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research article

Subtypes of pancreatic ductal adenocarcinoma and their differing responses to therapy

Collisson, Eric A.
•
Sadanandam, Anguraj  
•
Olson, Peter
Show more
2011
Nature Medicine

Pancreatic ductal adenocarcinoma (PDA) is a lethal disease. Overall survival is typically 6 months from diagnosis(1). Numerous phase 3 trials of agents effective in other malignancies have failed to benefit unselected PDA populations, although patients do occasionally respond. Studies in other solid tumors have shown that heterogeneity in response is determined, in part, by molecular differences between tumors. Furthermore, treatment outcomes are improved by targeting drugs to tumor subtypes in which they are selectively effective, with breast(2) and lung(3) cancers providing recent examples. Identification of PDA molecular subtypes has been frustrated by a paucity of tumor specimens available for study. We have overcome this problem by combined analysis of transcriptional profiles of primary PDA samples from several studies, along with human and mouse PDA cell lines. We define three PDA subtypes: classical, quasimesenchymal and exocrine-like, and we present evidence for clinical outcome and therapeutic response differences between them. We further define gene signatures for these subtypes that may have utility in stratifying patients for treatment and present preclinical model systems that may be used to identify new subtype specific therapies.

  • Details
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Type
research article
DOI
10.1038/nm.2344
Web of Science ID

WOS:000289245100042

Author(s)
Collisson, Eric A.
Sadanandam, Anguraj  
Olson, Peter
Gibb, William J.
Truitt, Morgan
Gu, Shenda
Cooc, Janine
Weinkle, Jennifer
Kim, Grace E.
Jakkula, Lakshmi
Show more
Date Issued

2011

Publisher

Nature Publishing Group

Published in
Nature Medicine
Volume

17

Issue

4

Start page

500

End page

U140

Subjects

Gene-Expression

•

Breast-Cancer

•

Lung-Cancer

•

K-Ras

•

Identification

•

Chemotherapy

•

Differentiation

•

Microarrays

•

Sensitivity

•

Mutations

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
CMSO  
Available on Infoscience
December 16, 2011
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/74259
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