Pathobiology of pancreatic cancer: implications on therapy

Autor: Ivonne Regel, Simone Benitz, Jörg Kleeff, Irene Esposito, Simone Hausmann
Rok vydání: 2016
Předmět:
Zdroj: Expert Review of Anticancer Therapy. 16:219-227
ISSN: 1744-8328
1473-7140
DOI: 10.1586/14737140.2016.1129276
Popis: Although the concept of tumor heterogeneity was established several decades ago, the interest in this topic is still unbroken. With the identification of inter- and intratumoral genomic rearrangements and the detection of cancer stem cells (CSCs) through phenotypic variations of cancer cells there are increasing options for pancreatic cancer therapy. Indeed, some pre-clinical studies have shown promising results in the treatment of drug-resistant CSCs, whereby a few strategies were already tested in clinical trials. Basically, CSCs are influenced by the tumor microenvironment and an epigenetic reprogramming to gain stem cell-like characteristics. Targeting options inhibiting the epithelial-mesenchymal crosstalk or promoting epigenetic-driven differentiation of CSCs to a less aggressive phenotype raised the possibilities of further therapeutic applications, which will be discussed in this review.
Databáze: OpenAIRE