1. Targeting genetically-tuned CAFs in pancreatic cancer via perlecan manipulation
- Author
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Paul Timpson, Shona Ritchie, Brooke A. Pereira, and Claire Vennin
- Subjects
0301 basic medicine ,Pharmacology ,Chemotherapy ,Stromal cell ,biology ,business.industry ,medicine.medical_treatment ,Clinical Biochemistry ,Translation (biology) ,Perlecan ,medicine.disease ,03 medical and health sciences ,030104 developmental biology ,0302 clinical medicine ,Stroma ,Pancreatic tumor ,030220 oncology & carcinogenesis ,Pancreatic cancer ,Drug Discovery ,medicine ,Cancer research ,biology.protein ,Molecular Medicine ,business ,Survival rate - Abstract
Introduction: Pancreatic cancer (PC) is responsible for significant worldwide cancer-associated mortality and has one of the lowest five-year survival rate post-diagnosis of all epithelial cancers. A major contributor to this dismal outcome is the extensive stromal reaction that occurs during PC progression. As such, targeting key components of the pancreatic tumor stroma in combination with standard-of-care chemotherapy has been a recent focus in both the pre-clinical and clinical settings.Areas Covered: In this commentary, we highlight how perlecan was identified as a new potential target for this disease.Expert Opinion: Perlecan is deposited by cancer-associated fibroblasts (CAFs) in the pancreatic tumor stroma, and work from our laboratory group recently demonstrated that depleting perlecan reduces metastatic spread, while also improving chemotherapy efficacy in pancreatic tumors harboring a gain-of-function p53 mutation. We also discuss potential strategies to therapeutically target perlecan which could be tested in pre-clinical models prior to translation into the clinic.
- Published
- 2020
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