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Newly identified protein provides target for pancreatic cancer treatment and diagnosis

Researchers from St. Barts and The London School of Medicine and Dentistry have identified a protein that could provide a target for new treatments for pancreatic cancer or enable earlier diagnosis. Pancreatic cancer has the lowest survival rate of all cancers due to its lack of symptoms in the early stages, late diagnosis and its resistance to chemotherapy and radiation therapy.

The research - funded by the Pancreatic Cancer Research Fund - found that nearly three quarters of pancreatic cancer tumors had high levels of a protein known as P110γ. In laboratory experiments, when production of this protein was blocked, the cancer cells stopped growing. The findings are published online 28 September 2010 in Clinical Cancer Research.

"It is a striking number of patients who present with high levels of P110γ," says Professor of Molecular Pharmacology, Marco Falasca, who led the research. "The fact that P110γ is needed for pancreatic cancer cells to grow shows that it is likely to have a critical role in the progression of the disease, which makes it a potential target for developing new treatments."

The team discovered the link with P110γ by screening both normal and cancerous pancreatic tissue for particular proteins linked to cell proliferation. Up to half of all cancers are linked to a member of one family of these proteins - called Phosphoinositide 3-Kinase (PI3K) - and the team wanted to see if a link could be made with pancreatic cancer.

Results from the screening show that high levels of P110γ were seen in 72 percent of the cancerous tissue while none could be found in the normal corresponding tissue. And when the researchers blocked production of the P110γ protein, the cancer cells stopped growing. Blocking other members of the same family had no effect, demonstrating a key role for P110γ in the progression of the disease.

"We also found that P110γ is present at high levels in patients with inflammation of the pancreas," adds co-researcher Dr. Charlotte Edling.

"Patients with this condition have an increased risk of developing pancreatic cancer so this indicates that P110γ may be involved at an early stage of the disease. We now need to investigate the link between inflammation and cancer of the pancreas in more detail. Hopefully, this could provide a way to enable earlier diagnosis or to assess disease progression."

The team are now working on further research - also funded by the Pancreatic Cancer Research Fund - looking at whether P110γ is linked to pancreatic cancer's resistance to chemotherapy and whether genetic regulation can explain why P110γ is found at high levels in pancreatic cancer.


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