Inflammatory injury drives CIN and STING loss in polyploid pancreatic acinar cells

Abstract Epidemiological studies link pancreatic inflammation to increased cancer risks with elevated levels of chromosomal instability (CIN), yet the underlying cause remains unclear. The exocrine pancreas and lactating mammary gland harbor polyploid cells to boost secretory efficiency. Using organoid and in vivo models of pancreatic injury, we show that polyploid acinar cells contribute to regeneration via acinar-to-ductal metaplasia. The metaplasia induced cell size reduction is associated with crowding and spindle misorientation, leading to mitotic errors such as lagging chromosomes, chromatin bridges, and micronuclei. Micronucleated cells are not always eliminated or arrested in the cell cycle but can continue to proliferate and expand. Polyploid cells in post-lactational mammary gland organoids equally exhibited proliferation-related CIN. Single-cell proteomics of acinar cells shows STING1 loss and increased ATR levels in polyploid cells, enabling continued proliferation. These findings uncover physiological links between polyploidy, tissue repair, and CIN, offering new insights into cancer risks after tissue remodeling.