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Review
. 2020 Aug 1:484:9-15.
doi: 10.1016/j.canlet.2020.04.018. Epub 2020 May 5.

Hypoxia and pancreatic ductal adenocarcinoma

Affiliations
Review

Hypoxia and pancreatic ductal adenocarcinoma

Akio Yamasaki et al. Cancer Lett. .

Abstract

Chemotherapy and immunotherapy for pancreatic ductal adenocarcinoma (PDAC) have limited success. One reason for this is thought to be the cancer microenvironment surrounding PDAC. Hypoxia is a feature of the cancer microenvironment. Under hypoxia, different various molecules and signaling pathways are activated compared with normoxia. To develop a new effective therapeutic strategy for PDAC, we need to target these hypoxic conditions to overcome PDAC. To inhibit the malignant phenotype, the cellular changes that occur under hypoxia should be elucidated. Various molecules and signaling that are activated by hypoxia may contribute to the induction of malignant phenotypes of PDAC such as proliferation, invasion, tumorigenesis, chemosensitivity, and autophagy. If we can develop therapeutic approaches to target one of these molecules or signaling pathways, we may proceed to the next therapeutic step of successfully treating refractory PDAC.

Keywords: Cancer microenvironment; Hypoxia; Morphogenesis signaling; Pancreatic ductal adenocarcinoma; Therapeutic target.

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Conflict of interest statement

Declaration of competing interest The authors declare no conflict of interest for this work.

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