Neuropeptides and Animal Physiology Peer reviewed

Pancreatic polypeptide interacts with neuropeptide Y4 receptor to promote hepatocellular carcinoma progression

Laura Wormser, Sabrina Kojic, Valerie Fritz, Matthias Benkert and 8 more

The Journal of Pathology | Aug 19, 2026

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This study found that the ligand (PP) and the receptor (Y4R) were markedly overexpressed in HCC cells and in patient-derived tissues, which was correlated with a poor prognosis and indicates that PP-Y4R crosstalk might represent a potential novel therapeutic target.

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Pancreatic polypeptide (PP) and neuropeptide Y4 receptor (Y4R) are part of a conserved system that is involved in appetite regulation, gastrointestinal functions, and energy homeostasis. Experimental evidence suggests that PP-Y4R signaling might play a role in various extrahepatic cancer types, but the exact mechanisms remain unclear. Moreover, the potential role of PP-Y4R crosstalk in hepatocellular carcinoma (HCC) was unknown and has been addressed in this study. We found that the ligand (PP) and the receptor (Y4R) were markedly overexpressed in HCC cells and in patient-derived tissues, which was correlated with a poor prognosis. Mechanistically, we found that PP promoted migration of HCC cells mediated via activation of extracellular signal-regulated kinase (ERK) signaling. Knockdown of Y4R or pharmacological inhibition of Y4R decreased migration, clonogenicity, and proliferation of HCC cells and induced a G1-cell cycle arrest and cellular senescence. Conversely, activation of the PP-Y4R axis was sufficient to overcome both spontaneous and sorafenib-induced senescence, which was mediated by ERK signaling. Our study provides novel insights into the pro-tumorigenic roles of PP and Y4R in HCC, indicating that PP-Y4R crosstalk might represent a potential novel therapeutic target. © 2026 The Pathological Society of Great Britain and Ireland.

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Authors

Researchers on this paper

Laura Wormser

first | Friedrich-Alexander-Universität Erlangen-Nürnberg | ORCID 0000-0002-3872-7104

Sabrina Kojic

middle | Friedrich-Alexander-Universität Erlangen-Nürnberg

Valerie Fritz

middle | Friedrich-Alexander-Universität Erlangen-Nürnberg | ORCID 0009-0003-5441-7821

Matthias Benkert

middle | Friedrich-Alexander-Universität Erlangen-Nürnberg

Miriam M. Düll

middle | Friedrich-Alexander-Universität Erlangen-Nürnberg | ORCID 0000-0001-6335-9158

Maximilian Waldner

middle | Friedrich-Alexander-Universität Erlangen-Nürnberg

Jürgen Siebler

middle | Friedrich-Alexander-Universität Erlangen-Nürnberg

Jonel Trebicka

middle | University of Münster | ORCID 0000-0002-7028-3881

Claus Hellerbrand

middle | Friedrich-Alexander-Universität Erlangen-Nürnberg | ORCID 0000-0001-9472-4461

Markus F Neurath

middle | Friedrich-Alexander-Universität Erlangen-Nürnberg

Anja‐Katrin Bosserhoff

middle | Friedrich-Alexander-Universität Erlangen-Nürnberg | ORCID 0000-0001-8147-394X

Peter Dietrich

last | Friedrich-Alexander-Universität Erlangen-Nürnberg | ORCID 0000-0003-2289-8600

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BibTeX

@article{Wormser2026Pancreatic,
  title = {Pancreatic polypeptide interacts with neuropeptide Y4 receptor to promote hepatocellular carcinoma progression},
  author = {Laura Wormser and Sabrina Kojic and Valerie Fritz and Matthias Benkert and Miriam M. Düll and Maximilian Waldner and Jürgen Siebler and Jonel Trebicka and Claus Hellerbrand and Markus F Neurath and Anja‐Katrin Bosserhoff and Peter Dietrich},
  journal = {The Journal of Pathology},
  year = {2026},
  doi = {10.1002/path.70115},
  url = {https://doi.org/10.1002/path.70115}
}

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