Abstract
Pancreatic Cancer (PC) with dismal prognosis poses a significant challenge to healthcare systems worldwide. PC is the fourth leading cause of cancer-related mortality globally and is projected to surpass lung cancer as the second foremost cause by 2030. The poor prognosis associated with PC is primarily due to the low rate of early detection, rapid progression, and limited treatment options. Chemotherapy remains a cornerstone of treatment for PC in all stages of disease. However, optimistic effects for the treatment options have been hampered by a high rate of non-responders. Resistance to treatments may arise due to various molecular mechanisms, namely intrinsic and acquired chemoresistance due to changes in genetic and epigenetic framework, drug metabolism and efflux, and tumor microenvironment. This review majorly focuses on mechanisms of cell cycle dysregulation and hypoxia induced acidosis leading to development of therapeutic resistance and poor clinical outcome. Comprehensive understanding of these resistance mechanisms could play a central role in the development of effective therapeutic strategies for improved prognosis.
Keywords
Cell cycle, Hypoxia, Acidosis, Chemoresistance, Pancreatic Cancer