Research Paper Volume 13, Issue 3 pp 3386—3404

Tumor-associated macrophages promote pancreatic ductal adenocarcinoma progression by inducing epithelial-to-mesenchymal transition


Figure 6. Schematic representation of the mechanistic role of TAMs in PDAC progression. In the tumor microenvironment, TAMs secrete TGF-β, which binds to the TGF-β receptors on the surface of PDAC cells and activates the TGF-β signaling pathway. This includes translocation of phosphorylated Smad2/3 (transcription factor) into the nucleus from the cytoplasm. The phospho-Smad2/3/4 complex upregulates Snail, a key transcriptional factor required for the expression of EMT-related genes. Subsequently, EMT promotes metastasis of PDAC cells.