Pancreatic cancer treatment with targeted therapies: are we there yet

Objective: Pancreatic cancer (PaCa) is a disease that is extremely difficult to treat and is associated with a high fatality rate. The majority of patients present to hospitals with metastatic or end-stage cancer, making the ultimate cure impossible. End-stage PaCa has no specific treatment, though...

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Main Authors: Nwaefulu, O. Ngozi, Sagineedu, S. Rao, Islam, M. Kaisarul, Stanslas, J.
Format: Article
Published: Verduci International 2022
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author Nwaefulu, O. Ngozi
Sagineedu, S. Rao
Islam, M. Kaisarul
Stanslas, J.
author_facet Nwaefulu, O. Ngozi
Sagineedu, S. Rao
Islam, M. Kaisarul
Stanslas, J.
author_sort Nwaefulu, O. Ngozi
collection UPM
description Objective: Pancreatic cancer (PaCa) is a disease that is extremely difficult to treat and is associated with a high fatality rate. The majority of patients present to hospitals with metastatic or end-stage cancer, making the ultimate cure impossible. End-stage PaCa has no specific treatment, though surgery, irradiation, and chemotherapy can help patients live longer. Consequently, it is vital to accumulate all information on potential targeted therapies for this cancer into a single report. Materials and methods: This review has been compiled using relevant keywords and a thorough web search utilising PubMed, ScienceDirect, GoogleScholar, Scopus, MEDLINE, and SpringerLink. Results: Conventional medicines that target various biological processes have a significant negative impact on normal cells. As a result, targeted therapies are required, which include the use of small-molecule inhibitors and monoclonal antibodies to target cancer cell surface receptors, growth factors, and other proteins involved in disease progression. In this review, we summarize the known targeted PaCa therapies, which include inhibitors of the KRAS, mTOR, and PI3K/AKT signaling pathways, as well as PARP, hedgehog, EGFR/ErbB, and TGF-β signaling pathways, along with inhibitors of the neurotrophic tropomyosin receptor kinase (NTRK). Conclusions: An adequate understanding of PaCa pathogenesis and the adoption of tailored medicines can increase patients’ overall survival. We believe targeted therapy can help patients with PaCa to have a better prognosis. As such, more research is needed to find appropriate biomarkers to aid in early tumor diagnosis and to discover novel prospective therapeutics based on the drugs listed in this article.
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spelling upm.eprints-1024362023-05-18T03:17:05Z http://psasir.upm.edu.my/id/eprint/102436/ Pancreatic cancer treatment with targeted therapies: are we there yet Nwaefulu, O. Ngozi Sagineedu, S. Rao Islam, M. Kaisarul Stanslas, J. Objective: Pancreatic cancer (PaCa) is a disease that is extremely difficult to treat and is associated with a high fatality rate. The majority of patients present to hospitals with metastatic or end-stage cancer, making the ultimate cure impossible. End-stage PaCa has no specific treatment, though surgery, irradiation, and chemotherapy can help patients live longer. Consequently, it is vital to accumulate all information on potential targeted therapies for this cancer into a single report. Materials and methods: This review has been compiled using relevant keywords and a thorough web search utilising PubMed, ScienceDirect, GoogleScholar, Scopus, MEDLINE, and SpringerLink. Results: Conventional medicines that target various biological processes have a significant negative impact on normal cells. As a result, targeted therapies are required, which include the use of small-molecule inhibitors and monoclonal antibodies to target cancer cell surface receptors, growth factors, and other proteins involved in disease progression. In this review, we summarize the known targeted PaCa therapies, which include inhibitors of the KRAS, mTOR, and PI3K/AKT signaling pathways, as well as PARP, hedgehog, EGFR/ErbB, and TGF-β signaling pathways, along with inhibitors of the neurotrophic tropomyosin receptor kinase (NTRK). Conclusions: An adequate understanding of PaCa pathogenesis and the adoption of tailored medicines can increase patients’ overall survival. We believe targeted therapy can help patients with PaCa to have a better prognosis. As such, more research is needed to find appropriate biomarkers to aid in early tumor diagnosis and to discover novel prospective therapeutics based on the drugs listed in this article. Verduci International 2022 Article PeerReviewed Nwaefulu, O. Ngozi and Sagineedu, S. Rao and Islam, M. Kaisarul and Stanslas, J. (2022) Pancreatic cancer treatment with targeted therapies: are we there yet. European Review for Medical and Pharmacological Sciences, 26 (2). 367 - 381. ISSN 1128-3602; ESSN: 2284-0729 https://www.europeanreview.org/article/27861 10.26355/eurrev_202201_27861
spellingShingle Nwaefulu, O. Ngozi
Sagineedu, S. Rao
Islam, M. Kaisarul
Stanslas, J.
Pancreatic cancer treatment with targeted therapies: are we there yet
title Pancreatic cancer treatment with targeted therapies: are we there yet
title_full Pancreatic cancer treatment with targeted therapies: are we there yet
title_fullStr Pancreatic cancer treatment with targeted therapies: are we there yet
title_full_unstemmed Pancreatic cancer treatment with targeted therapies: are we there yet
title_short Pancreatic cancer treatment with targeted therapies: are we there yet
title_sort pancreatic cancer treatment with targeted therapies are we there yet
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