RT Journal Article SR Electronic T1 Macrophages-induced IL-18–mediated eosinophilia promotes characteristics of pancreatic malignancy JF Life Science Alliance JO Life Sci. Alliance FD Life Science Alliance LLC SP e202000979 DO 10.26508/lsa.202000979 VO 4 IS 8 A1 Hemanth Kumar Kandikattu A1 Murli Manohar A1 Alok Kumar Verma A1 Sandeep Kumar A1 Chandra Sekhar Yadavalli A1 Sathisha Upparahalli Venkateshaiah A1 Anil Mishra YR 2021 UL https://www.life-science-alliance.org/content/4/8/e202000979.abstract AB Reports indicate that accumulated macrophages in the pancreas are responsible for promoting the pathogenesis of chronic pancreatitis (CP). Recently, macrophage-secreted cytokines have been implicated in promoting pancreatic acinar-to-ductal metaplasia (ADM). This study aims to establish the role of accumulated macrophage-activated NLRP3-IL-18-eosinophil mechanistic pathway in promoting several characteristics of pancreatic malignancy in CP. We report that in a murine model of pancreatic cancer (PC), accumulated macrophages are the source of NLRP3-regulated IL-18, which promotes eosinophilic inflammation-mediated accumulation to periductal mucin and collagen, including the formation of ADM, pancreatic intraepithelial neoplasia (PanINs), and intraductal papillary mucinous neoplasm. Most importantly, we show improved malignant characteristics with reduced levels of oncogenes in an anti–IL-18 neutralized and IL-18 gene deficient murine model of CP. Last, human biopsies validated that NLRP3-IL-18–induced eosinophils accumulate near the ducts, showing PanINs formation in PC. Taken together, we present the evidence on the role of IL-18–induced eosinophilia in the development of PC phenotype like ADM, PanINs, and ductal cell differentiation in inflammation-induced CP.