Cited by 51Pancreatic and Hepatic Oncology ResearchNanoparticle-Based Drug DeliveryPancreatitis Pathology and Treatment

Combination Therapies and Drug Delivery Platforms in Combating Pancreatic Cancer

Open access
Lei, Fan, Xi, Xinyuan, Batra, Surinder K., Bronich, Tatiana K.·2019·The Journal of Pharmacology and Experimental Therapeutics

Abstract

Pancreatic ductal adenocarcinoma (PDAC), the fourth leading cause of cancer-related death in the United States, is highly aggressive and resistant to both chemo- and radiotherapy. It remains one of the most difficult-to-treat cancers, not only due to its unique pathobiological features such as stroma-rich desmoplastic tumors surrounded by hypovascular and hypoperfused vessels limiting the transport of therapeutic agents, but also due to problematic early detection, which renders most treatment options largely ineffective, resulting in extensive metastasis. To elevate therapeutic effectiveness of treatments and overt their toxicity, significant enthusiasm was generated to exploit new strategies for combating PDAC. Combination therapy targeting different barriers to mitigate delivery issues and reduce tumor recurrence and metastasis has demonstrated optimal outcomes in patients' survival and quality of life, providing possible approaches to overcome therapeutic challenges. This paper aims to provide an overview of currently explored multimodal therapies using either conventional therapy or nanomedicines along with rationale, up-to-date progress, as well as the key challenges that must be overcome. Understanding the future directions of the field may assist in the successful development of novel treatment strategies for enhancing therapeutic efficacy in PDAC.

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Crossref · 10.1124/jpet.118.255786

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165 of 165 references verified0 citation errors · 0 not checkable

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Authors
Lei, F., Xi, X., Batra, S. K., & Bronich, T. K.
Affiliations
University of Nebraska Medical Center (US)
Venue
The Journal of Pharmacology and Experimental Therapeutics
Publisher
Elsevier BV
Published
2019-09
Volume
370
Issue
3
Pages
682-694
ISSN
0022-3565 (ISSN-L)
OpenAlex
W2917655665
Cited by
51
References
168
Citations by year
2026: 5 · 2025: 8 · 2024: 6 · 2023: 9 · 2022: 9 · 2021: 10 · 2020: 2 · 2019: 2
FWCI
0.55
Type
journal article
Language
en
Open access
Locations
  • Journal of Pharmacology and Experimental Therapeutics (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • American Cancer Society
  • National Institutes of Health
  • National Institute of General Medical Sciences (P30GM127200)
Topics
  • Health Sciences › Medicine › Oncology › Pancreatic and Hepatic Oncology Research
  • Physical Sciences › Materials Science › Biomaterials › Nanoparticle-Based Drug Delivery
  • Health Sciences › Medicine › Surgery › Pancreatitis Pathology and Treatment
Keywords
pancreatic ductal adenocarcinoma, combination therapy, drug delivery systems, nanomedicine, multimodal therapy, desmoplasia, tumor stroma, hypovascular tumor, metastasis, chemoresistance, radiotherapy resistance, tumor recurrence
MeSH terms
Animals, Antineoplastic Combined Chemotherapy Protocols, Combined Modality Therapy, Humans, Neoplasm Metastasis, Pancreatic Neoplasms, Drug Delivery Systems, Nanomedicine

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