Sato-Dahlman Mizuho, Wirth Keith, Yamamoto Masato
Department of Surgery, University of Minnesota, Minneapolis, MN 55455, USA.
Masonic Cancer Center, University of Minnesota, Minneapolis, MN 55455, USA.
Cancers (Basel). 2018 Apr 3;10(4):103. doi: 10.3390/cancers10040103.
Mortality from pancreatic ductal adenocarcinoma (PDAC) has remained essentially unchanged for decades and its relative contribution to overall cancer death is projected to only increase in the coming years. Current treatment for PDAC includes aggressive chemotherapy and surgical resection in a limited number of patients, with median survival of optimal treatment rather dismal. Recent advances in gene therapies offer novel opportunities for treatment, even in those with locally advanced disease. In this review, we summarize emerging techniques to the design and administration of virotherapy, synthetic vectors, and gene-editing technology. Despite these promising advances, shortcomings continue to exist and here will also be highlighted those approaches to overcoming obstacles in current laboratory and clinical research.
几十年来,胰腺导管腺癌(PDAC)的死亡率基本保持不变,预计其在总体癌症死亡中的相对占比在未来几年还会增加。目前PDAC的治疗方法包括积极的化疗以及对少数患者进行手术切除,最佳治疗方案的中位生存期相当不理想。基因疗法的最新进展为治疗提供了新的机会,即使是对局部晚期疾病患者也是如此。在这篇综述中,我们总结了病毒疗法、合成载体和基因编辑技术在设计和应用方面的新兴技术。尽管有这些令人鼓舞的进展,但缺点仍然存在,本文还将重点介绍当前实验室和临床研究中克服障碍的方法。