Abstract. Background Pancreatic ductal adenocarcinoma (PDAC) is an aggressive and devastating disease. In the US and the European countries, PDAC is the fourth leading cause of cancer-related death (1, 2). Incidence and mortality rates follow closely (3, 4) and even though the relative 5-year survival rate has improved slightly over the last years, it is still as low as 7% (2). Surgically removing the primary tumor, i.e. resection, is the only potential cure for PDAC. However, at the time of diagnosis, only around 20% of patients are eligible for surgical resection (5), and even so, most patients will relapse within five years (6). For patients with non-resectable tumors, the main treatment option is chemotherapy which mainly consists of a gemcitabine-based regimen, either alone or in combination with other drugs (7).Mucins belong to a large family of high molecular weight glycoproteins characterized by long tandem repeat regions rich in serine, proline and threonine (8). Mucins are expressed by various epithelial cells (9) while the human mucin family consists of 21 members, MUC1-MUC21. Based on their functions, mucins are further divided into two different subclasses, as either secreted or membrane-bound mucins (10). Secreted mucins can be divided into gelforming (MUC2, MUC5AC, MUC5B, MUC6) and non-gelforming (MUC7) (9). The secreted mucins form a physical barrier of mucous gel for protection of epithelial cells in the respiratory and GI tracts. Membrane-bound mucins (MUC1, MUC3A, MUC3B, MUC4, MUC12, MUC13, MUC15, MUC16 and MUC17) are composed of a cytoplasmic tail and a transmembrane region and they contribute to the protective mucous gel through their single extracellular domain of O-glycosylated tandem repeats (8,10).In contrast to a healthy pancreas, which has weak or no mucin expression, pancreatic cancer is characterized by an aberrant expression of multiple mucins. During progression from normal pancreas to a malignant state, expression and glycosylation of both secreted and membrane-bound mucins are altered (10). Furthermore, altered expression of mucins is 6031 This article is freely accessible online.