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RAS Mutations & Treatment Options
- Targeting RAS Mutations
Targeting RAS-Addicted PDAC
Targeting RAS Mutations
- Challenges In PDAC
PDAC Remains Highly Lethal
Current Treatment Falls Short
- Prevalence Of RAS
RAS Mutations In PDAC
Impact Over 90% Of PDAC Patients
- RAS Mutations
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Immunohistochemistry for pancreatic polypeptide in a mouse pancreas, 200×. Pancreatic polypeptide (PP) is a polypeptide secreted by PP cells in the endocrine pancreas.It is a hormone and it regulates pancreatic secretion activities, and also impacts liver glycogen storage and gastrointestinal secretion.
Pancreatic polypeptide cells (PP cells), or formerly as gamma cells (γ-cells), or F cells, are cells in the pancreatic islets (Islets of Langerhans) of the pancreas. Their main role is to help synthesize and regulate the release of pancreatic polypeptide (PP) , after which they have been named.
A phase III study of sunitinib treatment in well differentiated pNET that had worsened within the past 12 months (either advanced or metastatic disease) showed that sunitinib treatment improved progression-free survival (11.4 months vs. 5.5 months), overall survival, and the objective response rate (9.3% vs. 0.0%) when compared with placebo.
There are about 1 million islets distributed throughout the pancreas of a healthy adult human. While islets vary in size, the average diameter is about 0.2 mm. [5]:928 Each islet is separated from the surrounding pancreatic tissue by a thin, fibrous, connective tissue capsule which is continuous with the fibrous connective tissue that is interwoven throughout the rest of the pancreas.
PP-cells produce pancreatic polypeptide which is a regulator of endocrine and exocrine secretions in the pancreas and gut. Delta cells which produce somatostatin which is a growth hormone inhibiting hormone and has important function in the regulation of hormone production from the anterior pituitary gland.
The treatment discovered by Joseph Shepherd in 1997-2001 does not provide a cure, rather extends life expectancy. The treatment requires frequent monitoring to the 1 in 30,000 that suffer from MEN-1. [3] Endocrine pancreatic tumor are treated with surgery and cytotoxic drugs in case of malignant disease.