Current Strategies and Future Perspectives for Precision Medicine in Pancreatic Cancer

Current standard-of-care for patients with pancreatic ductal adenocarcinoma (PDAC) focusses on chemotherapeutic regimens and pancreatic cancer surgery. However, limited treatment options, late diagnosis in advanced tumor stages and the aggressive behavior of PDAC contribute to the high mortality of...

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Main Authors: Ivonne Regel, Julia Mayerle, Mahajan Ujjwal Mukund
Format: Article
Language:English
Published: MDPI AG 2020-04-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/12/4/1024
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author Ivonne Regel
Julia Mayerle
Mahajan Ujjwal Mukund
author_facet Ivonne Regel
Julia Mayerle
Mahajan Ujjwal Mukund
author_sort Ivonne Regel
collection DOAJ
description Current standard-of-care for patients with pancreatic ductal adenocarcinoma (PDAC) focusses on chemotherapeutic regimens and pancreatic cancer surgery. However, limited treatment options, late diagnosis in advanced tumor stages and the aggressive behavior of PDAC contribute to the high mortality of the disease. Consequently, there is an urgent need of precision medicine for pancreatic cancer patients. All over the world, numerous initiatives started in recent years to translate novel scientific discoveries into prospective clinical trials. One major approach pursues the stratification of PDAC patients according the tumor transcriptome to predict treatment response. Other strategies concentrate on genomic alterations and the identification of individualized targeted therapies. Further experimental studies are ongoing to detect novel biomarkers for cancer diagnosis, subtyping, treatment response prediction or clinical outcome. However, the challenge remains to transfer the knowledge into clinical practice. In this review, we summarize current literature and knowledge and highlight novel concepts of basic and clinical research uncovering suitable biomarkers and targeted therapies. Thus, we provide an overview of preclinical and clinical efforts of precision medicine in pancreatic cancer.
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spelling doaj.art-06555bedb498424196852552e0b8c0082023-11-19T22:18:13ZengMDPI AGCancers2072-66942020-04-01124102410.3390/cancers12041024Current Strategies and Future Perspectives for Precision Medicine in Pancreatic CancerIvonne Regel0Julia Mayerle1Mahajan Ujjwal Mukund2Department of Medicine II, University Hospital, LMU Munich, 81377 Munich, GermanyDepartment of Medicine II, University Hospital, LMU Munich, 81377 Munich, GermanyDepartment of Medicine II, University Hospital, LMU Munich, 81377 Munich, GermanyCurrent standard-of-care for patients with pancreatic ductal adenocarcinoma (PDAC) focusses on chemotherapeutic regimens and pancreatic cancer surgery. However, limited treatment options, late diagnosis in advanced tumor stages and the aggressive behavior of PDAC contribute to the high mortality of the disease. Consequently, there is an urgent need of precision medicine for pancreatic cancer patients. All over the world, numerous initiatives started in recent years to translate novel scientific discoveries into prospective clinical trials. One major approach pursues the stratification of PDAC patients according the tumor transcriptome to predict treatment response. Other strategies concentrate on genomic alterations and the identification of individualized targeted therapies. Further experimental studies are ongoing to detect novel biomarkers for cancer diagnosis, subtyping, treatment response prediction or clinical outcome. However, the challenge remains to transfer the knowledge into clinical practice. In this review, we summarize current literature and knowledge and highlight novel concepts of basic and clinical research uncovering suitable biomarkers and targeted therapies. Thus, we provide an overview of preclinical and clinical efforts of precision medicine in pancreatic cancer.https://www.mdpi.com/2072-6694/12/4/1024pancreatic ductal adenocarcinomacancer subtypestargeted therapybiomarkerepigeneticmetabolome
spellingShingle Ivonne Regel
Julia Mayerle
Mahajan Ujjwal Mukund
Current Strategies and Future Perspectives for Precision Medicine in Pancreatic Cancer
Cancers
pancreatic ductal adenocarcinoma
cancer subtypes
targeted therapy
biomarker
epigenetic
metabolome
title Current Strategies and Future Perspectives for Precision Medicine in Pancreatic Cancer
title_full Current Strategies and Future Perspectives for Precision Medicine in Pancreatic Cancer
title_fullStr Current Strategies and Future Perspectives for Precision Medicine in Pancreatic Cancer
title_full_unstemmed Current Strategies and Future Perspectives for Precision Medicine in Pancreatic Cancer
title_short Current Strategies and Future Perspectives for Precision Medicine in Pancreatic Cancer
title_sort current strategies and future perspectives for precision medicine in pancreatic cancer
topic pancreatic ductal adenocarcinoma
cancer subtypes
targeted therapy
biomarker
epigenetic
metabolome
url https://www.mdpi.com/2072-6694/12/4/1024
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