Molecular insights into immune evasion and therapeutic paradigms in pancreatic cancer.

IF 7 2区 医学 Q1 ONCOLOGY
Ming Li, Renyu Zhou, Yu Qiu, Yulong Peng, Minting Liu, Xiaotan Zhang
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引用次数: 0

Abstract

Pancreatic cancer, particularly pancreatic ductal adenocarcinoma (PDAC), is one of the most lethal malignancies, which is characterized by a complex tumor microenvironment (TME) that fosters immune evasion and treatment resistance. Recent genomic advancements have unveiled diverse molecular subtypes of PDAC, providing insights into targeted therapies and precision medicine. This review synthesizes the current understanding of PDAC's molecular characterization and immunosuppressive TME, as well as emerging therapeutic strategies, including innovative approaches targeting key molecular pathways such as kirsten rat sarcoma viral oncogene homolog (KRAS), epidermal growth factor receptor (EGFR), and immune checkpoints. Despite advances, challenges remain in overcoming treatment resistance and inherent heterogeneity of pancreatic cancer subtypes. We highlight the need for multidisciplinary collaboration to enhance early diagnosis and develop individualized therapeutic protocols, paving the way for improving the outcomes of this aggressive cancer. This integrated perspective underscores the urgency of transforming the innovative research into pancreatic cancer management.

胰腺癌免疫逃避和治疗范例的分子见解。
胰腺癌,特别是胰腺导管腺癌(PDAC)是最致命的恶性肿瘤之一,其特点是复杂的肿瘤微环境(TME)促进免疫逃避和治疗抵抗。最近基因组学的进展揭示了PDAC的不同分子亚型,为靶向治疗和精准医疗提供了见解。本文综述了目前对PDAC分子特征和免疫抑制TME的理解,以及新兴的治疗策略,包括针对关键分子途径的创新方法,如kirsten大鼠肉瘤病毒癌基因同源物(KRAS)、表皮生长因子受体(EGFR)和免疫检查点。尽管取得了进展,但在克服胰腺癌亚型的治疗耐药性和固有异质性方面仍然存在挑战。我们强调需要多学科合作,以加强早期诊断和制定个性化的治疗方案,为改善这种侵袭性癌症的结果铺平道路。这一综合观点强调了将创新研究转化为胰腺癌治疗的紧迫性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
自引率
9.80%
发文量
1726
审稿时长
4.5 months
期刊介绍: Chinese Journal of Cancer Research (CJCR; Print ISSN: 1000-9604; Online ISSN:1993-0631) is published by AME Publishing Company in association with Chinese Anti-Cancer Association.It was launched in March 1995 as a quarterly publication and is now published bi-monthly since February 2013. CJCR is published bi-monthly in English, and is an international journal devoted to the life sciences and medical sciences. It publishes peer-reviewed original articles of basic investigations and clinical observations, reviews and brief communications providing a forum for the recent experimental and clinical advances in cancer research. This journal is indexed in Science Citation Index Expanded (SCIE), PubMed/PubMed Central (PMC), Scopus, SciSearch, Chemistry Abstracts (CA), the Excerpta Medica/EMBASE, Chinainfo, CNKI, CSCI, etc.
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