Markers involved in resistance to cytotoxics and targeted therapeutics in pancreatic cancer.

Abstract:

:Pancreatic cancer retains a poor prognosis among the gastrointestinal cancers and remains a challenge in oncology. In 1997, gemcitabine became the standard of care in metastatic setting. In the last decades, despite a number of clinical trials assessing novel cytotoxic agents and cell signaling inhibitors, overall survival has reached a plateau that remains difficult to improve. Development of mechanisms implicated in intrinsic and acquired resistance to chemotherapy are considered to play a key role that could explain the limited benefit of most treatment in pancreatic cancers. Key molecular factors implicated in this process include: deficiencies in drugs uptake, activations of DNA repair pathways, resistance to apoptosis, and tumor microenvironment. Moreover, for cell signaling inhibitors, mutations in kinase domains, activation of alternative pathways, mutations of genes downstream of the target, activation of autocrine/paracrine pathways and/or feed-back amplification of the target represent the most important mechanisms achieving resistance of pancreatic cancer cells.

journal_name

Cancer Treat Rev

journal_title

Cancer treatment reviews

authors

El Maalouf G,Le Tourneau C,Batty GN,Faivre S,Raymond E

doi

10.1016/j.ctrv.2008.10.002

subject

Has Abstract

pub_date

2009-04-01 00:00:00

pages

167-74

issue

2

eissn

0305-7372

issn

1532-1967

pii

S0305-7372(08)00292-2

journal_volume

35

pub_type

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