2013
DOI: 10.1007/s00534-013-0610-6
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Understanding pancreatic cancer genomes

Abstract: Pancreatic cancer is the fourth leading cause of cancer death in our society, with a mortality that virtually parallels its incidence, a median survival of \12 months even with maximal therapy, and a 5-year survival rate of \5 %. The diversity of clinical outcomes and the molecular heterogeneity of histopathologically similar cancer types, incomplete knowledge of the genomic aberrations that drive carcinogenesis and the lack of therapeutics that specifically target most known genomic aberrations necessitates l… Show more

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Cited by 31 publications
(20 citation statements)
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“…11 Genetic and Molecular Aberrations in PC The Australian Pancreatic Genome Initiative (APGI) sequenced the genome, epigenome, and transcriptome of 350 PCs as part of the International Cancer Genome Consortium initiative to catalogue the genomic aberrancies of 50 different cancer types. 12 As a result of the APGI work, it is evident that PCs have a diverse array of histologically indistinguishable molecular and genetic aberrations. 13,14 These include activation of the K-ras oncogene, inactivation of the tumor suppressor gene CDNK2A, and mutation or inactivation of the tumor suppressor genes TP53 and SMAD4.…”
Section: Pancreatic Cancermentioning
confidence: 99%
See 1 more Smart Citation
“…11 Genetic and Molecular Aberrations in PC The Australian Pancreatic Genome Initiative (APGI) sequenced the genome, epigenome, and transcriptome of 350 PCs as part of the International Cancer Genome Consortium initiative to catalogue the genomic aberrancies of 50 different cancer types. 12 As a result of the APGI work, it is evident that PCs have a diverse array of histologically indistinguishable molecular and genetic aberrations. 13,14 These include activation of the K-ras oncogene, inactivation of the tumor suppressor gene CDNK2A, and mutation or inactivation of the tumor suppressor genes TP53 and SMAD4.…”
Section: Pancreatic Cancermentioning
confidence: 99%
“…Almost all PCs have 1 or 4 of these mutations, but there are a host of other mutations such as TTN and other lower incidence (<10%) mutations that account for the heterogeneity of PCs. 12,13 The most frequent mutations are K-ras (95%), TP53 (33%), and SMAD4 (16%). 13 Pancreatic cancer also has an intense desmoplastic stroma that dilutes the mutational signal from the primary tumor, which has to be overcome in identifying tumor mutations.…”
Section: Pancreatic Cancermentioning
confidence: 99%
“…Apart from conventional chemotherapy, targeted therapeutic approaches have not been proven to produce robust clinical outcomes in PDAC patients except for erlotinib, which is the first approved targeted therapy that selectively inhibits the EGFR tyrosine kinase (Kang and Saif, 2008;Moore et al, 2007). This is also caused by the fact that asymptomatic and/ or subclinical disease states, together with the wide variety of clinical subtypes, are characterized by inter-and intraindividual genotypic and phenotypic heterogeneity that commonly delays an accurate clinical diagnosis (Biankin et al, 2012;Cowley et al, 2013;Jones et al, 2008).…”
mentioning
confidence: 99%
“…Significant effort has recently been made to examine PDAC at genomic, transcriptomic, and proteomic levels, aiming to identify screening, diagnostic, prognostic, and predictive biomarkers for PDAC [3][4][5][6][7][8][9][10]. Despite this, many questions concerning the molecular pathology of PDAC still remain unanswered [4,5,[11][12][13].…”
Section: Introductionmentioning
confidence: 99%
“…Despite this, many questions concerning the molecular pathology of PDAC still remain unanswered [4,5,[11][12][13].…”
Section: Introductionmentioning
confidence: 99%