Our understanding in the last few years about reactive oxygen species (ROS) has changed from being harmful substances to crucial intra-and extracellular messengers as well as important regulators controlling a wide spectrum of signaling pathways, including those in cancer immunology. Therefore, these multiple essential roles of ROS and especially of mitochondria-derived ROS in malignant transformation and cancer progression make them a promising target for anticancer therapy. Pancreatic ductal adenocarcinoma (PDAC) is one of the deadliest cancers in the world. A link between ROS, antioxidants and the PDAC development and progression has been recently established. Therefore, usage of specific highly efficient antioxidants could bring an option for treatment and/or prevention of PDAC. 10-(6'-plastoquinonyl) decyltriphenylphosphonium (SkQ1) is a new antioxidant with the highest mitochondrion membrane penetrating ability and potent antioxidant capability. In this work, we investigated an impact of SkQ1 on tumor angiogenesis, immune micromilieu, and oncological parameters in the orthotopic Panc02 murine model of PDAC. We showed that in this model SkQ1 treatment leads to the elevation of pro-angiogenic factors and to building of mainly an anti-inflammatory cytokine milieu. On the cellular level we showed an increase in a percentage of memory T cells and a decrease in frequency on natural killer T (NKT) cells. At the same time, SkQ1 was ineffective in the improvement of oncological parameters of PDAC-bearing mice. New studies are needed to clarify the absence of therapeutic and/or prophylactic benefits of the antioxidant.Reactive oxygen species (ROS) are a group of highly reactive oxygen-containing chemicals. ROS can interact with many intracellular macromolecules, such as nucleic acids, lipids, and proteins. Normally, the intracellular ROS level is under tight control by various antioxidants. A delicately controlled ROS homeostasis is critical for maintaining normal cell functions. Any disruption in the oxidation-antioxidation balance will lead to oxidative stress which is associated with a wide spectrum of human disorders such as chronic inflammation, age-related diseases and cancer (for review see Ref. 1).Angiogenesis is essential for nutrient and oxygen supply, and metabolic waste removal in cancer. Vascular endothelial growth factor (VEGF) is one of the most important proangiogenic factors. 2 VEGF can stimulate ROS production, most probably by NADPH oxidase enzyme complex, in endothelial cells. 3 Besides, ROS are able to regulate various redox-sensitive transcription factors and genes that are involved in angiogenesis. 3 ROS are also involved in various aspects of the immune system, such as host defence, immune cells interaction, immune cell signalling, immune response and immune regulation (for review see Ref. 1). Therefore, the multiple essential roles of ROS and especially of mitochondria-derived ROS in malignant transformation and cancer progression make them a promising target for anticancer therapy.A variety...