Molecular therapeutics of pancreatic ductal adenocarcinoma:targeted pathways and the role of cancer stem cells

Pancreatic ductal adenocarcinoma (PDAC) is one of the most lethal cancers in humans due to late detection and highly metastatic characteristics. PDAC cells vary in their tumorigenic capabilities with the presence of a subset of PDAC cells known as pancreatic cancer stem cells (CSCs), which are more...

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Main Authors: Stoica, A, Chang, C-H, Pauklin, S
Format: Journal article
Language:English
Published: Cell Press 2020
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author Stoica, A
Chang, C-H
Pauklin, S
author_facet Stoica, A
Chang, C-H
Pauklin, S
author_sort Stoica, A
collection OXFORD
description Pancreatic ductal adenocarcinoma (PDAC) is one of the most lethal cancers in humans due to late detection and highly metastatic characteristics. PDAC cells vary in their tumorigenic capabilities with the presence of a subset of PDAC cells known as pancreatic cancer stem cells (CSCs), which are more resistant to currently used therapeutics. Here, we describe the role of CSCs and tumour stroma in developing therapeutic strategies for PDAC and suggest that developmental plasticity could be considered a hallmark of cancers. We provide an overview of the molecular targets in PDAC treatments, including targeted therapies of cellular processes such as proliferation, evasion of growth suppressors, activating metastasis, and metabolic effects. Since PDAC is an inflammation-driven cancer, we also revisit therapeutic strategies targeting inflammation and immunotherapy. Lastly, we suggest that targeting epigenetic mechanisms opens therapeutic routes for heterogeneous cancer cell populations, including CSCs.
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spelling oxford-uuid:481e28a5-c962-45c1-8106-79d153143f322022-03-26T15:23:46ZMolecular therapeutics of pancreatic ductal adenocarcinoma:targeted pathways and the role of cancer stem cellsJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:481e28a5-c962-45c1-8106-79d153143f32EnglishSymplectic ElementsCell Press2020Stoica, AChang, C-HPauklin, SPancreatic ductal adenocarcinoma (PDAC) is one of the most lethal cancers in humans due to late detection and highly metastatic characteristics. PDAC cells vary in their tumorigenic capabilities with the presence of a subset of PDAC cells known as pancreatic cancer stem cells (CSCs), which are more resistant to currently used therapeutics. Here, we describe the role of CSCs and tumour stroma in developing therapeutic strategies for PDAC and suggest that developmental plasticity could be considered a hallmark of cancers. We provide an overview of the molecular targets in PDAC treatments, including targeted therapies of cellular processes such as proliferation, evasion of growth suppressors, activating metastasis, and metabolic effects. Since PDAC is an inflammation-driven cancer, we also revisit therapeutic strategies targeting inflammation and immunotherapy. Lastly, we suggest that targeting epigenetic mechanisms opens therapeutic routes for heterogeneous cancer cell populations, including CSCs.
spellingShingle Stoica, A
Chang, C-H
Pauklin, S
Molecular therapeutics of pancreatic ductal adenocarcinoma:targeted pathways and the role of cancer stem cells
title Molecular therapeutics of pancreatic ductal adenocarcinoma:targeted pathways and the role of cancer stem cells
title_full Molecular therapeutics of pancreatic ductal adenocarcinoma:targeted pathways and the role of cancer stem cells
title_fullStr Molecular therapeutics of pancreatic ductal adenocarcinoma:targeted pathways and the role of cancer stem cells
title_full_unstemmed Molecular therapeutics of pancreatic ductal adenocarcinoma:targeted pathways and the role of cancer stem cells
title_short Molecular therapeutics of pancreatic ductal adenocarcinoma:targeted pathways and the role of cancer stem cells
title_sort molecular therapeutics of pancreatic ductal adenocarcinoma targeted pathways and the role of cancer stem cells
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AT changch moleculartherapeuticsofpancreaticductaladenocarcinomatargetedpathwaysandtheroleofcancerstemcells
AT pauklins moleculartherapeuticsofpancreaticductaladenocarcinomatargetedpathwaysandtheroleofcancerstemcells