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Ultrasound-Guided Orthotopic Implantation of Murine Pancreatic Ductal Adenocarcinoma
Published on: November 19, 2019
Novel agents for pancreatic ductal adenocarcinoma: emerging therapeutics and future directions
Yiyin Zhang1,2,3,4, Chao Yang1,2,3,4, He Cheng1,2,3,4
1Department of Pancreatic Surgery, Fudan University Shanghai Cancer Center, No. 270 DongAn Road, Shanghai, 200032, People's Republic of China.
Abstract:
A poor prognosis of pancreatic ductal adenocarcinoma (PDAC) associated with chemoresistance has not changed for the past three decades. A multidisciplinary diagnosis followed by surgery and chemo(radiation)therapy is the main treatment approach. However, gemcitabine- and 5-fluorouracil-based therapies did not present satisfying outcomes. Novel regimens targeting pancreatic cancer cells, the tumor microenvironment, and immunosuppression are emerging. Biomarkers concerning the treatment outcome and patient selection are being discovered in preclinical or clinical studies. Combination therapies of classic chemotherapeutic drugs and novel agents or novel therapeutic combinations might bring hope to the dismal prognosis for PDAC patients.
Insights
Pancreatic cancer (PDAC) outcomes remain poor due to chemoresistance. Emerging novel therapies and combination treatments offer new hope for improving patient survival and treatment selection.
Area of Science:
- Oncology
- Gastroenterology
- Cancer Research
Background:
- Pancreatic ductal adenocarcinoma (PDAC) presents a dismal prognosis, largely unchanged over 30 years, primarily due to chemoresistance.
- Current standard treatments involving surgery and chemo(radiation)therapy, often using gemcitabine or 5-fluorouracil, yield unsatisfactory outcomes.
Purpose of the Study:
- To review the current challenges and emerging strategies in treating pancreatic ductal adenocarcinoma.
- To highlight novel therapeutic approaches and the role of biomarkers in improving PDAC patient outcomes.
Main Methods:
- Literature review of preclinical and clinical studies on pancreatic ductal adenocarcinoma treatments.
- Analysis of emerging therapeutic strategies targeting cancer cells, tumor microenvironment, and immunosuppression.
- Examination of biomarker discovery for treatment outcome prediction and patient selection.
Main Results:
- Established chemotherapy regimens show limited efficacy against PDAC.
- Novel therapeutic agents and combination therapies are under investigation.
- Biomarker research is crucial for personalized treatment selection and outcome prediction.
Conclusions:
- Despite decades of research, PDAC prognosis remains poor, necessitating innovative treatment paradigms.
- Emerging therapies targeting cancer cells, the tumor microenvironment, and immune suppression show promise.
- Combination therapies integrating conventional chemotherapy with novel agents may significantly improve outcomes for PDAC patients.
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