Shahrokhi Nejad Shahrzad, Razi Sepideh, Rezaei Nima
Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Cancer Immunology Project (CIP), Universal Scientific Education and Research Network (USERN), Tehran, Iran.
Clin Transl Oncol. 2025 Jan;27(1):70-82. doi: 10.1007/s12094-024-03572-8. Epub 2024 Jun 26.
Pancreatic cancer has doubled over the previous two decades. Routine therapies are becoming incredibly resistant and failing to compensate for the burden caused by this aggressive neoplasm. As genetic susceptibility has always been a highlighted concern for this disease, identifying the molecular pathways involved in the survival and function of pancreatic cancer cells provides insight into its variant etiologies, one of which is the role of AMPK. This regulating factor of cell metabolism is crucial in the homeostasis and growth of the cell. Herein, we review the possible role of AMPK in pancreatic cancer while considering its leading effects on glycolysis and autophagy. Then, we assess the probable therapeutic agents that have resulted from the suggested pathways. Studying the underlying genetic changes in pancreatic cancer provides a chance to detect and treat patients suffering from advanced stages of the disease, and those who have given up their hope on conventional therapies can gain an opportunity to combat this cancer.
在过去二十年中,胰腺癌的发病率翻了一番。常规疗法正变得极具耐药性,无法应对这种侵袭性肿瘤所带来的负担。由于遗传易感性一直是这种疾病备受关注的问题,确定参与胰腺癌细胞存活和功能的分子途径有助于深入了解其多种病因,其中之一就是AMPK的作用。这种细胞代谢调节因子对细胞的稳态和生长至关重要。在此,我们回顾了AMPK在胰腺癌中的可能作用,同时考虑其对糖酵解和自噬的主要影响。然后,我们评估了由这些途径衍生出的可能的治疗药物。研究胰腺癌潜在的基因变化为检测和治疗处于疾病晚期的患者提供了机会,那些对传统疗法已不抱希望的患者也能获得对抗这种癌症的机会。