Biomarkers and pathways of chemoresistance and chemosensitivity for personalized treatment of pancreatic adenocarcinoma.

Abstract:

:Pancreatic carcinoma is usually diagnosed late when treatment options are limited and is considered a chemo-resistant malignancy. However, early stage, good performance status and specific patient subgroup are thought to have a more favorable prognosis. Search for novel molecular biomarkers, which could predict treatment resistance, represents a major opportunity, but also a challenge in further research. This review summarizes most aspects of individualized therapy of pancreatic cancer including promising biomarkers, BRCA-deficient pancreatic cancer and its etiology. It may be estimated that nearly a third of metastatic pancreatic ductal adenocarcinoma patients could benefit from treatment other than gold standard chemotherapy. Thus, other aspects of an individualized approach concerning the main factors for the choice of the best therapy for individual pancreatic cancer patient (surgery and chemotherapy), as well as the future directions (target therapy and immunotherapy), are also addressed.

journal_name

Pharmacogenomics

journal_title

Pharmacogenomics

authors

Zemanek T,Melichar B,Lovecek M,Soucek P,Mohelnikova-Duchonova B

doi

10.2217/pgs-2018-0073

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

113-127

issue

2

eissn

1462-2416

issn

1744-8042

journal_volume

20

pub_type

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