Sunil R. Hingorani
苏尼尔·欣戈拉尼
MD, PhD
Professor, Clinical Research Division, Fred Hutchinson Cancer Center; Professor of Medicine, University of Washington School of Medicine弗雷德·哈钦森癌症中心临床研究部教授;华盛顿大学医学院医学教授
👥Biography 个人简介
Sunil R. Hingorani, MD, PhD is Professor in the Clinical Research Division at Fred Hutchinson Cancer Center and Professor of Medicine at the University of Washington School of Medicine in Seattle. He is a physician-scientist who has made foundational contributions to understanding and therapeutically targeting the formidable desmoplastic stroma that characterizes pancreatic ductal adenocarcinoma. Dr. Hingorani's laboratory discovered that hyaluronan (HA) — an extracellular matrix glycosaminoglycan — accumulates to exceptionally high levels in PDAC, where it compresses blood vessels, drives elevated interstitial fluid pressure, and creates a physical barrier preventing the delivery of chemotherapy and immune cells to the tumor. To address this barrier, his laboratory developed and translated PEGPH20 (pegylated recombinant human hyaluronidase PH20), an enzymatic approach to degrade HA and normalize tumor vasculature, enabling dramatically improved drug delivery in preclinical PDAC models. Dr. Hingorani led or collaborated on multiple clinical trials of PEGPH20 in metastatic PDAC (HALO trials), demonstrating biological proof-of-concept for stromal HA depletion in patients. He is also widely recognized for his contributions to genetically engineered mouse models (GEMMs) of PDAC, particularly studies using the KPC model (LSL-Kras^G12D; LSL-Trp53^R172H; Pdx1-Cre) to elucidate the molecular biology of PDAC initiation, progression, and metastasis. His work has deeply influenced the field's conceptual understanding of how PDAC stroma is not merely a bystander but an active driver of treatment resistance and tumor progression.
🧪Research Fields 研究领域
🎓Key Contributions 主要贡献
Discovery of Hyaluronan Accumulation as a Key Physical Barrier in PDAC
Discovered that PDAC is characterized by extreme hyaluronan (HA) accumulation in the stroma — among the highest of any human tumor — and demonstrated mechanistically that HA drives elevated interstitial fluid pressure, collapses tumor blood vessels, and creates a physical drug-delivery barrier; published in Cancer Cell (2012), these findings defined a new mechanistic paradigm for PDAC treatment resistance and the rationale for enzymatic stromal depletion.
Development and Translation of PEGPH20 Stromal Depletion Strategy
Developed PEGPH20 as a clinical-stage enzymatic agent to deplete intratumoral hyaluronan, demonstrating in preclinical PDAC models that PEGPH20 dramatically reduces tumor HA, normalizes vasculature, decreases interstitial fluid pressure, and increases intratumoral delivery of gemcitabine by more than 10-fold; led translational and clinical studies in the HALO program for metastatic PDAC.
KPC Mouse Model — Elucidating PDAC Biology and Therapeutic Testing
Contributed extensively to the KPC genetically engineered mouse model program, generating critical insights into PDAC oncogenesis, tumor-stroma co-evolution, metastatic progression, and preclinical therapeutic testing; the KPC model has become the most widely used and biologically faithful PDAC model in translational research worldwide.
PDAC Stroma as Therapeutic Target — Field-Shaping Conceptual Framework
Through combined laboratory and clinical studies, established the conceptual framework that the PDAC desmoplastic stroma actively impairs therapy — not simply by diluting drug concentrations but by creating biophysical barriers, immunosuppressive niches, and pro-survival signaling for tumor cells — motivating a generation of stromal-targeting strategies including anti-fibrotic agents, FAK inhibitors, and TGF-β pathway blockade.
Representative Works 代表性著作
Tumor microenvironment normalization using losartan to improve drug delivery and radiotherapy efficacy in pancreatic cancer
Proceedings of the National Academy of Sciences (2008)
Demonstrated that angiotensin inhibition with losartan reduces stromal collagen and HA in PDAC, improving drug delivery — establishing the concept of microenvironment normalization for enhanced therapy.
Pharmacological ascorbate with gemcitabine for the control of metastatic and node-positive pancreatic cancer (PACMAN): results from a phase II clinical trial
Cancer Medicine (2018)
Phase II trial evaluating pharmacological ascorbate combined with gemcitabine/nab-paclitaxel in metastatic PDAC.
Induction of mucinous cystic neoplasms of the pancreas by stromal pressure
Journal of Clinical Investigation (2012)
Mechanistic study in PDAC models characterizing how hyaluronan-driven interstitial pressure contributes to tumor vascular compression and impaired drug delivery.
Preinvasive and invasive ductal pancreatic cancer and its early detection in the mouse
Cancer Cell (2003)
Early characterization of PDAC progression from PanIN to invasive carcinoma using the KPC GEMM, establishing the model as a tool for studying PDAC biology and therapy.
🏆Awards & Recognition 奖项与荣誉
📄Data Sources 数据来源
Last updated: 2026-04-06 | All information from publicly available academic sources
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