Stroma-Targeting Therapy in Pancreatic Cancer: One Coin With Two Sides?

被引:66
作者
Jiang, Bolun [1 ]
Zhou, Li [1 ]
Lu, Jun [1 ]
Wang, Yizhi [1 ]
Liu, Chengxi [1 ]
You, Lei [1 ]
Guo, Junchao [1 ]
机构
[1] Chinese Acad Med Sci & Peking Union Med Coll, Peking Union Med Coll Hosp, Dept Gen Surg, Beijing, Peoples R China
基金
中国国家自然科学基金;
关键词
pancreatic ductal adenocarcinoma; stroma; chemotherapy; tumor microenvironment; nanotherapy; EXTRACELLULAR-MATRIX; HEDGEHOG PATHWAY; STELLATE CELLS; DRUG-DELIVERY; LINE THERAPY; MOUSE MODEL; TUMOR; GEMCITABINE; HYALURONAN; MICROBUBBLES;
D O I
10.3389/fonc.2020.576399
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Pancreatic ductal adenocarcinoma (PDAC) is a malignancy with one of the worst prognoses worldwide and has an overall 5-year survival rate of only 9%. Although chemotherapy is the recommended treatment for patients with advanced PDAC, its efficacy is not satisfactory. The dense dysplastic stroma of PDAC is a major obstacle to the delivery of chemotherapy drugs and plays an important role in the progression of PDAC. Therefore, stroma-targeting therapy is considered a potential treatment strategy to improve the efficacy of chemotherapy and patient survival. While several preclinical studies have shown encouraging results, the anti-tumor potential of the PDAC stroma has also been revealed, and the extreme depletion might promote tumor progression and undermine patient survival. Therefore, achieving a balance between stromal abundance and depletion might be the further of stroma-targeting therapy. This review summarized the current progress of stroma-targeting therapy in PDAC and discussed the double-edged sword of its therapeutic effects.
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页数:9
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