Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

Clinical and Preclinical Targeting of Oncogenic Pathways in PDAC: Targeted Therapeutic Approaches for the Deadliest Cancer

Version 1 : Received: 4 January 2024 / Approved: 4 January 2024 / Online: 5 January 2024 (06:28:11 CET)

A peer-reviewed article of this Preprint also exists.

Jiménez, D.J.; Javed, A.; Rubio-Tomás, T.; Seye-Loum, N.; Barceló, C. Clinical and Preclinical Targeting of Oncogenic Pathways in PDAC: Targeted Therapeutic Approaches for the Deadliest Cancer. Int. J. Mol. Sci. 2024, 25, 2860. Jiménez, D.J.; Javed, A.; Rubio-Tomás, T.; Seye-Loum, N.; Barceló, C. Clinical and Preclinical Targeting of Oncogenic Pathways in PDAC: Targeted Therapeutic Approaches for the Deadliest Cancer. Int. J. Mol. Sci. 2024, 25, 2860.

Abstract

Pancreatic ductal adenocarcinoma (PDAC) is one of the leading causes of cancer-related death worldwide. It is commonly diagnosed in advanced stages and therapeutic interventions are typically constrained to systemic chemotherapy, which yields only modest clinical outcomes. In this review, we examine recent developments in targeted therapy tailored to address distinct molecular pathway alteration required for PDAC. Our review delineates the principal signaling pathways and molecular mechanisms implicated in the initiation and progression of PDAC. Subsequently, we provide an overview of prevailing guidelines, ongoing investigations, and prospective research trajectories related to targeted therapeutic interventions, drawing insights from randomized clinical trials and other pertinent studies. This review focus on a comprehensive examination of preclinical and clinical data substantiating the efficacy of these therapeutic modalities, emphasizing the potential of combinatorial regimens and novel therapies to enhance the quality of life for individuals afflicted with PDAC. Lastly, the review delves into the contemporary application and ongoing research endeavors concerning targeted therapy for PDAC. This synthesis serves to bridge the molecular elucidation of PDAC with its clinical implications, the evolution of innovative therapeutic strategies, and the changing landscape of treatment approaches.

Keywords

PDAC; molecular alterations; oncogenic pathways; targeted therapy; preclinical; clinical; combinational therapy; clinical trials

Subject

Medicine and Pharmacology, Oncology and Oncogenics

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