Desmoplasia in Pancreatic Cancer. Can We Fight It?

The hallmark of pancreatic tumours, the desmoplastic reaction, provides a unique microenvironment that affects pancreatic tumour behaviour, its ability to grow and metastasize as well as resist the effects of chemotherapy. Complex molecular interactions and pathways give rise to the desmoplastic rea...

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Main Authors: E. E. Merika, K. N. Syrigos, M. W. Saif
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2012/781765
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author E. E. Merika
K. N. Syrigos
M. W. Saif
author_facet E. E. Merika
K. N. Syrigos
M. W. Saif
author_sort E. E. Merika
collection DOAJ
description The hallmark of pancreatic tumours, the desmoplastic reaction, provides a unique microenvironment that affects pancreatic tumour behaviour, its ability to grow and metastasize as well as resist the effects of chemotherapy. Complex molecular interactions and pathways give rise to the desmoplastic reaction. Breakdown or penetration of the desmoplastic reaction may hold the key to overcoming the limits of delivery of efficacious chemotherapy or the development of new targeted treatments. Herein we discuss such new developments to fight the desmoplastic reaction, including inhibitors of the epidermal growth factor, fibroblast growth factor, the hedgehog pathway, as well as new molecular targets like CD40 agonist and its effects on T cells, extracellular matrix modifying enzymes such as LOXL2 inhibitor and novel tumour penetrating peptides for delivery of drugs.
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institution Kabale University
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series Gastroenterology Research and Practice
spelling doaj-art-68a13a8daa2e4c1b98d15208dcf4da522025-02-03T01:30:13ZengWileyGastroenterology Research and Practice1687-61211687-630X2012-01-01201210.1155/2012/781765781765Desmoplasia in Pancreatic Cancer. Can We Fight It?E. E. Merika0K. N. Syrigos1M. W. Saif2Oncology Unit, Third Department of Medicine, Sotiria General Hospital, University of Athens, 10679 Athens, GreeceOncology Unit, Third Department of Medicine, Sotiria General Hospital, University of Athens, 10679 Athens, GreeceTufts University School of Medicine, Boston, MA 02111, USAThe hallmark of pancreatic tumours, the desmoplastic reaction, provides a unique microenvironment that affects pancreatic tumour behaviour, its ability to grow and metastasize as well as resist the effects of chemotherapy. Complex molecular interactions and pathways give rise to the desmoplastic reaction. Breakdown or penetration of the desmoplastic reaction may hold the key to overcoming the limits of delivery of efficacious chemotherapy or the development of new targeted treatments. Herein we discuss such new developments to fight the desmoplastic reaction, including inhibitors of the epidermal growth factor, fibroblast growth factor, the hedgehog pathway, as well as new molecular targets like CD40 agonist and its effects on T cells, extracellular matrix modifying enzymes such as LOXL2 inhibitor and novel tumour penetrating peptides for delivery of drugs.http://dx.doi.org/10.1155/2012/781765
spellingShingle E. E. Merika
K. N. Syrigos
M. W. Saif
Desmoplasia in Pancreatic Cancer. Can We Fight It?
Gastroenterology Research and Practice
title Desmoplasia in Pancreatic Cancer. Can We Fight It?
title_full Desmoplasia in Pancreatic Cancer. Can We Fight It?
title_fullStr Desmoplasia in Pancreatic Cancer. Can We Fight It?
title_full_unstemmed Desmoplasia in Pancreatic Cancer. Can We Fight It?
title_short Desmoplasia in Pancreatic Cancer. Can We Fight It?
title_sort desmoplasia in pancreatic cancer can we fight it
url http://dx.doi.org/10.1155/2012/781765
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