“…Apart from promoting cell growth, several signalling pathways diverge downstream from activated PKB/Akt that suppresses apoptosis. The enhancement of cell survival by PI3K signalling probably has a major function during early cancer development, and has also been linked to the high levels drug and radiation resistance seen in patients with pancreatic cancer (Ng et al, 2001;Bondar et al, 2002;Mackenzie, 2004;Brunner et al, 2005), although it should be noted that pancreatic cancers are heterogeneous, and the activation of additional signalling elements, including Stat3, NFkB, and hedgehog pathway, is also likely to be an important determinant of biological aggression (Bardeesy and DePinho, 2002; Arlt et al, Thayer et al, 2003). Experimental PI3K inhibitors can sensitise resistant cancer cells to cytotoxic agents or radiation, suggesting therapeutic potential in the clinic, but until recently in vivo testing was limited due to their toxicity or poor pharmacological properties.…”