Apoptotic pathways in pancreatic ductal adenocarcinoma

<p>Abstract</p> <p>Pancreatic ductal adenocarcinoma (PDAC) is one of the most common causes of cancer related death. Despite the advances in understanding of the molecular pathogenesis, pancreatic cancer remains a major unsolved health problem. Overall, the 5-year survival rate is...

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Bibliographic Details
Main Authors: Saur Dieter, Schmid Roland M, Hamacher Rainer, Schneider Günter
Format: Article
Language:English
Published: BMC 2008-07-01
Series:Molecular Cancer
Online Access:http://www.molecular-cancer.com/content/7/1/64
Description
Summary:<p>Abstract</p> <p>Pancreatic ductal adenocarcinoma (PDAC) is one of the most common causes of cancer related death. Despite the advances in understanding of the molecular pathogenesis, pancreatic cancer remains a major unsolved health problem. Overall, the 5-year survival rate is less than 5% demonstrating the insufficiency of current therapies.</p> <p>Most cytotoxic therapies induce apoptosis and PDAC cells have evolved a plethora of molecular mechanisms to assure survival. We will present anti-apoptotic strategies working at the level of the death receptors, the mitochondria or involving the caspase inhibitors of the IAP family. Furthermore, the survival function of the phosphotidylinositol-3' kinase (PI3K)/AKT- and NF-kappaB-pathways are illustrated. A detailed molecular knowledge of the anti-apoptotic mechanisms of PDAC cells will help to improve therapies for this dismal disease and therapeutic strategies targeting the programmed cell death machinery are in early preclinical and clinical development.</p>
ISSN:1476-4598