Neoadjuvant chemotherapy enriches for drug-tolerant persisters in PDAC

Resected pancreatic cancer treated pre-operatively with chemotherapy is enriched for cells that co-express GATA6, KRT17 and CYP3A. Persistent expression of GATA6hi and KRT17hi is associated with poor survival after treatment with mFOLFIRINOX, but not gemcitabine. CYP3A-expressing drug detoxification...

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Bibliographic Details
Main Authors: Bailey, Peter (Author) , Neoptolemos, John P. (Author)
Format: Article (Journal)
Language:English
Published: 2023
In: Nature cancer
Year: 2023, Volume: 4, Issue: 9, Pages: 1226-1227
ISSN:2662-1347
DOI:10.1038/s43018-023-00629-5
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1038/s43018-023-00629-5
Verlag, lizenzpflichtig, Volltext: https://www.nature.com/articles/s43018-023-00629-5
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Author Notes:P. Bailey, J. Neoptolemos
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Summary:Resected pancreatic cancer treated pre-operatively with chemotherapy is enriched for cells that co-express GATA6, KRT17 and CYP3A. Persistent expression of GATA6hi and KRT17hi is associated with poor survival after treatment with mFOLFIRINOX, but not gemcitabine. CYP3A-expressing drug detoxification pathways metabolize the prodrug irinotecan, a constituent of mFOLFIRINOX, leading to persistent drug tolerance.
Item Description:Gesehen am 16.10.2023
Physical Description:Online Resource
ISSN:2662-1347
DOI:10.1038/s43018-023-00629-5