2007
DOI: 10.1007/s00534-006-1166-5
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Molecular genetics of pancreatic intraepithelial neoplasia

Abstract: Background-Recent evidence suggests that noninvasive precursor lesions, classified as pancreatic intraepithelial neoplasia (PanIN), can progress to invasive pancreatic cancer. This review will discuss the major genetic alterations in PanIN lesions.

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Cited by 233 publications
(186 citation statements)
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“…Pancreatic cancer is an aggressive as well as malignant disease and is advanced by the successive and accumulated mutations of genes, including oncogenes KRAS2 and tumor-suppressor genes, INK4A, TP53 and DPC4/Smad4 [5,6]. The involvement of miRNAs in various human tumors suggests that they could also have regulatory functions in pancreatic cancer.…”
Section: Discussionmentioning
confidence: 99%
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“…Pancreatic cancer is an aggressive as well as malignant disease and is advanced by the successive and accumulated mutations of genes, including oncogenes KRAS2 and tumor-suppressor genes, INK4A, TP53 and DPC4/Smad4 [5,6]. The involvement of miRNAs in various human tumors suggests that they could also have regulatory functions in pancreatic cancer.…”
Section: Discussionmentioning
confidence: 99%
“…In most pancreatic cancers, there are several pathways, such as TGF-b, K-RAS, JNK, Intergrin, and Hedgehog signalings etc, and processes, including control of G1/S phase transition and DNA damage, whose component genes are genetically altered [4]. The deregulation of many tumor-suppressor genes is one of the critical reasons for the initiation and advancement of pancreatic cancer [5,6]. However, it remains unknown whether there is any miRNA targeting the tumor-suppressor gene in pancreatic carcinogenesis.…”
Section: Discussionmentioning
confidence: 99%
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“…The reported genetic alterations in PanINs include activating point mutations in the KRAS2 oncogene 4 and inactivation of p16/CDKN2A, 5 TP53, 6 SMAD4/DPC4, 6,7 and BRCA2. 2,8,9 Most of these genetic alterations have been detected in the histologically more advanced PanIN lesions (PanIN-2 and PanIN-3), and the initiating events in neoplastic progression within the pancreatic ducts remains unknown. In addition, telomere shortening is a common genetic abnormality observed in all stages of PanINs including the vast majority of earliest lesions (PanIN-1A).…”
mentioning
confidence: 99%
“…1,2 Characterization of molecular basis for these precursor lesions may refine our understanding of pancreatic ductal carcinogenesis and also provide important insight into early pancreatic cancer detection strategies and novel targets for chemoprevention. 3 Many of the genetic abnormalities observed in invasive pancreatic cancer have also been observed in PanIN lesions.…”
mentioning
confidence: 99%