“…In support of this concept, different molecular markers have been proposed to predict tumor response for the different drugs. TS, dihydropyrimidine dehydrogenase (DPD), 23 and mismatch repair enzymes are examples of putative predictive markers with 5-FU treatment 20 ; hENT1, 12,24,25 ribonucleotide reductase M1 (RRM1), 26 excision repair cross complementation group 1 (ERCC1), 26 dCK, 15 and HuR 16,17 are examples for gemcitabine. Clearly, the discovery and application of reliable predictive biomarkers to exploit non-overlapping pharmacogenomic profiles between the two principal backbone agents to treat PDA represents perhaps the "lowest-hanging fruit" in the effort to improve outcomes of this devastating disease, yet such biomarkers remain elusive.…”