1.Dihydromyricetin reverses Herceptin resistance by up-regulating miR-98-5p and inhibiting IGF1R/HER2 dimer formation in SKBR3 cells.
Ming Liang ZHANG ; Chen Xu GUO ; Yun Mian CHU ; Rui XU ; Fa Xiang YIN ; Jun QIAN
Journal of Southern Medical University 2022;42(2):207-214
		                        		
		                        			OBJECTIVE:
		                        			To explore the effect of dihydromyricetin on the expression of miR-98-5p and its mechanism in the development of Herceptin resistance in SKBR3 cells.
		                        		
		                        			METHODS:
		                        			The expression of IGF2 and miR-98-5p and their interaction relationship were analyzed by bioinformatics analysis through TargetScan online databases. SKBR3 cells and drug-resistant SKBR3-R cells were cultured in cell experiments. Xenograft tumor mice were constructed by SKBR3 and SKBR3-R cells. Proteins were detected by western blotting and immunohistochemistry. Transfected cells were constructed by shRNA lentivirus vectors. RT-QPCR was used to detect RNA. Cell proliferation was detected by MTS method. Cell jnvasion was detected by Transwell assay. Luciferase reporting assays were used to verify RNA interactions. IGF-1R/HER2 heterodimer was determined by immunocoprecipitation.
		                        		
		                        			RESULTS:
		                        			The expression of IGF2, p-IGF1R, p-Akt and p-S6K in SKBR3-R cells were significantly higher than those in SKBR3 cells, while the expression of PTEN protein was lower in SKBR3-R cells (P < 0.05). IGF1R/HER2 heterodimer in SKBR3-R cells was significantly increased (P < 0.01).The expression of IGF2 and invasion ability were significantly reduced while transfected with miR-98-5p in SKBR3-R cells (P < 0.05), but the IGF2 mRNA were no difference in both cells (P > 0.05). The expression of miR-98-5p was up-regulated and IGF2 was decreased in drug-resistant xenograft tumor mice after feeding with dihydromyricetin, and the tumor became more sensitivity to Herceptin (P < 0.05).
		                        		
		                        			CONCLUSION
		                        			Dihydromyricetin could induce the expression of miR-98-5p, which binds to IGF2 mRNA to reduce IGF2 expression, inhibit the IGF-1R/HER2 formation, thereby reversing cell resistance to Herceptin in SKBR3-R cells.
		                        		
		                        		
		                        		
		                        			Animals
		                        			;
		                        		
		                        			Cell Line, Tumor
		                        			;
		                        		
		                        			Flavonols/pharmacology*
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Mice
		                        			;
		                        		
		                        			MicroRNAs/metabolism*
		                        			;
		                        		
		                        			Receptor, IGF Type 1
		                        			;
		                        		
		                        			Trastuzumab
		                        			
		                        		
		                        	
2.Effect of low-frequency pulsed electromagnetic fields on activity of rat calvarial osteoblasts through IGF-1R/NO signaling pathway.
Jiale SHAO ; Zhizhong LI ; Jian ZHOU ; Kai LI ; Rong QIN ; Keming CHEN
Journal of Zhejiang University. Medical sciences 2019;48(2):158-164
		                        		
		                        			OBJECTIVE:
		                        			To investigate the effect of low-frequency pulsed electromagnetic fields (PEMF) on the maturation and mineralization of rat cranial osteoblasts and its relation to IGF-1R/NO signaling pathway.
		                        		
		                        			METHODS:
		                        			The rat osteoblasts were isolated and cultured and randomly divided into blank control group, PEMF group, GSK group (IGF-1R blocker) and PEMF+GSK group. The cells were treated with 50 Hz 0.6 mT PEMF for 1.5 h/d. After 3 d of PEMF treatment, the expressions of protein kinase (AKT), inducible nitric oxide synthase (iNOS) and cGMP-dependent protein kinase (PKG) were detected by Western blotting; on 6 d of PEMF treatment alkaline phosphatase (ALP) activity was determined; on 12 d of PEMF treatment the calcification nodule formation was demonstrated by Alizarin red staining.
		                        		
		                        			RESULTS:
		                        			NO level was significantly increased in rat osteoblasts treated with 50 Hz 0.6 mT PEMF for 1.5 h/d. Western blot analysis showed that the expressions of AKT, iNOS and PKG protein in PEMF group were higher than those in the control group (all <0.01); the ALP activity was increased(<0.05), and the PEMF group had the largest area of Alizarin red staining (<0.01). The expressions of AKT, iNOS and PKG protein in GSK group were lower than those in the control group; the ALP activity was decreased (<0.05), and the GSK group had the least area of Alizarin red staining (<0.01). The expressions of AKT, iNOS, PKG protein, the ALP activity and the area of Alizarin red staining in PEMF+GSK group were between PEMF group and GSK group.
		                        		
		                        			CONCLUSIONS
		                        			PEMF may enhance the maturation and mineralization of rat cranial osteoblasts through IGF-1R/NO signaling pathway.
		                        		
		                        		
		                        		
		                        			Animals
		                        			;
		                        		
		                        			Cell Differentiation
		                        			;
		                        		
		                        			Cell Proliferation
		                        			;
		                        		
		                        			Cells, Cultured
		                        			;
		                        		
		                        			Electromagnetic Fields
		                        			;
		                        		
		                        			Nitric Oxide
		                        			;
		                        		
		                        			metabolism
		                        			;
		                        		
		                        			Osteoblasts
		                        			;
		                        		
		                        			radiation effects
		                        			;
		                        		
		                        			Rats
		                        			;
		                        		
		                        			Receptor, IGF Type 1
		                        			;
		                        		
		                        			metabolism
		                        			;
		                        		
		                        			Signal Transduction
		                        			;
		                        		
		                        			radiation effects
		                        			
		                        		
		                        	
3.Effects of electroacupuncture at "Zhongliao" (BL 33) and "Tianshu" (ST 25) on ovarian function in rats with premature ovarian insufficiency.
Weiming WANG ; Yang WANG ; Jiani WU ; Likun YANG ; Zhishun LIU
Chinese Acupuncture & Moxibustion 2018;38(5):5193-5126
OBJECTIVETo explore the effects of electroacupuncture (EA) at "Zhongliao" (BL 33) and "Tianshu" (ST 25) on ovarian function in rats with premature ovarian insufficiency (POI).
METHODSA total of 48 SD female rats with regular estrus were divided into a blank group (=8), a model group (=10), an EA group (=10), a binding group (=10) and a tamoxifen (TAM) group (=10). The rats in the model group, EA group, binding group and TAM group were all treated with intraperitoneal injection of 4-vinylcyclohexene diepoxide (VCD, 160 mg/kg) for 15 consecutive days to establish the model of POI; the rats in the blank group were treated with normal diet. After the model was established successfully, the rats in the EA group were treated with EA at "Zhongliao" (BL 33) and "Tianshu" (ST 25) with continuous wave (1 to 3 Hz, 0.1 to 1 mA) for 20 minutes, once a day (five times a week) for the first two weeks and once every other day (three times a week) for the following two weeks. The rats in the TAM group were treated with subcutaneous injection of tamoxifen (1mg/kg), once a day (five times a week) for the first two weeks and once every other day (three times a week) for the following two weeks. The rats in the binding group were bound by a small sack as the EA group. The rats in the blank group and the model group were treated with normal diet. After four weeks, the sexual gland weight and index were tested in each group; the ELISA method was applied to test the level of anti-mllerian hormone (AMH) and inhibin B; the morphology of ovary was observed; the number of primordial follicles, primary follicle, antral follicle and atretic follicle was counted; the expression of insulin-like growth factor-1 (IGF-1) and insulin-like growth factor-1 receptor (IGF-1R) were measured.
RESULTS(1) Compared with the blank group, the ovary weight, ovary index, uterus weight and uterus index were significantly decreased after treatment in the model group, EA group, binding group and TAM group (all <0.01); but the differences between the model group and the EA group, binding group, TAM group were not significant (all >0.05). (2) Compared with the blank group, the levels of serum AMH, inhibin B and E were significantly reduced; the levels of FSH and LH were significantly increased in the model group; EA group, binding group and TAM group (all <0.01). Compared with the model group, the levels of serum AMH, inhibin B and E were significantly increased, the level of FSH and LH were significantly reduced in the EA group and TAM group (all <0.01). (3) Compared with the blank group, in the model group, EA group, binding group and TAM group the ovary was dark red and pale, surrounded by particle or not; the morphology was small and atrophic; the primordial follicles was reduced even vanished; the structure of primary follicle was damaged and loosely arranged; the mature follicle was few; the atretic follicle and interstitial gland were increased. (4) Compared with the blank group, the expressions of IGF-1 mRNA and IGF-1R mRNA were increased in the model group (all <0.01); compared with the blank group, the expression of IGF-1 mRNA was increased in the binding group (<0.05), but that of IGF-1R mRNA was not significantly different (>0.05); compared with the model group, the expression of IGF-1 mRNA was not significantly different in the EA group, binding group and TAM group (all >0.05), but that of IGF-1R mRNA was reduced (<0.05, <0.01).
CONCLUSIONEA at "Zhongliao" (BL 33) and "Tianshu" (ST 25) has improvement effect on ovarian function in rats with VCD-induced POI, which is likely to be related to regulating the IGF-1R mRNA expression to improve the IGF-1/ IGF-1R axis.
Acupuncture Points ; Animals ; Electroacupuncture ; Female ; Insulin-Like Growth Factor I ; metabolism ; Primary Ovarian Insufficiency ; chemically induced ; therapy ; Rats ; Rats, Sprague-Dawley ; Receptor, IGF Type 1 ; metabolism ; Tamoxifen ; pharmacology
4.Effects of insulin-like growth factor 1 receptor and its inhibitor AG1024 on the progress of lung cancer.
Yan-hong WEI ; He-xiao TANG ; Yong-de LIAO ; Sheng-ling FU ; Li-qiang XU ; Guang CHEN ; Chao ZHANG ; Sheng JU ; Zhao-guo LIU ; Liang-kun YOU ; Li YU ; Sheng ZHOU
Journal of Huazhong University of Science and Technology (Medical Sciences) 2015;35(6):834-841
		                        		
		                        			
		                        			The type 1 insulin-like growth factor receptor (IGF-1R) and its downstream signaling components have been increasingly recognized to drive the development of malignancies, including non-small cell lung cancer (NSCLC). This study aimed to investigate the effects of IGF-1R and its inhibitor, AG1024, on the progression of lung cancer. Tissue microarray and immunohistochemistry were employed to detect the expressions of IGF-1 and IGF-1R in NSCLC tissues (n=198). Western blotting was used to determine the expressions of IGF-1 and phosphorylated IGF-1R (p-IGF-1R) in A549 human lung carcinoma cells, and MTT assay to measure cell proliferation. Additionally, the expressions of IGF-1, p-IGF-1R and IGF-1R in a mouse model of lung cancer were detected by Western blotting and real-time fluorescence quantitative polymerase chain reaction (FQ-PCR), respectively. The results showed that IGF-1 and IGF-1R were overexpressed in NSCLC tissues. The expression levels of IGF-1 and p-IGF-1R were significantly increased in A549 cells treated with IGF-1 as compared to those treated with IGF-1+AG1024 or untreated cells. In the presence of IGF-1, the proliferation of A549 cells was significantly increased. The progression of lung cancer in mice treated with IGF-1 was significantly increased as compared to the group treated with IGF-1+AG1024 or the control group, with the same trend mirrored in IGF-1/p-IGF-1R/IGF-1R at the protein and/or mRNA levels. It was concluded that IGF-1 and IGF inhibitor AG1024 promotes lung cancer progression.
		                        		
		                        		
		                        		
		                        			Adult
		                        			;
		                        		
		                        			Aged
		                        			;
		                        		
		                        			Animals
		                        			;
		                        		
		                        			Carcinoma, Non-Small-Cell Lung
		                        			;
		                        		
		                        			metabolism
		                        			;
		                        		
		                        			pathology
		                        			;
		                        		
		                        			Cell Proliferation
		                        			;
		                        		
		                        			Disease Models, Animal
		                        			;
		                        		
		                        			Disease Progression
		                        			;
		                        		
		                        			Female
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Insulin-Like Growth Factor I
		                        			;
		                        		
		                        			metabolism
		                        			;
		                        		
		                        			Lung Neoplasms
		                        			;
		                        		
		                        			metabolism
		                        			;
		                        		
		                        			pathology
		                        			;
		                        		
		                        			Male
		                        			;
		                        		
		                        			Mice
		                        			;
		                        		
		                        			Middle Aged
		                        			;
		                        		
		                        			Receptor, IGF Type 1
		                        			;
		                        		
		                        			antagonists & inhibitors
		                        			;
		                        		
		                        			physiology
		                        			;
		                        		
		                        			Tyrphostins
		                        			;
		                        		
		                        			pharmacology
		                        			
		                        		
		                        	
5.Effect of L-alanyl-L-glutamine on expression of insulin-like growth factor-1 in intestinal tissues of low-birth-weight newborn rats with hypoxia/reoxygenation-induced intestinal injury.
Fen XU ; Chuan-Rui ZHU ; Yuan-Li ZHAN ; Guang-Jin LU ; Hao-Bin SU
Chinese Journal of Contemporary Pediatrics 2015;17(5):502-507
OBJECTIVETo study the effect of L-alanyl-L-glutamine (Ala-Gln) on the levels of insulin-like growth factor-1 (IGF-1) and IGF-1 receptor (IGF-1R) in the intestinal tissues of low-birth-weight (LBW) newborn rats with hypoxia/reoxygenation-induced intestinal injury.
METHODSPregnant rats were fed with or without smoking. The rats born by those fed without smoking were included in group A; for the rats born by those fed with smoking, normal-birth-weight rats were included in group B, and LBW rats were randomly divided into control group (group C), hypoxia/reoxygenation (H/R) group (group D), and Ala-Gln group (group E). Each group consisted of 24 newborn rats. The rats in groups D and E received H/R treatment twice a day for three consecutive days to establish an intestinal injury model; the rats in group E were intraperitoneally injected with Ala-Gln (10 ml/kg) before daily H/R treatment, while those in groups C and D were given an equal dose of normal saline by intraperitoneal injections. On days 4, 7, and 10 after birth, 8 rats were sacrificed in each group to collect intestinal tissues. The IGF-1 levels in intestinal tissues were measured using ELISA, and IGF-1R levels were measured by immunohistochemistry.
RESULTSThere were no significant differences in IGF-1 and IGF-1R levels between groups A and B at all time points. The levels of IGF-1 and IGF-1R in group C kept increasing, were higher than those in other groups on day 7 (P<0.05), and reached a normal level on day 10, without significant differences compared with those in groups A and B. Group D had significantly lower IGF-1 and IGF-1R levels than group C at all time points (P<0.05). The levels of IGF-1 and IGF-1R in group E were lower than those in group C on days 4 and 7 (P<0.05), but they increased to approximately the levels in group C and were significantly higher than those in group D on day 10.
CONCLUSIONSIntrauterine and postnatal hypoxia may induce intestinal injury in LBW newborn rats, and parenteral administration of high-dose Ala-Gln can reduce hypoxia-induced intestinal injury. Therefore, Ala-Gln has a protective effect against hypoxia-induced intestinal injury.
Animals ; Birth Weight ; Dipeptides ; pharmacology ; Female ; Hypoxia ; metabolism ; Insulin-Like Growth Factor I ; analysis ; Intestines ; chemistry ; Male ; Pregnancy ; Rats ; Rats, Sprague-Dawley ; Receptor, IGF Type 1 ; analysis
6.Prognostic Significance of p53, mTOR, c-Met, IGF-1R, and HSP70 Overexpression after the Resection of Hepatocellular Carcinoma.
Gu Hyum KANG ; Byung Seok LEE ; Eaum Seok LEE ; Seok Hyun KIM ; Heon Young LEE ; Dae Young KANG
Gut and Liver 2014;8(1):79-87
		                        		
		                        			
		                        			BACKGROUND/AIMS: The current study examines the expression of molecular biomarkers in hepatocellular carcinoma (HCC) and whether these findings correlate with the clinicopathologic features of the disease and patient survival. METHODS: We analyzed the immunohistochemical expression of p53, mammalian target of rapamycin (mTOR), c-Met, and insulin-like growth factor 1 receptor (IGF-1R) heat shock protein 70 (HSP70) with the clinicopathologic features of 83 HCCs. RESULTS: p53 expression was higher in the male patients with undifferentiated histological tumor grades, cirrhosis, and portal vein invasion. High 48 c-Met expression correlated with cirrhosis, and high mTOR expression correlated with the tumor grade and cirrhosis. High IGF-1R expression correlated with the tumor grade and cirrhosis. A multivariate analysis identified a significant relationship between the high expression of p53, tumor grade, and portal vein invasion. In addition, a high expression of mTOR was related to tumor grade and cirrhosis, and a high expression of HSP70 was related to portal vein invasion in a multivariate analysis. The Kaplan-Meier survival curve for patients with high versus low Edmondson grades and p53 expression was statistically significant. CONCLUSIONS: p53, mTOR, and IGF-1R expression correlated with the Edmondson tumor grade in a univariate analysis, while p53 and mTOR correlated with the Edmondson tumor grade in a multivariate analysis. In addition, the tumor grade was found to predict survival. p53 was primarily related to the clinicopathologic features compared to other markers, and it is a poor prognostic factor of survival.
		                        		
		                        		
		                        		
		                        			Adult
		                        			;
		                        		
		                        			Aged
		                        			;
		                        		
		                        			Carcinoma, Hepatocellular/*metabolism/surgery
		                        			;
		                        		
		                        			Disease-Free Survival
		                        			;
		                        		
		                        			Female
		                        			;
		                        		
		                        			HSP70 Heat-Shock Proteins/metabolism
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Liver Neoplasms/*metabolism/surgery
		                        			;
		                        		
		                        			Male
		                        			;
		                        		
		                        			Middle Aged
		                        			;
		                        		
		                        			Prognosis
		                        			;
		                        		
		                        			Proto-Oncogene Proteins c-met/metabolism
		                        			;
		                        		
		                        			Receptor, IGF Type 1/metabolism
		                        			;
		                        		
		                        			Retrospective Studies
		                        			;
		                        		
		                        			Risk Factors
		                        			;
		                        		
		                        			TOR Serine-Threonine Kinases/metabolism
		                        			;
		                        		
		                        			Treatment Outcome
		                        			;
		                        		
		                        			Tumor Markers, Biological/*metabolism
		                        			;
		                        		
		                        			Tumor Suppressor Protein p53/metabolism
		                        			
		                        		
		                        	
7.Targeting tissue-specific metabolic signaling pathways in aging: the promise and limitations.
Protein & Cell 2014;5(1):21-35
		                        		
		                        			
		                        			It has been well established that most of the age-related diseases such as insulin resistance, type 2 diabetes, hypertension, cardiovascular disease, osteoporosis, and atherosclerosis are all closely related to metabolic dysfunction. On the other hand, interventions on metabolism such as calorie restriction or genetic manipulations of key metabolic signaling pathways such as the insulin and mTOR signaling pathways slow down the aging process and improve healthy aging. These findings raise an important question as to whether improving energy homeostasis by targeting certain metabolic signaling pathways in specific tissues could be an effective anti-aging strategy. With a more comprehensive understanding of the tissue-specific roles of distinct metabolic signaling pathways controlling energy homeostasis and the cross-talks between these pathways during aging may lead to the development of more effective therapeutic interventions not only for metabolic dysfunction but also for aging.
		                        		
		                        		
		                        		
		                        			Aging
		                        			;
		                        		
		                        			metabolism
		                        			;
		                        		
		                        			Animals
		                        			;
		                        		
		                        			Autophagy
		                        			;
		                        		
		                        			Endoplasmic Reticulum Stress
		                        			;
		                        		
		                        			Energy Metabolism
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Insulin
		                        			;
		                        		
		                        			metabolism
		                        			;
		                        		
		                        			Insulin-Like Growth Factor I
		                        			;
		                        		
		                        			metabolism
		                        			;
		                        		
		                        			Metabolic Networks and Pathways
		                        			;
		                        		
		                        			Mitochondria
		                        			;
		                        		
		                        			metabolism
		                        			;
		                        		
		                        			Organ Specificity
		                        			;
		                        		
		                        			Receptor, IGF Type 1
		                        			;
		                        		
		                        			metabolism
		                        			;
		                        		
		                        			Signal Transduction
		                        			;
		                        		
		                        			TOR Serine-Threonine Kinases
		                        			;
		                        		
		                        			metabolism
		                        			
		                        		
		                        	
8.Recent Update of Molecular Targeted Therapy in Pancreatic Cancer.
The Korean Journal of Gastroenterology 2013;61(3):147-154
		                        		
		                        			
		                        			Pancreatic ductal adenocarcinoma is one of the most dreaded malignancies and the 5th leading cause of cancer-related death in Korea. Late diagnosis and unfavorable response to both chemotherapy and radiotherapy result in exceptionally poor prognosis. Recently, the rapid advances of molecular biology allowed an in-depth understanding of pancreatic carcinogenesis, and there are many attempts to modulate signal pathway using specific targeted agent. However, the most of them have so far failed to improve survival significantly except erlotinib. The real challenge is now how these impressive advances of molecular biology could be successfully integrated into better clinical implications. Herein, we summarize the latest insights into the carcinogenesis, and their repercussions for novel targeted agents for pancreatic cancer, and provide a review of recent clinical trials using molecular targeted therapy.
		                        		
		                        		
		                        		
		                        			Antineoplastic Agents/*therapeutic use
		                        			;
		                        		
		                        			Epigenesis, Genetic
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Mitogen-Activated Protein Kinase Kinases/antagonists & inhibitors/metabolism
		                        			;
		                        		
		                        			Molecular Targeted Therapy
		                        			;
		                        		
		                        			Pancreatic Neoplasms/*drug therapy/metabolism/pathology
		                        			;
		                        		
		                        			Poly(ADP-ribose) Polymerases/antagonists & inhibitors/metabolism
		                        			;
		                        		
		                        			Receptor, Epidermal Growth Factor/antagonists & inhibitors/metabolism
		                        			;
		                        		
		                        			Receptor, IGF Type 1/antagonists & inhibitors/metabolism
		                        			;
		                        		
		                        			Vascular Endothelial Growth Factor A/antagonists & inhibitors/metabolism
		                        			
		                        		
		                        	
9.Current Status of Molecular Targeted Therapies in Hepatocellular Carcinoma.
The Korean Journal of Gastroenterology 2013;61(3):136-146
		                        		
		                        			
		                        			Hepatocellular carcinoma (HCC) is one of the leading causes of cancer death in Korea. Curative treatment is only possible when the disease is diagnosed at the early stage. The prognosis of patients with HCC is even dismal in advanced stages. No systemic cytotoxic chemotherapy has proven to be beneficial in overall survival. Recently, the understanding of the molecular pathogenesis led to the development of new therapies. With the evidence of dysregulation of critical genes associated with cellular proliferation, growth factor signaling, cell cycling, apoptosis, and angiogenesis in HCC, a number of molecular target agents are under clinical trials. Sorafenib is the first systemic anticancer drug which has proven to gain survival benefit in the global as well as Asia-Pacific trials. However, the survival gain is still modest, and further efforts to improve outcomes in patients with HCC are necessary by developing novel drugs or combining other forms of therapies. This article will review signaling pathways in HCC and introduce molecular target agents under investigation currently.
		                        		
		                        		
		                        		
		                        			Antineoplastic Agents/therapeutic use
		                        			;
		                        		
		                        			Carcinoma, Hepatocellular/*drug therapy/metabolism/pathology
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Liver Neoplasms/*drug therapy/metabolism/pathology
		                        			;
		                        		
		                        			Mitogen-Activated Protein Kinase Kinases/antagonists & inhibitors/metabolism
		                        			;
		                        		
		                        			Molecular Targeted Therapy
		                        			;
		                        		
		                        			Niacinamide/analogs & derivatives/therapeutic use
		                        			;
		                        		
		                        			Phenylurea Compounds/therapeutic use
		                        			;
		                        		
		                        			Protein Kinase Inhibitors/therapeutic use
		                        			;
		                        		
		                        			Proto-Oncogene Proteins c-akt/antagonists & inhibitors/metabolism
		                        			;
		                        		
		                        			Receptor, IGF Type 1/antagonists & inhibitors/metabolism
		                        			;
		                        		
		                        			Signal Transduction
		                        			;
		                        		
		                        			TOR Serine-Threonine Kinases/antagonists & inhibitors/metabolism
		                        			;
		                        		
		                        			Wnt Proteins/antagonists & inhibitors/metabolism
		                        			
		                        		
		                        	
10.Recent Update of Molecular Targeted Therapy in Pancreatic Cancer.
The Korean Journal of Gastroenterology 2013;61(3):147-154
		                        		
		                        			
		                        			Pancreatic ductal adenocarcinoma is one of the most dreaded malignancies and the 5th leading cause of cancer-related death in Korea. Late diagnosis and unfavorable response to both chemotherapy and radiotherapy result in exceptionally poor prognosis. Recently, the rapid advances of molecular biology allowed an in-depth understanding of pancreatic carcinogenesis, and there are many attempts to modulate signal pathway using specific targeted agent. However, the most of them have so far failed to improve survival significantly except erlotinib. The real challenge is now how these impressive advances of molecular biology could be successfully integrated into better clinical implications. Herein, we summarize the latest insights into the carcinogenesis, and their repercussions for novel targeted agents for pancreatic cancer, and provide a review of recent clinical trials using molecular targeted therapy.
		                        		
		                        		
		                        		
		                        			Antineoplastic Agents/*therapeutic use
		                        			;
		                        		
		                        			Epigenesis, Genetic
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Mitogen-Activated Protein Kinase Kinases/antagonists & inhibitors/metabolism
		                        			;
		                        		
		                        			Molecular Targeted Therapy
		                        			;
		                        		
		                        			Pancreatic Neoplasms/*drug therapy/metabolism/pathology
		                        			;
		                        		
		                        			Poly(ADP-ribose) Polymerases/antagonists & inhibitors/metabolism
		                        			;
		                        		
		                        			Receptor, Epidermal Growth Factor/antagonists & inhibitors/metabolism
		                        			;
		                        		
		                        			Receptor, IGF Type 1/antagonists & inhibitors/metabolism
		                        			;
		                        		
		                        			Vascular Endothelial Growth Factor A/antagonists & inhibitors/metabolism
		                        			
		                        		
		                        	
            
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