RT Journal Article SR Electronic T1 The Complement C3a–C3a Receptor Axis Regulates Epithelial-to-Mesenchymal Transition by Activating the ERK Pathway in Pancreatic Ductal Adenocarcinoma JF Anticancer Research JO Anticancer Res FD International Institute of Anticancer Research SP 1207 OP 1215 DO 10.21873/anticanres.15587 VO 42 IS 3 A1 REI SUZUKI A1 YOSHINORI OKUBO A1 TADAYUKI TAKAGI A1 MITSURU SUGIMOTO A1 YUKI SATO A1 HIROKI IRIE A1 JUN NAKAMURA A1 MIKA TAKASUMI A1 TSUNETAKA KATO A1 MINAMI HASHIMOTO A1 RYOUICHIRO KOBASHI A1 TAKUTO HIKICHI A1 HIROMASA OHIRA YR 2022 UL http://ar.iiarjournals.org/content/42/3/1207.abstract AB Background: We aimed to clarify the role of complement C3a and its receptor C3aR in progression of pancreatic ductal adenocarcinoma (PDAC). Materials and Methods: We evaluated the serum levels of C3 and C3a in patients with PDAC. C3aR expression in tissue was assessed using a tissue microarray. To confirm the protumoral effects of C3a in PDAC, we conducted in vitro experiments using PDAC cell lines (Panc-1 and MiaPaca-2) that exhibit high C3aR expression. Results: Serum levels of both C3 and C3a were higher in 26 patients with PDAC than in 28 nontumor-bearing controls. In the tissue microarray, we observed increased expression of C3aR in PDAC cells, especially in cases with metastatic lesions. In vitro experiments showed that C3a facilitated tumor cell proliferation, migration and invasion by activating the extracellular-regulated kinase signaling pathway and inducing epithelial-to-mesenchymal transition. Inhibition of the C3a-C3aR axis by pharmacological blockade and short-hairpin RNA-mediated knockdown of C3aR alleviated its protumoral effect. Conclusion: These findings provide a new approach for the development of treatments targeting the C3a–C3aR axis.