by reference in their entireties.

0069] KRH-3955, the structure of which is:

(Murakami T., et al, Antimicrobial Agents and Chemotherapy, 53:2940-2948, the contents of which is hereby incorporated by reference in its entirety).

[0070] AMD0 of which is:

[0071] In addition to CXCR4 antagonists, some CXCL12 inhibitors include compounds that reduce the levels of CXCR4 protein or a nucleic acid encoding CXCR4 or CXCL12 protein or a nucleic acid encoding CXC112. Examples of methods for reducing the levels of CXCR4 protein or a nucleic acid encoding CXCR4 or CXCL12 protein or a nucleic acid encoding CXC112 include RNA interference or antisense technologies. [0072] In some embodiments, the levels of CXCR4 protein or a nucleic acid encoding CXCR4 or CXCL12 protein or a nucleic acid encoding CXC112 can be reduced using RNA interference or antisense technologies. RNA interference is an efficient process whereby double-stranded RNA (dsRNA), also referred to herein as siRNAs (small interfering RNAs) or ds siRNAs (double-stranded small interfering RNAs), induces the sequence- specific degradation of targeted mRNA in animal or plant cells (Hutvagner, G. et al. (2002) Curr. Opin. Genet. Dev. 12:225-232); Sharp, P. A. (2001) Genes Dev. 15:485-490, incorporated by reference herein in its entirety).

[0073] In mammalian cells, RNA interference can be triggered by various molecules, including 21-nucleotide duplexes of siRNA (Chiu, Y.-L. et al. (2002) Mol. Cell. 10:549-561. Clackson, T. et al. (1991) Nature 352:624-628.; Elbashir, S. M. et al. (2001) Nature 411:494-498), or by micro-RNAs (miRNA), functional small-hairpin RNA (shRNA), or other dsRNAs which can be expressed in vivo using DNA templates with RNA polymerase ΠΙ promoters (Zheng, B. J. (2004) Antivir. Ther. 9:365-374; Paddison, P. J. et al. (2002) Genes Dev. 16:948-958; Lee, N. S. et al. (2002) Nature Biotechnol. 20:500-505; Paul, C. P. et al. (2002) Nature Biotechnol. 20:505-508; Tuschl, T. (2002) Nature Biotechnol. 20:446-448; Yu, J.-Y. et al. (2002) Proc. Natl. Acad. Sci. USA 99(9):6047-6052; McManus, M. T. et al. (2002) RNA 8:842-850; Sui, G. et al. (2002) Proc. Natl. Acad. Sci. USA 99(6):5515-5520, each of which are incorporated herein by reference in their entirety). The scientific literature is replete with reports of endogenous and exogenous gene expression silencing using siRNA, highlighting their therapeutic potential (Gupta, S. et al. (2004) PNAS 101:1927-1932; Takaku, H. (2004) Antivir Chem. Chemother 15:57-65; Pardridge, W. M. (2004) Expert Opin. Biol. Ther. 4(7):1103-1113; Shen, W.-G. (2004) Chin. Med. J. (Engl) 117:1084-1091; Fuchs, U. et al. (2004) Curr. Mol. Med. 4:507-517; Wadhwa, R. et al. (2004) Mutat. Res. 567:71-84; Ichim, T. E. et al. (2004) Am. J. Transplant 4:1227-1236; Jana, S. et al. (2004) Appl. Microbiol. Biotechnol. 65:649-657; Ryther, R. C. C. et al. (2005) Gene Ther. 12:5-11; Chae, S-S. et al. (2004) J. Clin. Invest 114:1082-1089; de Fougerolles, A. et al. (2005) Methods Enzymol. 392:278- 296, each of which is incorporated herein by reference in its entirety). Some nucleic acid molecules or constructs provided herein include dsRNA molecules comprising 16-30, for example, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, or 30 nucleotides in each strand, wherein one of the strands is substantially identical, for example, at least 80% (or more, for example, 85%, 90%, 95%, or 100%) identical, for example, having 3, 2, 1, or 0 mismatched nucleotide(s), to a target region, such as in the mRNA of CXCR4 or CXCL12, and the other strand is identical or substantially identical to the first strand. An example method for designing dsRNA molecules is provided in the pSUPER RNAi SYSTEM™ (OligoEngine, Seattle, WA). More example methods are provided in Taxman D.J. et al. (2006) BMC Biotechnol. 6:7; and Mclntyre G. J. et al. (2006) BMC Biotechnol. 6:1, each of which is incorporated by reference in its entirety.

[0074] Synthetic siRNAs can be delivered to cells by methods known in the art, including cationic liposome transfection and electroporation. siRNAs generally show short term persistence of the silencing effect (4 to 5 days in cultured cells), which may be beneficial in certain embodiments. To obtain longer term suppression of expression for targeted genes, such as CXCR4 or CXCL12, and to facilitate delivery under certain circumstances, one or more siRNA duplexes, for example, ds siRNA, can be expressed within cells from recombinant DNA constructs. Such methods for expressing siRNA duplexes within cells from recombinant DNA constructs to allow longer-term target gene suppression in cells are known in the art, including mammalian Pol ΙΠ promoter systems (for example, HI or U6/snRNA promoter systems (Tuschl, T. (2002) Nature Biotechnol. 20:446-448) capable of expressing functional double-stranded siRNAs; (Lee, N. S. et al. (2002) Nature Biotechnol. 20:500-505; Miyagishi, M. and Taira, K. (2002) Nature Biotechnol. 20:497-500; Paul, C. P. et al. (2002) Nature Biotechnol. 20:505-508; Yu, J.- Y. et al. (2002) Proc. Natl. Acad. Sci. USA 99(9):6047-6052; Sui, G. et al. (2002) Proc. Natl. Acad. Sci. USA 99(6):5515-5520).

[0075] Nucleic acids provided herein can include microRNA which can regulate gene expression at the post transcriptional or translational level. One common feature of miRNAs is that they are all excised from an approximately 70 nucleotide precursor RNA stem-loop, probably by Dicer, an RNase ΠΙ-type enzyme, or a homolog thereof. By substituting the stem sequences of the miRNA precursor with miRNA sequence complementary to the target mRNA, a vector construct that expresses the novel miRNA can be used to produce siRNAs to initiate RNAi against specific mRNA targets in mammalian cells (Zheng, B. J. (2004) Antivir. Ther. 9:365-374). When expressed by DNA vectors containing polymerase ΠΙ promoters, microRNA designed hairpins can silence gene expression, such as OPN expression.

[0076] Viral-mediated delivery mechanisms can also be used to induce specific silencing of targeted genes through expression of siRNA, for example, by generating recombinant adenoviruses harboring siRNA under RNA Pol Π promoter transcription control (Xia et al. (2002) Nature Biotechnol. 20(10): 1006-10). In vitro infection of cells by such recombinant adenoviruses allows for diminished endogenous target gene expression. Injection of recombinant adenovirus vectors into transgenic mice expressing the target genes of the siRNA results in in vivo reduction of target gene expression. In an animal model, whole-embryo electroporation can efficiently deliver synthetic siRNA into post-implantation mouse embryos (Calegari, F. et al. (2002) Proc. Natl. Acad. Sci. USA 99(22): 14236-40). In adult mice, efficient delivery of siRNA can be accomplished by the "high-pressure" delivery technique, a rapid injection (within 5 seconds) of a large volume of siRNA containing solution into animal via the tail vein (Lewis, D. L. (2002) Nature Genetics 32:107-108). Nanoparticles, liposomes and other cationic lipid molecules can also be used to deliver siRNA into animals. A gel-based agarose/liposome/siRNA formulation is also available (Jiamg, M. et al. (2004) Oligonucleotides 14(4):239-48).

[0077] Nucleic acids provided herein can include an antisense nucleic acid sequence selected such that it is complementary to the entirety of CXCR4 or CXCL12, a microRNA, or to a portion of CXCR4 or CXCL12 or a microRNA. In some embodiments, a portion can refer to at least about 1%, at least about 5%, at least about 10%, at least about 15%, at least about 20%, at least about 25%, at least about 30%, at least about 35%, at least about 40%, at least about 45%, at least about 50%, at least about 55%, at least about 60%, at least about 65%, at least about 70%, at least about 75%, and at least about 80%, at least about 85%, at least about 90%, at least about 95%. In some embodiments, a portion can refer up to 100%. Examples of human CXCR4 and CXCL12 nucleic acid sequences useful with the methods provide herein are provided in Table 1 and also for CXCL12 in SEQ ID NOs:08-10, and for CXCR4 in SEQ ID NO.:l l.

TABLE 1

Human CXCR4 mRNA transcript variant 1; Accession No. NM_001008540

(SEQ ID NO: 03)

1 ttttttttct tccctctagt gggcggggca gaggagttag ccaagatgtg actttgaaac

61 cctcagcgtc tcagtgccct tttgttctaa acaaagaatt ttgtaattgg ttctaccaaa

121 gaaggatata atgaagtcac tatgggaaaa gatggggagg agagttgtag gattctacat

181 taattctctt gtgcccttag cccactactt cagaatttcc tgaagaaagc

aagcctgaat 241 tggtttttta aattgcttta aaaatttttt ttaactgggt taatgcttgc tgaattggaa

301 gtgaatgtcc attcctttgc ctcttttgca gatatacact tcagataact acaccgagga

361 aatgggctca ggggactatg actccatgaa ggaaccctgt ttccgtgaag aaaatgctaa

421 tttcaataaa atcttcctgc ccaccatcta ctccatcatc ttcttaactg gcattgtggg

481 caatggattg gtcatcctgg tcatgggtta ccagaagaaa ctgagaagca tgacggacaa

541 gtacaggctg cacctgtcag tggccgacct cctctttgtc atcacgcttc ccttctgggc

601 agttgatgcc gtggcaaact ggtactttgg gaacttccta tgcaaggcag tccatgtcat

661 ctacacagtc aacctctaca gcagtgtcct catcctggcc ttcatcagtc tggaccgcta

721 cctggccatc gtccacgcca ccaacagtca gaggccaagg aagctgttgg ctgaaaaggt

781 ggtctatgtt ggcgtctgga tccctgccct cctgctgact attcccgact tcatctttgc

841 caacgtcagt gaggcagatg acagatatat ctgtgaccgc ttctacccca atgacttgtg

901 ggtggttgtg ttccagtttc agcacatcat ggttggcctt atcctgcctg gtattgtcat

961 cctgtcctgc tattgcatta tcatctccaa gctgtcacac tccaagggcc accagaagcg

1021 caaggccctc aagaccacag tcatcctcat cctggctttc ttcgcctgtt ggctgcctta

1081 ctacattggg atcagcatcg actccttcat cctcctggaa atcatcaagc aagggtgtga

1141 gtttgagaac actgtgcaca agtggatttc catcaccgag gccctagctt tcttccactg

1201 ttgtctgaac cccatcctct atgctttcct tggagccaaa tttaaaacct ctgcccagca

1261 cgcactcacc tctgtgagca gagggtccag cctcaagatc ctctccaaag gaaagcgagg

1321 tggacattca tctgtttcca ctgagtctga gtcttcaagt tttcactcca gctaacacag

1381 atgtaaaaga ctttttttta tacgataaat aacttttttt taagttacac atttttcaga

1441 tataaaagac tgaccaatat tgtacagttt ttattgcttg ttggattttt gtcttgtgtt

1501 tctttagttt ttgtgaagtt taattgactt atttatataa attttttttg tttcatattg

1561 atgtgtgtct aggcaggacc tgtggccaag ttcttagttg ctgtatgtct cgtggtagga

1621 ctgtagaaaa gggaactgaa cattccagag cgtgtagtga atcacgtaaa gctagaaatg

1681 atccccagct gtttatgcat agataatctc tccattcccg tggaacgttt ttcctgttct

1741 taagacgtga ttttgctgta gaagatggca cttataacca aagcccaaag tggtatagaa

1801 atgctggttt ttcagttttc aggagtgggt tgatttcagc acctacagtg tacagtcttg

1861 tattaagttg ttaataaaag tacatgttaa acttaaaaaa aaaaaaaaaa aa

Human CXCL12 mRNA transcript variant 1; Accession No. NM_199168

(SEQ ID NO: 04)

1 gccgcacttt cactctccgt cagccgcatt gcccgctcgg cgtccggccc ccgacccgcg

61 ctcgtccgcc cgcccgcccg cccgcccgcg ccatgaacgc caaggtcgtg gtcgtgctgg

121 tcctcgtgct gaccgcgctc tgcctcagcg acgggaagcc cgtcagcctg agctacagat

181 gcccatgccg attcttcgaa agccatgttg ccagagccaa cgtcaagcat ctcaaaattc

241 tcaacactcc aaactgtgcc cttcagattg tagcccggct gaagaacaac aacagacaag

301 tgtgcattga cccgaagcta aagtggattc aggagtacct ggagaaagct ttaaacaagt

361 aagcacaaca gccaaaaagg actttccgct agacccactc gaggaaaact aaaaccttgt

421 gagagatgaa agggcaaaga cgtgggggag ggggccttaa ccatgaggac caggtgtgtg

481 tgtggggtgg gcacattgat ctgggatcgg gcctgaggtt tgccagcatt tagaccctgc

541 atttatagca tacggtatga tattgcagct tatattcatc catgccctgt acctgtgcac

601 gttggaactt ttattactgg ggtttttcta agaaagaaat tgtattatca acagcatttt

661 caagcagtta gttccttcat gatcatcaca atcatcatca ttctcattct cattttttaa

721 atcaacgagt acttcaagat ctgaatttgg cttgtttgga gcatctcctc tgctcccctg

781 gggagtctgg gcacagtcag gtggtggctt aacagggagc tggaaaaagt gtcctttctt

841 cagacactga ggctcccgca gcagcgcccc tcccaagagg aaggcctctg tggcactcag

901 ataccgactg gggctgggcg ccgccactgc cttcacctcc tctttcaacc tcagtgattg

961 gctctgtggg ctccatgtag aagccactat tactgggact gtgctcagag acccctctcc

1021 cagctattcc tactctctcc ccgactccga gagcatgctt aatcttgctt ctgcttctca

1081 tttctgtagc ctgatcagcg ccgcaccagc cgggaagagg gtgattgctg gggctcgtgc

1141 cctgcatccc tctcctccca gggcctgccc cacagctcgg gccctctgtg agatccgtct

1201 ttggcctcct ccagaatgga gctggccctc tcctggggat gtgtaatggt ccccctgctt

1261 acccgcaaaa gacaagtctt tacagaatca aatgcaattt taaatctgag agctcgcttt

1321 gagtgactgg gttttgtgat tgcctctgaa gcctatgtat gccatggagg cactaacaaa

1381 ctctgaggtt tccgaaatca gaagcgaaaa aatcagtgaa taaaccatca tcttgccact

1441 accccctcct gaagccacag cagggtttca ggttccaatc agaactgttg gcaaggtgac

1501 atttccatgc ataaatgcga tccacagaag gtcctggtgg tatttgtaac tttttgcaag

1561 gcattttttt atatatattt ttgtgcacat ttttttttac gtttctttag aaaacaaatg

1621 tatttcaaaa tatatttata gtcgaacaat tcatatattt gaagtggagc catatgaatg

1681 tcagtagttt atacttctct attatctcaa actactggca atttgtaaag aaatatatat

1741 gatatataaa tgtgattgca gcttttcaat gttagccaca gtgtattttt tcacttgtac

1801 taaaattgta tcaaatgtga cattatatgc actagcaata aaatgctaat tgtttcatgg

1861 tataaacgtc ctactgtatg tgggaattta tttacctgaa ataaaattca ttagttgtta

1921 gtgatggagc ttaaaaaaaa Identifying therapeutic compounds

[0078] Some embodiments provided herein relate to methods for identifying therapeutic compounds. Some such embodiments for identifying therapeutic compounds which may be used to treat tumors, such as pancreatic tumors, can include contacting a target cell with a test compound and a CXCR4 agonist. Examples of CXCR4 agonists include CXCL12, SDF-Ια (Sigma-Aldrich, St. Louis, Mo, USA), CTCE-0214 (peptide agonist of CXCR4; amino acid sequence: KPVSLSYRAPFRFF-Linker- LKWIQEYLEKALN (SEQ ID NO:05); Chemokine Therapeutics Corp., Vancouver, Canada), CTCE-0021, and ATI-2341 (Faber, A., et al, J Biomed Biotechnol. 2007; 2007: 26065; Tudan, C, et al, J Med Chem. 2002 May 9;45(10):2024-31; Pelus, LM., et al, Exp Hematol. 2005 Mar;33(3):295-307; Tchernychev, B. et al, Proc Natl Acad Sci U S A. 2010 Dec 21;107(51):22255-9). The target cell can be contacted with the test compound and CXCR4 agonist simultaneously, at overlapping periods of time, or at different periods of time. In some embodiments, a target cell is contacted with the CXCR4 agonist prior to contacting the target cell with the test compound. In some embodiments, a target cell is contacted with the CXCR4 agonist during contacting the target cell with the test compound. In some embodiments, a target cell is contacted with the CXCR4 agonist prior to and during contacting the target cell with the test compound. Some embodiments also include determining whether the test compound significantly changes the level of expression or activity of a protein or a nucleic acid encoding a protein in the target cell. In some embodiments, the protein or nucleic acid encoding a protein is a protein or a nucleic acid encoding a protein whose level is changed by activation of CXCR4 by the CXCR4 agonist. In other words, the level or activity of the protein or nucleic acid encoding a protein is increased or decreased on contacting a cell with the CXCR4 agonist compared to the level or activity of the protein or nucleic acid encoding a protein in a cell not contacted with the CXCR4 agonist. In some embodiments, the level or activity of the protein or nucleic acid encoding the protein is increased or decreased by at least about 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 55%, 60%, 65%, 70%, 85%, 90%, 95%, 100%, or more. Examples of proteins and nucleic acids encoding proteins whose levels are changed by activation of CXCR4 include FAK, Akt, ERK, β- catenin, NF-κΒ, Bcl-2, Bcl-xL, Notchl, phosphorylated BAD, and SHH.

[0079] Some embodiments also include comparing the level or activity of the protein or a nucleic acid encoding a protein in a target cell contacted with a CXCR4 agonist and the test compound, to the level or activity of the protein or a nucleic acid encoding the protein in a target cell contacted with the CXCR4 agonist and not contacted with the test compound. Some embodiments also include determining whether the test compound decreases or increases the level or activity of the protein or a nucleic acid encoding a protein in the target cell. A decrease or increase in the level of expression or activity of a protein or level of a nucleic acid encoding a protein can be indicative that the test compound is a therapeutic compound. For example, a test compound that decreases the level of expression or activity of a protein or level of a nucleic acid encoding a protein whose level or activity is increased by activation of CXCR4 can be indicative of a therapeutic compound. Conversely, a test compound that increases the level of expression or activity of a protein or level of a nucleic acid encoding a protein whose level or activity is decreased by activation of CXCR4 can be indicative of a therapeutic compound. For example, compounds which change the level or activity of a protein or nucleic acid activated by activation of the CXCL12/CXCR4 pathway may be useful in decreasing resistance to chemotherapeutic drugs.

[0080] In an example embodiment, a target cell is contacted with a test compound and a CXCR4 agonist; the level of expression or activity of a protein or level of a nucleic acid encoding a protein whose level is increased by activation of CXCR4 is measured and compared to the level or activity of the protein or nucleic acid encoding the protein in a target cell contacted with the CXCR4 agonist and not contacted with the test compound. Any change in the level or activity of the protein or nucleic acid encoding the protein in a target cell is determined. A decrease in the level of expression or activity of a protein or level of a nucleic acid encoding a protein in the target cell contacted with a test compound and a CXCR4 agonist compared to a target cell contacted with the CXCR4 agonist and not contacted with the test compound is indicative that the test compound may be a therapeutic compound.

[0081] In an example embodiment, a target cell is contacted with a test compound and a CXCR4 agonist; the level of expression or activity of a protein or level of a nucleic acid encoding a protein whose level is decreased by activation of CXCR4 is measured and compared to the level or activity of the protein or nucleic acid encoding the protein in a target cell contacted with the CXCR4 agonist and not contacted with the test compound. Any change in the level or activity of the protein or nucleic acid encoding the protein in a target cell is determined. An increase in the level of expression or activity of a protein or level of a nucleic acid encoding a protein in the target cell contacted with a test compound and a CXCR4 agonist compared to a target cell contacted with the CXCR4 agonist and not contacted with the test compound is indicative that the test compound may be a therapeutic compound.

[0082] In some embodiments the target cell comprises a mammalian cell, such as a human cell. In some embodiments, the target cell comprises a pancreatic cell. In some embodiments the target cell comprises a tumor cell. In some embodiments, the target cell comprises a pancreatic tumor cell. In some embodiments, the target cell comprises a cell selected from a pancreatic tumor cell line, such as CFPAC-1, AsPc-1, SW1990, Colo-357, MiaPaCa, Panel, Panc02.37, Pancl0.05, BxPC3, Panc02.03, HPAF- Π, and CaPan-1.

[0083] Examples of test compounds and potential therapeutic compounds include small molecules (including but not limited to organic chemical compounds which have been obtained from natural sources or synthesized), nucleic acids (including but not limited to antisense nucleic acids, ribozymes, or siRNAs), peptides and proteins.

[0084] Methods to measure the levels or activities of a protein or a nucleic acid in a target cell are well known in the art. Examples of methods to measure the levels and activities of proteins include Western analysis, various biological assays, ELISAs and the like. For example, measurement of protein levels may utilize binding agents. There are a variety of assay formats known to those of ordinary skill in the art for using a binding agent to detect protein markers in a sample. See, for example, Harlow and Lane, Antibodies: A Laboratory Manual, Cold Spring Harbor Laboratory, 1988. In a preferred embodiment, an assay involves the use of binding agent immobilized on a solid support to bind to the polypeptide in the sample. The bound polypeptide may then be detected using a detection reagent that contains a reporter group and specifically binds to the binding agent/polypeptide complex. Such detection reagents may comprise, for example, a binding agent that specifically binds to the polypeptide or an antibody or other agent that specifically binds to the binding agent, such as an anti-immunoglobulin, protein G, protein A or a lectin. In such embodiments, the binding agent can comprise an antibody or fragment thereof specific to a particular protein. In some embodiments, the assay is a two-antibody sandwich assay. This assay may be performed by first contacting an antibody that has been immobilized on a solid support, commonly the well of a microtiter plate, with the sample, such that polypeptides within the sample are allowed to bind to the immobilized antibody. Unbound sample is then removed from the immobilized polypeptide- antibody complexes and a detection reagent (preferably a second antibody capable of binding to a different site on the polypeptide) containing a reporter group is added. The amount of detection reagent that remains bound to the solid support is then determined using a method appropriate for the specific reporter group.

[0085] Examples of methods to measure the level of a nucleic acid are well known and include Southern analysis, Northern analysis, Q-RT-PCR (quantative realtime PCR), and the like. For example, techniques for both PCR based assays and hybridization assays are well known in the art (see, for example, Mullis et al, Cold Spring Harbor Symp. Quant. Biol., 51:263, 1987; Erlich ed., PCR Technology, Stockton Press, NY, 1989). Methods of real-time quantitative PCR or RT-PCR using TaqMan probes are well known in the art and are described in for example, Heid et al 1996, Real time quantitative PCR, Genome Res., 10:986-994; and Gibson et al, 1996, A novel method for real time quantitative RT-PCR, Genome Res. 10:995-1001.

Kits

[0086] Some embodiments provided herein relate to kits for identifying a therapeutic agent. Some such embodiments include a CXCL12 inhibitor; and an isolated tumor cell.

[0087] In some embodiments, the CXCL12 inhibitor comprises a CXCR4 antagonist. In some embodiments, the CXCR4 antagonist is selected from the group consisting of Plerixafor (AMD3100), BKT140, TN14003, CTCE-9908, KRH-2731, TC14012, KRH-3955, and AMD070. In some embodiments, the CXCR4 antagonist comprises Plerixafor (AMD3100).

[0088] In some embodiments, the cell comprises a pancreatic cell. In some embodiments, the cell is selected from the group consisting of CFPAC-1, AsPc-1, SW1990, Colo-357, MiaPaCa, Panel, Panc02.37, Pancl0.05, BxPC3, Panc02.03, HPAF- Π, and CaPan-1.

[0089] In some embodiments, the cell comprises a mammalian cell. In some embodiments, the cell comprises a human cell. EXAMPLES

Example 1— CXCL12/CXCR4 signaling in pancreatic cells

Cell lines and culture conditions

[0090] Human pancreatic cancer cell lines (Colo357, SW1990, AsPcl, BxPc3, CaPanl, HPAF Π, CFPACI, Panel, MiaPaCa2, Pancl0.05, Panc03.27, Panc02.03) were purchased from the American Type Culture Collection (Manassas, VA). The cell lines were maintained in culture as adherent monolayer in RPMI-1640 or Dulbecco's Modified Eagle Medium (DMEM) (Thermo Scientific, Logan, UT) supplemented with 10% fetal bovine serum (FBS) (Atlanta Biologicals, Lawrenceville, GA) and 100 μΜ each of penicillin and streptomycin (Invitrogen, Carlsbad, Ca). Cells were grown at 37 °C with 5% CO2 in a humidified atmosphere.

Reagents and Antibodies

[0091] Superscript™ Π Reverse Transcriptase and Vybrant MTT cell proliferation assay kits were from Invitrogen. Recombinant human CXCL12 and CXCL12 ELISA kit was purchased from R&D Systems (Minneapolis, MN). AMD3100 octahydrochloride and anti-P-actin mouse monoclonal antibody were purchased from Sigma- Aldrich (St. Louis MO). Gemcitabine was provided by USAMCI pharmacy. Phosphatase and protease inhibitors and FuGENE transfection reagent were from Roche Diagnostics (Mannheim, Germany). Antibody against CXCR4 (rabbit polyclonal) was from Abeam (Cambridge, MA). Anti-Akt, -pAkt and -pFAK (rabbit monoclonal) antibodies were from Epitomics (Burlingame, CA). Antibodies for ERK1/2 (rabbit monoclonal), pERKHZ (mouse monoclonal), Bcl-2 (rabbit polyclonal), BAD (rabbit monoclonal), pBAD (rabbit polyclonal), Bcl-xL (rabbit monoclonal), FAK (rabbit polyclonal), and Survivin (rabbit monoclonal) were from Cell Signaling Technologies (Beverly, MA). The Notch 1 (goat polyclonal) and secondary horseradish peroxidase- conjugated anti-rabbit, anti-mouse and antigoat antibodies were purchased from Santa Cruz Biotechnology (Santa Cruz, CA). DNAzol reagent was from Molecular Research (Cincinnati, OH). CaspACE FrfC-VAD-FMK and Dual Lucif erase Assay System kit were from Promega (Madison, WI). ECL Plus Western Blotting detection kit was from Thermo Scientific (Logan, UT). LY294002 and PD98059 (P13K and MEK1 inhibitors, respectively) were purchased from Cell Signaling Technology. TOPflash or FOPflash reporter plasmids were kindly provided by Dr. R. Samant, USAMCI, and pGL4.32[/ac2P/NF-KB-RE/Hygro] reporter plasmid was purchased from Promega. Western blot analysis

[0092] Cells were processed for protein extraction and western blotting using standard procedures. Briefly, cells were washed twice with PBS and scraped into NP-40 lysis buffer containing protease and phosphotase inhibitors. Cell lysates were passed through a needle syringe to facilitate the disruption of the cell membranes and were centrifuged at 14,000 rpm for 20 min at 4°C, and supernatants were collected. Proteins (10-50 μg) were resolved by electrophoresis on 10% SDS-PAGE, transferred onto polyvinylidene difluoride (PVDF) membrane and subjected to standard immunodetection procedure using specific antibodies: AKT, pAKT ERK1/2, pERKl/2, Bcl-2, Bcl-xL, FAk, pFAk, Survivin, β-catenin and BAD (1:1000), pBAD (1:500), Notch-1 (1:200) and β-actin (1:20000). All secondary antibodies were used at 1:2500 dilutions. Blots were processed with ECL Plus Western Blotting detection kit and the signal detected using an LAS-3000 image analyzer (Fuji Photo Film Co., Tokyo, Japan).

Enzyme-linked immunosorbent assay (ELISA)

[0093] Cells (lxlO ⁶ ) were seeded in six- well plate containing growth medium supplemented with FBS and cultured overnight. After 24 h, growth media was removed, and cells conditioned in serum free medium for next 72 hours. The culture media were then collected, centrifuged at 1500 rpm for 5 min to remove particles, and supernatants frozen at -80°C until use. CXCL12 was measured using an ELISA kit according to the manufacturer's instructions.

LEF/TCF and NF-κΒ transcriptional activity assays

[0094] To measure the LEF/TCF and NF-κΒ transcriptional activity, pancreatic cancer cells (1 x 10 ⁵ ) were seeded in 12- well plates. After 24 h incubation, cells were transiently transfected with the luciferase promoter-reporter constructs (TOP flash, FOPflash or pGL4.32[/ac2P/NF-kB-RE/Hygro D. TOPflash reporter plasmid contains three copies of the Tcf/Lef sites upstream of a thymidine kinase (TK) promoter and the Firefly luciferase gene, while in FOPflash, Tcf/Lef sites are mutated and therefore it serves as a control for measuring nonspecific activation of the reporter. Cells were also co-transfected with a reporter plasmid, containing Renilla reniformis luciferase gene downstream of the TK promoter, to control for the transfection efficiency. All transfections were performed using FuGene as a transfection reagent according to the manufacturers' recommendations. Cells were treated with CXCL12 (100 ng) 24 h post TOPflash/FOPflash or pGLA.32[ ac2P/NF-kB-RE/Hygro] transfection, and after the next 24 h, total protein was isolated in passive lysis buffer. Luciferase activity was measured using the Dual Luciferase Assay System. All experiments were done in triplicate and relative luciferase activity reported as the fold induction after normalization for transfection efficiency.

Cell viability assay

[0095] Panel and MiaPaCa cells were seeded in 96- wells plate at a density of 5000 cells/well, followed by next day treatment with increasing concentration of gemcitabine (0-10 μΜ) in presence or absence of CXCL12 (100 ng/mL). After 72 h of treatment, cell growth was determined by using Vybrant ΜΓΓ cell proliferation assay. Growth was calculated as percent (%) = [{(A / B) - 1 } x 100], where A and B are the absorbance of treatment and control cells, respectively. To examine the effect of CXCR4 targeting, cells were pre-incubated with small molecule CXCR4 antagonist, AMD3100 (5 μg/mL), for 1 h. To delineate the role of Akt and ERK pathways, cells were pretreated for 1 h with LY294002 (20 μΜ) and PD98059 (25 μΜ), respectively.

DNA fragmentation assay

[0096] Panel and MiaPaca cells were cultured in 10% DMEM with and without gemcitabine (5 and 10 μΜ) and CXCL12 (100 ng/mL) for 48 h. Cells were washed twice with phosphate buffer saline (PBS) and DNA was extracted using DNAzol reagent. 2 μg of isolated DNA was resolved on 1.0% agarose gel containing ethidium- bromide (EtBr) and observed under a LAS-3000 image analyzer (Fuji Photo Film Co.).

Measurement of apoptosis in situ

[0097] Panel and MiaPaCa cells were cultured on chamber slides and treated with gemcitabine and/or CXCL12 as described previously. Apoptosis was detected by staining the cells with CaspACE FrfC-VAD-FMK solution in PBS for 2 h at 37°C. CaspACE™ FITC-VAD-FMK In Situ Marker is a fluorescent analog of the pan-caspase inhibitor Z-VAD-FMK (carbobenzoxy-valyl-alanylaspartyl-[0-methyl]- fluoromethylketone), which irreversibly binds to activated caspases and is a surrogate for caspase activity in situ. Following staining with CaspACE FITC-V AD-FMK, cells were fixed with 4% paraformaldehydede at room temperature and washed with PBS. The bound fluorescent marker was detected under a Nikon Eclipse TE2000-U fluorescent microscope (Nikon Instruments Inc, Melville, NY). Statistical analysis

[0098] Each experiment was performed at least three times and all the values were expressed as mean + SD. The differences between the groups were compared using student's t-tests. A p value of equal or less than 0.05 was considered statistically significant.

Results

Expression of CXCR4 and CXCL12 in pancreatic cancer cells and their growth responsiveness to CXCL12 stimulation

[0099] CXCR4 is overexpressed in pancreatic tumor tissues and premalignant lesions (Marechal et ah, 2009; Thomas et ah, 2008). In addition, CXCR4 is also expressed by the pancreatic cancer stem cells (Hermann et ah, 2007). The expression of CXCR4 and its ligand CXCL12 by immunoblot and enzyme-linked immunosorbant assay were examined, respectively, in a panel of twelve pancreatic cancer cell lines. The data showed that all pancreatic cancer cell lines examined express CXCR4 and low levels of CXCL12 (13-230 pg/mL/10 ⁶ cells) (FIG. 1A and FIG. IB). Growth responsiveness of pancreatic cancer cells to CXCL12 stimulation in two poorly differentiated pancreatic cancer cell lines, MiaPaCa and Panel was also tested. The cells were treated with CXCL12 in serum-free and serum containing culture media. In absence of serum growth factors, CXCL12 stimulation led to the 29- 33% induction of growth in pancreatic cancer cells, while a moderate increase (11-13%) were observed in presence of serum growth factors (FIG. 1C). These findings suggest that CXCL12- CXCR4 signaling is active in pancreatic cancer cells and can impact tumor cell growth.

CXCR4 activation rescues pancreatic cancer cells from Gemcitabine-induced cytotoxicity

[0100] Although the data indicated minimal expression of CXCL12 by pancreatic cancer cells (FIG. IB), it is reported to be expressed at high levels by stromal cells and at sites of pancreatic cancer metastasis (Matsuo et ah, 2009; Saur et ah, 2005; Mori et ah, 2004). Therefore, CXCL12-CXCR4 signaling might act in paracrine manner to influence pancreatic tumor growth and other malignant properties. In view of the fact that pancreatic cancer cells are highly resistant to chemotherapy, and gemcitabine is only minimally effective against this malignancy, the role of CXCL12-CXCR4 signaling axis in pancreatic cancer cherno-resistance was investigated. Pancreatic cancer cells (Panel and MiaPaCa) were treated with various doses of gemcitabine (0-10 μΜ) in the presence and absence of CXCL12 (100 ng/mL) in serum-containing media. The data shows that CXCL12 treatment induced significant resistance (p<0.05) to gerncitabine-cytotoxicity in both pancreatic cancer cell lines tested (FIG. 2A and FIG. 2B). At 5.0 μΜ gemcitabine, 52.3% and 50.7% cytotoxicity was observed in Panel and MiaPaCa cells, respectively, as compared to untreated cells. In contrast, only 27.1 % and 20.5% gemcitabine cytotoxicity, respectively, was reported in cells co-treated with CXCL12, indicating a significant survival advantage.

[0101] To examine whether CXCL12-induced chemo-resistance was due to its antiapoptotic effects on pancreatic cancer cells, DNA fragmentation and caspase activity was analyzed. The data demonstrate that CXCL12-treated cells have reduced DNA fragmentation (FIG. 3A) and enhanced activity of caspases (FIG. 3B) compared to cells treated with gemcitabine alone. These findings strongly suggest that CXCL12 treatment prevents apoptosis of pancreatic cancer cells by gemcitabine and suggest the implication of CXCL12-elicited survival pathways.

CXCL12 treatment leads to FAK, Akt and ERK activation

[0102] In next set of experiments, the potential survival signaling pathways that might mediate the CXCL12-elicited chemo-resistance were examined. Because G- protein-coupled receptors transducer signals via diverse signaling pathways including activation of focal adhesion kinase (FAK), P13K/Akt and ERK (Rozengurt, 2007), the activation of these signaling molecules in response to CXCL12-treatment was investigated. Pancreatic cancer cells (Panel and MiaPaCa) were briefly treated with CXCL12 (5-30 min) and activation of FAK, Akt and ERK was examined by immuno- probing of total protein with phospho-form specific antibodies. The data revealed significant activation of all the three effector proteins in response to CXCL12 treatment (FIG. 4). Both Akt and ERK have been shown to promote survival by phosphorylating BAD (a proapoptotic member of the Bcl-2 family) and thereby controlling its association with Bcl-xL or Bcl-2 (anti-apoptotic members of the family) (Sheridan et al.., 2008; Scheid and Duronio, 1998; Datta et al, 1997). Therefore, the change in BAD phosphorylation in CXCL12-treated pancreatic cancer cells was examined. The data showed an increased level of phospho-BAD in both Panel and MiaPaCa cell lines treated with CXCL12 (FIG. 4) suggesting that it could be one of the mechanisms by which CXCL12-CXCR4 signaling axis protects the pancreatic cancer cells from apoptosis. Enhanced transcriptional activities of β-catenin and NF-κΒ and induction of survival proteins by CXCL12 treatment of pancreatic cancer cells

[0103] In addition to directly influencing apoptotic signaling via BAD phosphorylation, both Akt and ERK can have indirect impacts on cell survival. The indirect routes involve the activation of β-catenin and NF-κΒ that can elicit the expression of survival proteins. Therefore, the transcriptional activities of β-catenin and NF-KB responsive promoters after CXCL12 treatment in pancreatic cancer cells were examined. Lucif erase reporter assays indicated modest induction of transcriptional activity of β- catenin [2.05 fold (Panel) and 1.92 fold (MiaPaCa)] and NF-κΒ responsive promoter [2.98 fold (Panel) and 2.26 fold (MiaPaCa)] in CXCL12-treated cells (FIG. 5A). As activation of β-catenin and NF-κΒ may culminate in the induction of important survival genes, the expression of target pro-survival and anti-apoptotic proteins were examined. The data showed that the expression of Bcl-2, Bcl-xL, Notch-1 and survivin proteins was significantly induced in response to CXCL12 treatment of pancreatic cancer cells (FIG. 5B). These results suggest that the upregulation of key survival proteins may be another mechanism by which CXCL12-CXCR4 signaling axis protects the pancreatic cancer cells from gemcitabine induced apoptotic cell death.

Small molecule CXCR4 antagonist, AMD3100, abrogates CXCL12-induced growth and gemcitabine-resistance in pancreatic cancer cells

[0104] Having observed a role of CXCR4 activation in gemcitabine-resistance and potentiation of survival pathways, whether the small molecule CXCR4 antagonist, AMD3100, could diminish CXCL12-induced chemo-resistance in pancreatic cancer cells was investigated. In addition, pharmacological inhibitors of Akt (LY294002) and ERK (PD98059) signaling pathways were utilized, to delineate their role in the CXCL12- induced anti-apoptotic response. Pancreatic cancer cells were treated for 1 h with AMD3100, LY294002, and PD98059 prior to treatment with CXCL12 alone or in combination with gemcitabine. Pre-treatment with AMD3100 abolished the CXCL12- induced cell signaling, growth promotion and chemo-resistance of pancreatic cancer cells (FIG. 6A and FIG. 6B). While both the inhibition of Akt and ERK pathways had a significant negative impact on CXCL12-induced chemoresistance, a more potent effect of blockade of Akt signaling was observed (FIG. 6B). These findings indicate that CXCL12-mediated survival response is signaled through the CXCR4 and mediated via the activation of Akt and ERK signaling pathways. This is particularly important considering the expression of a novel CXCL12 receptor, CXCR7, in pancreatic cancer cells at least at the transcript level (data not shown).

Discussion

[0105] Pancreatic cancer, in most cases, is diagnosed late, when it has already advanced locally or metastasized to distant sites (Singh et al, 2004). Under this scenario, chemotherapy is the only treatment option. However, resistance to chemotherapy is a major clinical problem in pancreatic cancer and gemcitabine, the only FDA approved drug for pancreatic cancer therapy improves the patients' survival by only two weeks (Olive et al, 2009). Therefore, understanding the mechanisms of drug-resistance in pancreatic cancer is a major focus in pancreatic cancer research to facilitate the development of novel therapeutic approaches or improve current therapy. Chemokine signaling has long been implicated in cancer progression and metastasis through autocrine or paracrine mechanisms (Singh et al, 2007). Importantly, in previous studies, a chemokine receptor, CXCR4, was shown to be overexpressed in pancreatic cancer tissues and cancer stem cells (Marechal et al, 2009; Thomas et al, 2008; Hermann et al, 2007) and has been shown to potentiate pancreatic cancer growth and invasion (Marchesi et al, 2004; Mori et al, 2004; Hermann et al, 2007). Another aspect of this signaling node in protecting pancreatic cancer cells from chemotherapeutic drug-induced apoptosis was investigated. All the pancreatic cancer cell lines tested expressed CXCR4, but low levels of CXCL12. Nonetheless, significant protection of pancreatic cancer cells from gemcitabine toxicity was observed upon co-treatment with exogenous CXCL12 indicating a role for CXCL12- CXCR4 signaling axis in pancreatic cancer chemo-resistance. As CXCL12 is abundantly expressed by stromal cells (Matsuo et al, 2009), this could be an exemplary example for the role of tumor microenvironment interaction in modulating the therapeutic response. To gain an insight into the mechanistic basis for the protective effects, the activation of downstream signaling pathways was examined. Consistent with previous reports (Lu et al, 2009; Shen et al, 2010; Glodek et al, 2007), CXCL12 induced the activation of FAK, Akt and ERK. In a recent study, activation of FAK by extracellular matrix (ECM)- integrin signaling was shown to promote the chemoresistance of pancreatic cancer cells (Huanwen et al, 2009). Akt and ERK have also been shown to promote survival signaling (Middleton et al, 2008), and constitutive or induced activation of ERK and Akt pathways has been previously associated with chemo-resistant behavior of pancreatic cancer cells (Zhao et al , 2006; Yokoi and Fidler, 2004). In fact, FAK associated chemo- resistance of pancreatic cancer cells was shown to be mediated, in part, by the activation ofPDKJAkt pathway (Huanwen et al, 2009).

[0106] Both Akt and ERK can transduce survival signals directly or indirectly. In direct course, Akt and ERK have been shown to phosphorylate BAD, a pro-apoptotic member of the Bcl-2 family (Sheridan et al. , 2008; Scheid and Duronio, 1998; Datta et al. , 1997). Phosphorylation prevents BAD from binding either Bcl-2 or Bcl-xL and thus suppresses apoptosis. In the indirect route, induction of survival protein expression occurs via activation of β-catenin and NF-κΒ pathways. Activation of ERK has been shown to promote transactivation of β-catenin by phosphorylating a-catenin (Ji et al. , 2009). Furthermore, Akt can activate β-catenin by inducing direct phosphorylation or by inactivating GSK-3 β (Fang et al, 2007; Monick et al, 2001; Korkaya et al, 2009). In other reports, Akt pathway has been shown to regulate NF-κΒ, and NF-κΒ was shown to be essential for oncogenic transformation by PI3K and Akt (Sizemore et al. , 1999; Romashkova and Makarov, 1999; Ozes et al , 1999; Madrid et al , 2000). Akt-induced activation of NF-κΒ likely occurs via phosphorylation of IKKa, which then targets the IKB inhibitor protein as well as phosphorylates the p65 NF-κΒ subunit (Ozes et al, 1999;Madrid et al, 2000;Bai et al, 2009). Consistent with these findings, enhanced transcriptional activities of β-catenin and NF-κΒ responsive promoters and expression of downstream targets in CXCL12-treated pancreatic cancer cells was observed. Enhanced transcriptional activity of β-catenin and NF-κΒ has been shown to induce epithelial to mesenchymal transition (EMT) and in recent studies, EMT has been associated with drug- resistant nature of pancreatic cancer cells (Li et al , 2009; Wang et al , 2009). In fact, relative drug-resistant nature of pancreatic cancer cells has been correlated with the mesenchymal phenotype (Shah et al, 2007). Other studies have shown that the underlying resistance to apoptosis is, in part, due to constitutive activation of NF-κΒ in pancreatic cancer (Wang et al , 2010; Harikumar et al , 2010). Our results also indicate that the CXCL12-induced gemcitabine resistance in pancreatic cancer cells might, in part, also be due to the activation of NF -KB and induction of downstream survival proteins (Bcl-2, Bcl-xL, survivin, etc.). The use of small-molecule inhibitors represents an attractive targeted therapeutic approach. [0107] AMD3100, a specific antagonist ofCXCR4, was utilized to target CXCR4 activation in response to CXCL12 treatment and demonstrate its efficacy in abolishing the chemo-protective effect of CXCL12-CXCR4 signaling axis. The therapeutic potential of AMD3100 has been studied largely in fighting HIV infection (De, 2003), although there are also some recent reports that highlight its therapeutic use in cancer (Azab el al., 2009; Yasumoto et ah, 2006). In the same line, the data also indicate that AMD3100 might be useful in targeting the CXCL12-CXCR4 signaling axis in pancreatic cancer. Pharmacokinetics and safety of AMD3100 has been studied in human volunteers after intra-venous injection and shown to have minimal side effects (Hendrix et ah, 2000). Therefore, AMD3100 can serve as a novel therapeutics for pancreatic cancer alone or in combination with cytotoxic drug.

[0108] In conclusion, the findings provide additional support for the pathological role of CXCL12-CXCR4 signaling in pancreatic cancer, and demonstrate, for the first time, a role for this axis in drug-resistance. The data shows that the induced chemo-resistance is partly mediated by the activation of Akt and ERK signaling pathways and a small molecule antagonist against CXCR4 can effectively abrogate the survival signals and re-sensitize the pancreatic cancer cells to gemcitabine cytotoxicity. Therefore, future clinical trials in pancreatic cancer might benefit from targeting of this signaling axis alone or in combination with chemotherapy.

Example 2— Time course of CXCL12-induced sonic hedgehog (SHH) expression

[0109] Panel and MiaPaCa cells were treated with CXCL12 and expression of SHH was measured by Q-RT-PCR and Western blot analysis.

[0110] Q-RT-PCR: Pancreatic cancer cells (Panel and MiaPaCa) were treated with CXCL12 for different time point (0, 4, 8, 24, 48 hours) for Q-RT-PCR analysis. To confirm the induced expression of sonic hegedehog (SHH), reverse transcriptase based- PCR (RT-PCR) analysis was performed, using SHH- specific primers. Briefly, cDNA was synthesized from 5 μg total RNA using Superscript™ Π Reverse Transcriptase (Invitrogen) and oligo(dT) primer. Two micro liter of first strand cDNA (1:10 dilution) was amplified using the SHH specific and GAPDH specific primers control. Amplified products were resolved through a 1.5% agarose gel containing ethidium bromide and analyzed using an Alpha Imager gel documentation system (Alphalnnotech, San Leandro, CA). [0111] Immunoblot analyses: NP-40 lysis buffer containing protease and phosphatase inhibitors (Roche Diagnostics. 50 μg protein was resolved by SDS-PAGE (8- 12%). The primary antibodies were: anti-sonic hedgehog (SHH, 1:2000, rabbit monoclonal, Millipore. Secondary antibody (Santa Cruz Biotechnology) was horseradish peroxidase (HRP)-conjugated and was used a 1:2000 dilution. Bound immunocomplexes were detected using ECL Plus chemiluminescent detection reagent (GE Healthcare, Piscataway, NJ).

[0112] Treatment of Panel cells and MiaPaCa cells with CXCL12 induced expression of SHH (FIG. 7).

[0113] The term "comprising" as used herein is synonymous with "including," "containing," or "characterized by," and is inclusive or open-ended and does not exclude additional, unrecited elements or method steps.

[0114] All numbers expressing quantities of ingredients, reaction conditions, and so forth used in the specification are to be understood as being modified in all instances by the term "about." Accordingly, unless indicated to the contrary, the numerical parameters set forth herein are approximations that may vary depending upon the desired properties sought to be obtained. At the very least, and not as an attempt to limit the application of the doctrine of equivalents to the scope of any claims in any application claiming priority to the present application, each numerical parameter should be construed in light of the number of significant digits and ordinary rounding approaches.

[0115] The above description discloses several methods and materials of the present invention. This invention is susceptible to modifications in the methods and materials, as well as alterations in the fabrication methods and equipment. Such modifications will become apparent to those skilled in the art from a consideration of this disclosure or practice of the invention disclosed herein. Consequently, it is not intended that this invention be limited to the specific embodiments disclosed herein, but that it cover all modifications and alternatives coming within the true scope and spirit of the invention. Each of the following references is incorporated herein by reference in its entirety: References

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[0116] All references cited herein, including but not limited to published and unpublished applications, patents, and literature references, are incorporated herein by reference in their entirety and are hereby made a part of this specification. To the extent publications and patents or patent applications incorporated by reference contradict the disclosure contained in the specification, the specification is intended to supersede and/or take precedence over any such contradictory material.