“…Hypoxia is not only a consequence of unrestrained fast tumor growth; it also plays a vital role in promoting tumor proliferation, invasion, EMT, distant metastasis and resistance to therapy [ [11] , [12] , [13] , [14] , [15] , [16] , [17] , [18] , [19] , [20] , [21] , [22] , [23] , [24] ]. The tumor stroma is a dynamic environment, which includes inflammatory cells, pancreatic stellate cells (PSC), endothelial cells, extracellular matrix (ECM), growth factors and cytokines.…”