More than a biomarker, CA19-9 is a therapeutic target of pancreatic cancer
More than a biomarker, CA19-9 is a therapeutic target of pancreatic cancer
Pancreatic cancer is one of the deadliest cancer because it lacks a reliable method of early detection. Although CA19-9 is commonly used for monitoring the treatment effect of pancreatic cancer, CA19-9 is not useful for early cancer detection because the serum CA19-9 is increased in both pancreatic cancer and pancreatitis (inflammation of pancreas).
In recent Science journal, Engle et al. found that transgenic mice constitutively expressing CA19-9 promotes the development of pancreatitis and pancreatic tumor progression. Moreover, CA19-9-mediated pancreatitis could be reversed by treatment with CA19-9 antibodies. Their findings implicate CA19-9 as a therapeutic target for pancreatitis and pancreatic cancer.
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CA19-9 detection
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Fibulin-3 (EFEMP1) and EGFR
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Pancreatic cancer pathology
Reference: Engle et al., (2019) Science. 364(6446):1156-1162.