Department of Pharmaceutical Sciences, North Dakota State University, Fargo, ND 58108-6050, USA.
Curr Pharm Des. 2012;18(17):2439-51. doi: 10.2174/13816128112092439.
Pancreatic cancer (PC) is a leading cause of cancer related deaths in United States. The lack of early symptoms results in latestage detection and a high mortality rate. Currently, the only potentially curative approach for PC is surgical resection, which is often unsuccessful because the invasive and metastatic nature of the tumor masses makes their complete removal difficult. Consequently, patients suffer relapses from remaining cancer stem cells or drug resistance that eventually lead to death. To improve the survival rate, the early detection of PC is critical. Current biomarker research in PC indicates that a serum carbohydrate antigen, CA 19-9, is the only available biomarker with approximately 90% specificity to PC. However, the efficacy of CA 19-9 for assessing prognosis and monitoring patients with PC remains contentious. Thus, advances in technology and the detection of new biomarkers with high specificity to PC are needed to reduce the mortality rate of pancreatic cancer.
胰腺癌(PC)是美国癌症相关死亡的主要原因。由于缺乏早期症状,导致晚期检测和高死亡率。目前,PC 唯一潜在的治愈方法是手术切除,但往往不成功,因为肿瘤的侵袭性和转移性性质使得完全切除肿瘤变得困难。因此,患者会因残留的癌症干细胞或药物耐药而复发,最终导致死亡。为了提高生存率,早期发现 PC 至关重要。目前 PC 的生物标志物研究表明,血清碳水化合物抗原 CA 19-9 是唯一具有约 90%特异性的生物标志物。然而,CA 19-9 用于评估预后和监测 PC 患者的疗效仍存在争议。因此,需要在技术上取得进步,并检测出对 PC 具有高特异性的新生物标志物,以降低胰腺癌的死亡率。