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Stress-activated kinases as therapeutic targets in pancreatic cancer
Benno Traub1, Aileen Roth1, Marko Kornmann1
1Department of General and Visceral Surgery, Ulm University Hospital, Ulm 89081, Germany.
Abstract:
Pancreatic cancer is a dismal disease with high incidence and poor survival rates. With the aim to improve overall survival of pancreatic cancer patients, new therapeutic approaches are urgently needed. Protein kinases are key regulatory players in basically all stages of development, maintaining physiologic functions but also being involved in pathogenic processes. c-Jun N-terminal kinases (JNK) and p38 kinases, representatives of the mitogen-activated protein kinases, as well as the casein kinase 1 (CK1) family of protein kinases are important mediators of adequate response to cellular stress following inflammatory and metabolic stressors, DNA damage, and others. In their physiologic roles, they are responsible for the regulation of cell cycle progression, cell proliferation and differentiation, and apoptosis. Dysregulation of the underlying pathways consequently has been identified in various cancer types, including pancreatic cancer. Pharmacological targeting of those pathways has been the field of interest for several years. While success in earlier studies was limited due to lacking specificity and off-target effects, more recent improvements in small molecule inhibitor design against stress-activated protein kinases and their use in combination therapies have shown promising in vitro results. Consequently, targeting of JNK, p38, and CK1 protein kinase family members may actually be of particular interest in the field of precision medicine in patients with highly deregulated kinase pathways related to these kinases. However, further studies are warranted, especially involving in vivo investigation and clinical trials, in order to advance inhibition of stress-activated kinases to the field of translational medicine.
Insights
Targeting stress-activated protein kinases like c-Jun N-terminal kinases (JNK), p38, and casein kinase 1 (CK1) shows promise for pancreatic cancer. Further research is needed to advance these findings into clinical treatments for improved patient survival.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Pancreatic cancer has a high incidence and poor survival rates, necessitating novel therapeutic strategies.
- Protein kinases, including c-Jun N-terminal kinases (JNK), p38, and casein kinase 1 (CK1) family, regulate cellular processes and are implicated in cancer.
- Dysregulation of these stress-activated protein kinase pathways is observed in various cancers, including pancreatic cancer.
Purpose of the Study:
- To explore the potential of targeting JNK, p38, and CK1 protein kinases as a therapeutic approach for pancreatic cancer.
- To review recent advancements in small molecule inhibitors and combination therapies for stress-activated protein kinases.
- To assess the relevance of these kinase pathways in precision medicine for pancreatic cancer patients.
Main Methods:
- Review of existing literature on protein kinase inhibitors and their application in cancer therapy.
- Analysis of *in vitro* results demonstrating the efficacy of targeting JNK, p38, and CK1.
- Discussion of the role of stress-activated protein kinases in cellular stress responses and cancer development.
Main Results:
- Recent improvements in small molecule inhibitors have shown promising *in vitro* results against stress-activated protein kinases.
- Targeting JNK, p38, and CK1 may be particularly relevant for precision medicine in pancreatic cancer.
- Earlier therapeutic attempts were limited by specificity and off-target effects.
Conclusions:
- Inhibition of JNK, p38, and CK1 represents a potential therapeutic avenue for pancreatic cancer, especially in precision medicine.
- Further *in vivo* investigations and clinical trials are essential to translate these findings into effective treatments.
- Advancing the inhibition of stress-activated kinases requires continued research and development for translational medicine.
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