Epigenetic therapeutic strategies in pancreatic cancer.

3区 生物学 Q1 Biochemistry, Genetics and Molecular Biology International review of cell and molecular biology Pub Date : 2024-01-01 Epub Date: 2024-01-24 DOI:10.1016/bs.ircmb.2023.10.002
Arturo Orlacchio, Stephen Muzyka, Tamas A Gonda
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Abstract

Pancreatic ductal adenocarcinoma (PDAC) is one of the most lethal solid malignancies, characterized by its aggressiveness and metastatic potential, with a 5-year survival rate of only 8-11%. Despite significant improvements in PDAC treatment and management, therapeutic alternatives are still limited. One of the main reasons is its high degree of intra- and inter-individual tumor heterogeneity which is established and maintained through a complex network of transcription factors and epigenetic regulators. Epigenetic drugs, have shown promising preclinical results in PDAC and are currently being evaluated in clinical trials both for their ability to sensitize cancer cells to cytotoxic drugs and to counteract the immunosuppressive characteristic of PDAC tumor microenvironment. In this review, we discuss the current status of epigenetic treatment strategies to overcome molecular and cellular PDAC heterogeneity in order to improve response to therapy.

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胰腺癌的表观遗传学治疗策略。
胰腺导管腺癌(PDAC)是最致命的实体恶性肿瘤之一,具有侵袭性和转移性,5 年生存率仅为 8-11%。尽管在 PDAC 的治疗和管理方面取得了重大进展,但替代疗法仍然有限。其中一个主要原因是其个体内和个体间肿瘤的高度异质性,这种异质性是通过转录因子和表观遗传调节因子的复杂网络建立和维持的。表观遗传药物在 PDAC 的临床前研究中取得了可喜的成果,目前正在临床试验中对其进行评估,以确定其是否能使癌细胞对细胞毒性药物敏感,以及是否能抵消 PDAC 肿瘤微环境的免疫抑制特性。在本综述中,我们将讨论表观遗传学治疗策略的现状,以克服 PDAC 的分子和细胞异质性,从而改善治疗反应。
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来源期刊
International review of cell and molecular biology
International review of cell and molecular biology BIOCHEMISTRY & MOLECULAR BIOLOGY-CELL BIOLOGY
CiteScore
7.70
自引率
0.00%
发文量
67
审稿时长
>12 weeks
期刊介绍: International Review of Cell and Molecular Biology presents current advances and comprehensive reviews in cell biology-both plant and animal. Articles address structure and control of gene expression, nucleocytoplasmic interactions, control of cell development and differentiation, and cell transformation and growth. Authored by some of the foremost scientists in the field, each volume provides up-to-date information and directions for future research.
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