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Reprogramming Pancreatic Ductal Adenocarcinoma to Pluripotency
Published on: February 2, 2024
Current knowledge on pancreatic cancer
Juan Iovanna1, Maria Cecilia Mallmann, Anthony Gonçalves
1INSERM U624, Stress Cellulaire, Parc Scientifique et Technologique de Luminy Marseille, France.
Abstract:
Pancreatic cancer is the fourth leading cause of cancer death with a median survival of 6 months and a dismal 5-year survival rate of 3-5%. The development and progression of pancreatic cancer are caused by the activation of oncogenes, the inactivation of tumor suppressor genes, and the deregulation of many signaling pathways. Therefore, the strategies targeting these molecules as well as their downstream signaling could be promising for the prevention and treatment of pancreatic cancer. However, although targeted therapies for pancreatic cancer have yielded encouraging results in vitro and in animal models, these findings have not been translated into improved outcomes in clinical trials. This failure is due to an incomplete understanding of the biology of pancreatic cancer and to the selection of poorly efficient or imperfectly targeted agents. In this review, we will critically present the current knowledge regarding the molecular, biochemical, clinical, and therapeutic aspects of pancreatic cancer.
Insights
Pancreatic cancer has a poor prognosis due to complex molecular changes. Current targeted therapies show promise in models but fail in clinical trials, highlighting the need for better understanding and improved treatment strategies.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- Pancreatic cancer is a leading cause of cancer death with low survival rates.
- Its development involves oncogene activation, tumor suppressor gene inactivation, and signaling pathway deregulation.
- Targeting these molecular alterations is a key strategy for pancreatic cancer treatment.
Purpose of the Study:
- To critically review current knowledge on pancreatic cancer.
- To discuss molecular, biochemical, clinical, and therapeutic aspects.
- To identify reasons for the failure of targeted therapies in clinical trials.
Main Methods:
- Literature review of molecular, biochemical, clinical, and therapeutic aspects of pancreatic cancer.
- Critical analysis of current knowledge and targeted therapy approaches.
- Evaluation of factors contributing to the lack of clinical translation.
Main Results:
- Pancreatic cancer progression is driven by specific genetic and signaling pathway alterations.
- Targeted therapies have shown efficacy in preclinical settings but limited success in patients.
- Clinical trial failures are attributed to incomplete biological understanding and suboptimal agent selection.
Conclusions:
- A deeper understanding of pancreatic cancer biology is crucial for developing effective treatments.
- Improved strategies are needed to translate preclinical findings into successful clinical outcomes.
- Further research into molecular targets and therapeutic agents is essential for improving patient survival.
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