Pancreatic cancer is one of the most aggressive, heterogeneous, and deadliest types of human cancer. In the past few decades, aberrant expression and activation of human epidermal growth factor receptor (EGFR, HER) family members have been reported in several human malignancies, and in some cases, they have been associated with poorer prognosis. To date, only the reversible EGFR-specific erlotinib has been approved for the treatment of patients with locally advanced/unresectable/metastatic pancreatic cancer when used in combination with gemcitabine. However, the duration of response is usually short with the complex biology and heterogeneous nature of pancreatic cancer leading to primary and secondary resistance and ultimately treatment failure. The aim of this study was to investigate the growth response of a large panel of human pancreatic cancer cell lines (HPCCLs) to treatment with various tyrosine kinase inhibitors (TKIs) targeting HER-family members, other heterologous growth factor receptors and downstream signalling molecule and agents targeting cell-cycle proteins both as a single agent and in combination. Another aim was to investigate the expression pattern and prognostic significance of all members of the HER-family, the EGFR type-III mutant (EGFRvIII), and CD109 in patients with pancreatic ductal adenocarcinoma (PDAC) and the association between the expression and/or co-expression of above biomarkers and the patient's clinicopathological parameters and overall survival. Of the agents examined, treatment with the irreversible pan-HER TKI afatinib, Abl/SRC/c-kit TKI dasatinib and CDK1/2/5/9 inhibitor dinaciclib were most effective at inhibiting the proliferation and migration of HPCCLs. Moreover, treatment with afatinib and dasatinib also inhibited the ligand-induced phosphorylation of EGFR and SRC respectively. Interestingly, treatment with the combination of dasatinib with afatinib or gemcitabine resulted in a synergistic growth inhibitory effect in the HPCCLs examined. In contrast, the combination of afatinib with dinaciclib was found to be antagonistic. A statistically significant association was found between HER2 expression and the response of HPCCLs to treatment with ALK/IGF-IR/InsR TKI ceritinib (p=0.019) and FGFR1/2/3 TKI AZD4547 (p=0.012), the IGF-IR expression and the response of HPCCLs to treatment with HER-family TKIs (i.e., erlotinib (p=0.039) and afatinib (p=0.024)), and the c-MET and ALK-7 expression and the response of HPCCLs to treatment with STAT3 inhibitor stattic (p=0.006 and p=0.022 respectively). The expression and co-expression of all members of the HER-family, the EGFR type-III mutant (EGFRvIII), and CD109 were examined in 40 pancreatic cancer tissue microarrays (TMAs) and 43 archival whole tumour specimens from patients with pancreatic cancer by immunohistochemistry. At the cut-off value of >5% of tumour cells with positive immunostaining, the expression of wild-type EGFR (wt-EGFR) and EGFRvIII was detected in 4.7% and 2.3% of the whole tumour specimens and 63% and 5% of the TMAs respectively. At the same cut-off value, the expression of HER2, HER3, and HER4 was detected in 14%, 14%, and 21% of the whole tumour specimens and 75%, none, and 45% of the TMAs respectively. In addition, 55% and 67% of the whole tumour specimens and TMAs were found to be CD109 positive and 33% and 23% of the PDAC TMAs had co-expression of wt-EGFR/HER2/HER4 and wt-EGFR/HER2/HER4/CD109 respectively. Interestingly, the expression of CD109 at the cut-off value of >50% of tumour cells with positive immunostaining was associated with favourable overall survival. In contrast, co-expression of HER4/CD109 at the cut-off value of >5% was associated with poorer overall survival. The results presented here provide the rationale for further investigations of the therapeutic potential of dasatinib when used in combination with HER-family members in pancreatic cancer, for which more effective treatment is urgently needed. Moreover, as the interaction between the HER-family members and CD109 has been associated with cancer progression, further studies of the co-expression of CD109 and all members of the HER family in a larger number of whole tumour specimens and TMAs from pancreatic cancer patients from different countries are warranted. Such studies should help to unravel their full potential as targets for therapeutic interventions as well as their prognostic significance and predictive value for the response to therapy in patients with pancreatic cancer. These results and future implications will be discussed.