2016
DOI: 10.1038/nrc.2016.66
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Pancreatic cancer biology and genetics from an evolutionary perspective

Abstract: Cancer is an evolutionary disease, containing the hallmarks of an asexually reproducing unicellular organism subject to evolutionary paradigms. Pancreatic ductal adenocarcinoma (hereafter referred to as pancreatic cancer) is a particularly robust example of this phenomenon. Genomic features indicate that pancreatic cancer cells are selected for fitness advantages when encountering the geographic and resource-depleted constraints of the microenvironment. Phenotypic adaptations to these pressures help disseminat… Show more

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Cited by 332 publications
(268 citation statements)
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References 138 publications
(213 reference statements)
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“…The diversity is achieved as transformed cells accumulate mutations. This leads to changes in signal transduction, the epigenome, and gene expression, which endow a spectrum of differentiation, metabolic, and proliferative states across the cancer cell populations in the tumor [2, 3]. These features encompass the intrinsic metabolic properties of the cancer cells [46].…”
Section: Features Of the Tumor Microenvironment That Affect Metabolismmentioning
confidence: 99%
“…The diversity is achieved as transformed cells accumulate mutations. This leads to changes in signal transduction, the epigenome, and gene expression, which endow a spectrum of differentiation, metabolic, and proliferative states across the cancer cell populations in the tumor [2, 3]. These features encompass the intrinsic metabolic properties of the cancer cells [46].…”
Section: Features Of the Tumor Microenvironment That Affect Metabolismmentioning
confidence: 99%
“…Clonal expansion and progression to PanIN3 and PDAC requires additional signalling and mutational events to overcome oncogene-induced senescence, such as loss of cyclin-dependent kinase inhibitor 2A (CDKN2A, also known as p16 INK4A ). Eventually, additional inactivating mutations of tumour suppressor genes, such as Tp53 , Brca2 and Smad4 , occur during PanIN2 or PanIN3 progression, but at reduced rates (a detailed review on pancreatic cancer biology and genetics and photomicrographs of different lesions can be found elsewhere 100 ). However, comparative studies of human tissues and transgenic mice ( Pdx1- Cre; Kras LSL-G12D model) suggest that dysplastic lesions other than PanIN can also arise from ADM.…”
Section: Adm As a Precursor Lesionmentioning
confidence: 99%
“…The major histological subtype is pancreatic ductal adenocarcinoma (PDAC), which accounts for over 90% of pancreatic cancer. PDACs originate from pancreatic ductal epithelium and evolve from premalignant lesions to fully invasive cancer with successive accumulation of gene mutations [149,150]. Since SMAD4 is identical to a putative tumor suppressor gene "deleted in pancreatic cancer locus 4, DPC4" [151], there have been extensive efforts to clarify the impact of this pathway on the development of PDACs.…”
Section: Pancreatic Cancer and Tgf-β Signalingmentioning
confidence: 99%