2009
DOI: 10.1016/j.cgh.2009.07.040
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Ras Activity in Acinar Cells Links Chronic Pancreatitis and Pancreatic Cancer

Abstract: The relationship between chronic pancreatitis (CP) and pancreatic ductal adenocarcinoma (PDAC) is unclear. CP is a risk factor for PDAC, CP is found within the vicinity of PDAC, and both share many similar genetic alterations. However, it has been long thought that PDAC arises only from duct cells. However, we have recently found that excessive activity within the Ras signaling pathway can lead to acinar cell death or metaplasia and is associated with the development of fibrosis resembling CP and the developme… Show more

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Cited by 54 publications
(53 citation statements)
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References 35 publications
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“…This notion differs from the previous suggestion that chronic inflammation is essential for oncogenic Ras to induce tumorigenesis (9). Rather, at sufficient levels of activity, Ras is capable of generating both inflammation and tumorigenesis (7,33). Therefore, mechanisms that increase the level of Ras activity are the key to the pathological consequences.…”
Section: Figurecontrasting
confidence: 54%
“…This notion differs from the previous suggestion that chronic inflammation is essential for oncogenic Ras to induce tumorigenesis (9). Rather, at sufficient levels of activity, Ras is capable of generating both inflammation and tumorigenesis (7,33). Therefore, mechanisms that increase the level of Ras activity are the key to the pathological consequences.…”
Section: Figurecontrasting
confidence: 54%
“…Moreover, there is a close relationship on the occurrence of genetic variation between the two entities. Some key mutations in pancreatic carcinogenesis could also be detectable in part of CP, such as p16, p53, and K-ras [34][35][36]. In our study, six cases (54.5 %) of CP demonstrated low miR-483-3p expression, with none showing strong expression.…”
Section: Discussionmentioning
confidence: 63%
“…MECOM has been proposed to play an early role in pancreatic cancer, in part by stimulating the accumulation of KRAS mRNA (48). An increase of active KRAS above a threshold through induction by MECOM might alter the state of acinar differentiation and increase susceptibility to malignant transformation (99). Changes in cellular identity are often a prelude to neoplasia (100,101).…”
Section: Discussionmentioning
confidence: 99%