Diagnostics,
Journal Year:
2025,
Volume and Issue:
15(5), P. 646 - 646
Published: March 6, 2025
Background:
Pancreatic
ductal
adenocarcinoma
is
an
aggressive
neoplasm
with
a
complex
carcinogenesis
process
that
must
be
understood
through
the
interactions
between
tumor
cells
and
microenvironment
cells.
Methods:
This
study
was
retrospective
chronological
extension
period
of
16
years
included
56
cases
pancreatic
adenocarcinoma.
identified,
quantified,
correlated
immune
in
major
prognostic
factors
as
well
overall
survival,
using
extensive
panel
immunohistochemical
markers.
Results:
Three
immunotypes
were
identified:
subtype
A
(hot
immunotype),
B
(intermediate
C
(cold
immunotype).
Patients
immunotype
exhibit
considerably
higher
rates
both
fistulas
acute
pancreatitis.
Immunotypes
significantly
increased
risk
this
complication
by
3.68
(p
=
0.002)
3.94
0.001),
respectively.
The
estimated
probabilities
fistula
formation
for
each
are
follows:
2.5%
A,
25%
B,
28%
C.
There
statistically
significant
difference
median
survival
times
according
to
<
0.001).
Specifically,
patients
tumors
had
time
only
120.5
days,
compared
553.5
days
those
331.5
tumors.
Conclusions:
identification
can
predictive
factor
occurrence
complications
such
survival.
Molecular Cancer,
Journal Year:
2024,
Volume and Issue:
23(1)
Published: June 20, 2024
Abstract
Malignant
tumors
have
increasing
morbidity
and
high
mortality,
their
occurrence
development
is
a
complicate
process.
The
of
sequencing
technologies
enabled
us
to
gain
better
understanding
the
underlying
genetic
molecular
mechanisms
in
tumors.
In
recent
years,
spatial
transcriptomics
been
developed
rapidly
allow
quantification
illustration
gene
expression
context
tissues.
Compared
with
traditional
technologies,
not
only
detect
levels
cells,
but
also
inform
location
genes
within
tissues,
cell
composition
biological
interaction
between
cells.
Here
we
summarize
tools
its
application
cancer
research.
We
discuss
limitations
challenges
current
approaches,
as
well
future
prospects.
Cancers,
Journal Year:
2023,
Volume and Issue:
15(13), P. 3423 - 3423
Published: June 30, 2023
Pancreatic
cancer
remains
a
social
and
medical
burden
despite
the
tremendous
advances
that
medicine
has
made
in
last
two
decades.
The
incidence
of
pancreatic
is
increasing,
it
continues
to
be
associated
with
high
mortality
morbidity
rates.
difficulty
early
diagnosis
(the
lack
specific
symptoms
biomarkers
at
stages),
aggressiveness
disease,
its
resistance
systemic
therapies
are
main
factors
for
poor
prognosis
cancer.
only
curative
treatment
surgery,
but
vast
majority
patients
have
advanced
disease
time
diagnosis.
surgery
among
most
challenging
surgical
procedures,
recent
improvements
techniques,
careful
patient
selection,
availability
minimally
invasive
techniques
(e.g.,
robotic
surgery)
dramatically
reduced
surgery.
Patients
who
not
candidates
may
benefit
from
locoregional
therapy.
In
some
cases
whom
marginal
resection
feasible),
therapy
considered
bridge
allow
downstaging
cancer;
other
metastatic
disease),
standard
approach
goal
prolonging
survival.
complexity
requires
personalized
multidisciplinary
choose
best
each
clinical
situation.
aim
this
article
provide
literature
review
available
treatments
different
stages
Molecular Cancer,
Journal Year:
2024,
Volume and Issue:
23(1)
Published: March 8, 2024
Abstract
Background
Pancreatic
adenocarcinoma
(PC)
is
an
aggressive
malignancy
with
limited
treatment
options.
The
poor
prognosis
primarily
stems
from
late-stage
diagnosis
and
when
the
disease
has
become
therapeutically
challenging.
There
urgent
need
to
identify
specific
biomarkers
for
cancer
subtyping
early
detection
enhance
both
morbidity
mortality
outcomes.
addition
of
EGFR
tyrosine
kinase
inhibitor
(TKI),
erlotinib,
gemcitabine
chemotherapy
first-line
patients
advanced
pancreatic
slightly
improved
However,
restricted
clinical
benefits
may
be
linked
absence
well-characterized
criteria
stratification
dependable
prediction
effectiveness.
Methods
results
We
examined
levels
various
hallmarks
identified
glycolysis
as
primary
risk
factor
overall
survival
in
PC.
Subsequently,
we
developed
a
glycolysis-related
score
(GRS)
model
accurately
distinguish
PC
high
GRS.
Through
silico
screening
4398
compounds,
discovered
that
erlotinib
had
strongest
therapeutic
high-GRS
patients.
Furthermore,
ARNTL2
novel
prognostic
biomarker
predictive
responsiveness
Inhibition
expression
reduced
efficacy,
whereas
increased
cell
sensitivity
erlotinib.
Validation
vivo
using
patient-derived
xenografts
(PDX-PC)
varying
demonstrated
monotherapy
effectively
halted
tumor
progression
PDX-PC
models
expression.
In
contrast,
lacking
did
not
respond
favorably
treatment.
Mechanistically,
ARNTL2/E2F1
axis-mediated
cellular
sensitizes
cells
by
activating
PI3K/AKT
signaling
pathway.
Conclusions
Our
investigations
have
indicator
sensitivity.
These
will
help
erlotinib-responsive
cases
improve
findings
contribute
advancement
precision
oncology,
enabling
more
accurate
targeted
interventions.
Cell Death and Disease,
Journal Year:
2024,
Volume and Issue:
15(3)
Published: March 16, 2024
Abstract
Pancreatic
cancer
is
one
of
the
most
malignant
tumor
types
and
characterized
by
high
metastasis
ability
a
low
survival
rate.
As
chromatin-binding
protein,
HMGA2
widely
overexpressed
considered
an
oncogene
with
various
undefined
regulatory
mechanisms.
Herein,
we
demonstrated
that
highly
expressed
in
pancreatic
tissues,
mainly
distributed
epithelial
cells,
represents
subtype
epithelial–mesenchymal
transition.
Deletion
inhibits
malignancy
through
cell
proliferation,
metastasis,
xenograft
growth
vivo.
Moreover,
enhanced
cellular
redox
status
inhibiting
reactive
oxygen
species
promoting
glutathione
production.
Importantly,
ferroptotic
death
was
significantly
ameliorated
cells
overexpressing
HMGA2.
Conversely,
deletion
exacerbated
ferroptosis.
Mechanistically,
activated
GPX4
expression
transcriptional
translational
regulation.
binds
promotes
cis-element
modification
promoter
region
gene
enhancing
enhancer
activity
increased
H3K4
methylation
H3K27
acetylation.
Furthermore,
stimulated
protein
synthesis
via
mTORC1-4EBP1
-S6K
signaling
axes.
The
overexpression
alleviated
decrease
levels
resulting
from
pharmacologic
inhibition
mTORC1.
compared
control,
more
strongly
reduced
phosphorylation
4EBP1
S6K.
A
strong
positive
correlation
between
confirmed
using
immunohistochemical
staining.
We
also
mitigated
sensitivity
to
combination
treatment
ferroptosis
inducer
mTORC1
or
gemcitabine.
In
summary,
our
results
revealed
mechanism
which
coordinates
underscores
potential
value
targeting
treatment.
Cancers,
Journal Year:
2024,
Volume and Issue:
16(12), P. 2240 - 2240
Published: June 17, 2024
Pancreatic
Ductal
Adenocarcinoma
(PDAC)
remains
one
of
the
most
formidable
challenges
in
oncology,
characterized
by
its
late
detection
and
poor
prognosis.
Artificial
intelligence
(AI)
machine
learning
(ML)
are
emerging
as
pivotal
tools
revolutionizing
PDAC
care
across
various
dimensions.
Consequently,
many
studies
have
focused
on
using
AI
to
improve
standard
care.
This
review
article
attempts
consolidate
literature
from
past
five
years
identify
high-impact,
novel,
meaningful
focusing
their
transformative
potential
management.
Our
analysis
spans
a
broad
spectrum
applications,
including
but
not
limited
patient
risk
stratification,
early
detection,
prediction
treatment
outcomes,
thereby
highlighting
AI’s
role
enhancing
quality
precision
By
categorizing
into
discrete
sections
reflective
patient’s
journey
screening
diagnosis
through
survivorship,
this
offers
comprehensive
examination
AI-driven
methodologies
addressing
multifaceted
PDAC.
Each
study
is
summarized
explaining
dataset,
ML
model,
evaluation
metrics,
impact
has
improving
PDAC-related
outcomes.
We
also
discuss
prevailing
obstacles
limitations
inherent
application
within
context,
offering
insightful
perspectives
future
directions
innovations.
Biochemical Pharmacology,
Journal Year:
2024,
Volume and Issue:
229, P. 116492 - 116492
Published: Aug. 15, 2024
Pancreatic
adenocarcinoma
(PDAC)
is
predicted
to
become
the
second
leading
cause
of
cancer
deaths
by
2030
and
this
mostly
due
therapy
failure.
Limited
treatment
options
resistance
standard-of-care
(SoC)
therapies
makes
PDAC
one
types
with
poorest
prognosis
survival
rates
[1,2].
tumors
are
renowned
for
their
poor
response
therapeutic
interventions
including
targeted
therapies,
chemotherapy
radiotherapy.
Herein,
we
review
hallmarks
in
current
strategies
aiming
tackle
escape
mechanisms
re-sensitize
cells
therapy.
We
will
further
provide
insights
on
recent
advances
field
drug
discovery,
nanomedicine,
disease
models
that
setting
ground
future
research.
Journal of Biochemical and Molecular Toxicology,
Journal Year:
2025,
Volume and Issue:
39(1)
Published: Jan. 1, 2025
ABSTRACT
Metastasis
is
a
major
cause
of
poor
prognosis
pancreatic
cancer.
Exosomes
(Exos)
regulate
cancer
progression
by
modulating
macrophage
polarization.
This
study
aimed
to
investigate
the
effects
cancer‐associated
fibroblast
(CAF)‐released
Exos
on
polarization
in
and
molecular
mechanisms.
THP‐1
cells
or
xenografted
tumor
mice
were
treated
with
from
CAFs,
was
analyzed
using
quantitative
real‐time
PCR
(qPCR)
flow
cytometry.
cocultured
BXPC‐3
cells,
metastasis
Transwell
assay
scratch
test.
Exosomal
PTGS2
detected
qPCR,
NOD1
pathway
evaluated
western
blot
analysis.
The
results
showed
that
promoted
M2‐type
inhibited
M1‐type
polarization,
then
facilitated
cell
migration,
invasion,
epithelial‐mesenchymal
transition.
expression
increased
Exo‐treated
macrophages,
its
knockdown
CAFs
M2
M1
Moreover,
via
PTGS2,
inhibition
reversed
caused
Exos.
Additionally,
required
M1/M2
vivo
mediated
In
conclusion,
CAF‐secreted
carrying
activate
pathway,
thereby
promoting
metastasis,
providing
evidence
CAF‐Exos
accelerating
progression.
npj Precision Oncology,
Journal Year:
2025,
Volume and Issue:
9(1)
Published: Jan. 17, 2025
Pancreatic
ductal
adenocarcinoma
(PDAC)
is
notably
resistant
to
conventional
chemotherapy
and
radiation
treatment.
However,
clinical
trials
indicate
that
carbon
ion
radiotherapy
(CIRT)
with
concurrent
gemcitabine
effective
for
unresectable
locally
advanced
PDAC.
This
study
aimed
identify
patient
characteristics
predictive
of
CIRT
response.
We
utilized
a
panel
human
PDAC
cell
lines
diverse
genetic
profiles
determine
their
sensitivity
compared
γ-rays,
assessing
relative
biological
effectiveness
(RBE)
at
10%
survival,
which
ranged
from
1.96
3.04.
Increased
radiosensitivity
was
linked
impaired
DNA
double-strand
break
(DSB)
repair,
particularly
in
deficiencies
the
homologous
recombination
(HR)
repair
pathway
and/or
elevated
genomic
instability
replication
stress.
Furthermore,
pretreatment
HR
inhibitor
B02
significantly
enhanced
radioresistant
line
when
irradiated
spread-out
Bragg
peak
but
not
entry
position
beam.
These
findings
suggest
tumors
mutations
or
high
stress
are
more
likely
benefit
while
minimizing
normal
tissue
toxicity.
Cancers,
Journal Year:
2023,
Volume and Issue:
15(9), P. 2584 - 2584
Published: April 30, 2023
Radical
resection
is
the
only
curative
treatment
for
pancreatic
cancer.
However,
up
to
20%
of
patients
are
considered
eligible
surgical
at
time
diagnosis.
Although
upfront
surgery
followed
by
adjuvant
chemotherapy
has
become
gold
standard
resectable
cancer
there
numerous
ongoing
trials
aiming
compare
clinical
outcomes
various
strategies
(e.g.,
or
neoadjuvant
with
subsequent
resection).
Neoadjuvant
best
approach
in
borderline
tumors.
Individuals
locally
advanced
disease
now
candidates
palliative
chemo-
chemoradiotherapy;
however,
some
may
during
course
such
treatment.
When
metastases
found,
qualified
as
unresectable.
It
possible
perform
radical
metastasectomy
selected
cases
oligometastatic
disease.
The
role
multi-visceral
resection,
which
involves
reconstruction
major
mesenteric
veins,
well
known.
Nonetheless,
controversies
terms
arterial
and
reconstruction.
Researchers
also
trying
introduce
personalized
treatments.
careful,
preliminary
selection
other
therapies
should
be
based
on
tumor
biology,
among
factors.
Such
play
a
key
improving
survival
rates