4.4 Review

Novel therapeutic strategies and perspectives for pancreatic cancer: Autophagy and apoptosis are key mechanisms to fight pancreatic cancer

Journal

MEDICAL ONCOLOGY
Volume 38, Issue 6, Pages -

Publisher

HUMANA PRESS INC
DOI: 10.1007/s12032-021-01522-w

Keywords

Apoptosis; Autophagy; Pancreatic cancer; Mechanism; Natural product extracts; Novel strategies

Categories

Funding

  1. National Natural Science Foundation of China [81772639, 81802475, 81972258, 81974376]
  2. Natural Science Foundation of Beijing [7192157]
  3. CAMS Innovation Fund for Medical Sciences (CIFMS) [2016-I2M-1-001]
  4. China Postdoctoral Science Foundation [198831]
  5. National Key R&D Program of China [2018YFE0118600]
  6. Non-profit Central Research Institute Fund of Chinese Academy of Medical Sciences [2019XK320001]

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Pancreatic cancer is the most lethal malignancy of the gastrointestinal tract, and lack of effective treatments often leads to poor prognosis for patients. Resistance to apoptosis and autophagy is a key feature of PC, contributing to its invasiveness and resistance to conventional treatment. Natural product extracts show potential in inhibiting PC progression by affecting apoptosis or autophagy.
Pancreatic cancer (PC) is the most lethal malignancy of the gastrointestinal tract. The poor prognosis of patients with PC is primarily due to lack of effective treatments against its progressive and metastatic behavior. Hence, figuring out the mechanisms underlying PC development and putting up with effective targeted therapies are of great significance to improve the prognosis of patients with PC. Apoptosis and autophagy serve to maintain tissue homoeostasis. Escaping from apoptosis or autophagy is one of the features of malignancy. PC is seriously resistant to autophagy and apoptosis, which explains its invasiveness and resistance to conventional treatment. Recently, several biological activities and pharmacological functions found in natural product extracts have been reported to inhibit PC progression. The current review focuses on understanding natural product extracts and their derivatives as one kind of novel treatments through affecting the apoptosis or autophagy in PC.

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