RT Journal Article SR Electronic T1 A requirement for kras signaling in malignant pleural effusion JF European Respiratory Journal JO Eur Respir J FD European Respiratory Society SP 1513 VO 42 IS Suppl 57 A1 Antonia Marazioti A1 Ardiana Moustaki A1 Magda Spella A1 Anastasios Giannou A1 Marianthi Iliopoulou A1 Dimitris Kardamakis A1 Georgios Stathopoulos YR 2013 UL http://erj.ersjournals.com/content/42/Suppl_57/1513.abstract AB Malignant pleural effusion (MPE) is usually caused by metastatic adenocarcinomas. Although these tumors frequently harbor Kras mutations (ΔKras), a relationship between mutant Kras and MPE formation has not been established. For this, we genotyped murine tumors for ΔKras and related mutations and assessed their potential for MPE formation. LLC lung adenocarcinoma, MC38 colon adenocarcinoma, and AE17 pleural mesothelioma were capable of MPE formation and all harbored ΔKras. In contrast, B16F10 melanoma and PANO2 pancreatic adenocarcinoma did not cause MPE and had wtKras. The contrasting pleural phenotypes of ΔKras versus wtKras tumors were not associated with different rates of tumor growth, but with an enhanced propensity of ΔKras tumors for precipitation of inflammation, angiogenesis, and vascular leakage. shRNA-mediated knock-down of Kras in ΔKras tumors severely hampered their ability for MPE formation, despite sustained in vivo growth. Kras silencing led to meaningful reductions in MPE-associated inflammation, angiogenesis, and vascular hyperpermeability, changes accompanied by significant inhibition of pro-inflammatory mediator expression and myeloid cell recruitment. Kras overexpression in B16F10 cells led to minor induction of pleural fluid accumulation, but failed to fully restore the MPE-competent phenotype of ΔKras tumors, suggesting possible cooperation of Kras with additional pathways during MPE development. In conclusion, we demonstrate a requirement for tumor cell-originated Kras signals in the pathogenesis of MPE. Pending the identification of additional ΔKras co-operators, Kras signaling may present an important therapeutic target against MPE.These studies were supported by the ERC.