Targeting signal transduction in pancreatic cancer treatment

Expert Opin Ther Targets. 2007 May;11(5):673-94. doi: 10.1517/14728222.11.5.673.

Abstract

Pancreatic cancer is a lethal disease with a 5-year survival rate of 4%. The only opportunity for improved survival continues to be complete surgical resection for those with localized disease. Although chemotherapeutic options are limited for the few patients with resectable disease, this problem is even more magnified in the majority (85%) of patients with unresectable or metastastic disease. Therefore, there is an urgent need for improved therapeutic options. The recent success of inhibitors of signal transduction for the treatment of other cancers supports the need to identify and validate aberrant signaling pathways important for pancreatic tumor growth. This review focuses on the validation of specific signaling networks and the present status of inhibitors of these pathways as therapeutic approaches for pancreatic cancer treatment.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Antibodies, Monoclonal / pharmacology
  • Antibodies, Monoclonal / therapeutic use
  • Antineoplastic Agents / pharmacology
  • Antineoplastic Agents / therapeutic use
  • Carcinoma, Pancreatic Ductal / drug therapy*
  • Carcinoma, Pancreatic Ductal / genetics
  • Carcinoma, Pancreatic Ductal / mortality
  • Carcinoma, Pancreatic Ductal / therapy
  • Disease Progression
  • Drug Delivery Systems
  • Drug Design
  • ErbB Receptors / physiology
  • Forecasting
  • Genes, ras
  • Hedgehog Proteins / antagonists & inhibitors
  • Hedgehog Proteins / physiology
  • Humans
  • Immunotherapy
  • MAP Kinase Signaling System / drug effects
  • NF-kappa B / antagonists & inhibitors
  • NF-kappa B / metabolism
  • Neoplasm Proteins / antagonists & inhibitors*
  • Neoplasm Proteins / physiology
  • Oncogene Protein p21(ras) / antagonists & inhibitors
  • Pancreatic Neoplasms / drug therapy*
  • Pancreatic Neoplasms / genetics
  • Pancreatic Neoplasms / mortality
  • Pancreatic Neoplasms / therapy
  • Protein Kinase Inhibitors / pharmacology
  • Protein Kinase Inhibitors / therapeutic use
  • Proto-Oncogene Proteins c-vav / antagonists & inhibitors
  • Proto-Oncogene Proteins c-vav / physiology
  • Proto-Oncogene Proteins p21(ras) / physiology
  • Receptors, Notch / antagonists & inhibitors
  • Receptors, Notch / physiology
  • Signal Transduction / drug effects*
  • Signal Transduction / physiology
  • Smad4 Protein / physiology
  • Transforming Growth Factor beta / antagonists & inhibitors
  • Transforming Growth Factor beta / physiology

Substances

  • Antibodies, Monoclonal
  • Antineoplastic Agents
  • Hedgehog Proteins
  • NF-kappa B
  • Neoplasm Proteins
  • Protein Kinase Inhibitors
  • Proto-Oncogene Proteins c-vav
  • Receptors, Notch
  • Smad4 Protein
  • Transforming Growth Factor beta
  • VAV1 protein, human
  • ErbB Receptors
  • Oncogene Protein p21(ras)
  • Proto-Oncogene Proteins p21(ras)