Advanced pancreatic ductal adenocarcinoma - Complexities of treatment and emerging therapeutic options.

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Author
Diwakarla, C; Hannan, K; Hein, N; Yip, DDate
2017-04-07Source Title
World Journal of GastroenterologyPublisher
Baishideng Publishing Group Inc.University of Melbourne Author/s
Hannan, KatherineAffiliation
Biochemistry and Molecular BiologyMetadata
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Journal ArticleCitations
Diwakarla, C., Hannan, K., Hein, N. & Yip, D. (2017). Advanced pancreatic ductal adenocarcinoma - Complexities of treatment and emerging therapeutic options.. World J Gastroenterol, 23 (13), pp.2276-2285. https://doi.org/10.3748/wjg.v23.i13.2276.Access Status
Open AccessOpen Access at PMC
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5385394Abstract
Pancreatic ductal adenocarcinoma is a devastating disease with a poor prognosis regardless of stage. To date the mainstay of therapy for advanced disease has been chemotherapy with little incremental improvements in outcome. Despite extensive research investigating new treatment options the current practices continue to utilise fluorouracil or gemcitabine containing combinations. The need for novel therapeutic approaches is mandated by the ongoing poor survival rates associated with this disease. One such approach may include manipulation of ribosome biogenesis and the nucleolar stress response, which has recently been applied to haematological malignancies such as lymphoma and prostate cancer with promising results. This review will focus on the current therapeutic options for pancreatic ductal adenocarcinoma and the complexities associated with developing novel treatments, with a particular emphasis on the role of the nucleolus as a treatment strategy.
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