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1.
Gut ; 68(4): 742-758, 2019 04.
Article in English | MEDLINE | ID: mdl-30396902

ABSTRACT

Pancreatic ductal adenocarcinoma (PDAC) is among the most deadly solid tumours. This is due to a generally late-stage diagnosis of a primarily treatment-refractory disease. Several large-scale sequencing and mass spectrometry approaches have identified key drivers of this disease and in doing so highlighted the vast heterogeneity of lower frequency mutations that make clinical trials of targeted agents in unselected patients increasingly futile. There is a clear need for improved biomarkers to guide effective targeted therapies, with biomarker-driven clinical trials for personalised medicine becoming increasingly common in several cancers. Interestingly, many of the aberrant signalling pathways in PDAC rely on downstream signal transduction through the mitogen-activated protein kinase and phosphoinositide 3-kinase (PI3K) pathways, which has led to the development of several approaches to target these key regulators, primarily as combination therapies. The following review discusses the trend of PDAC therapy towards molecular subtyping for biomarker-driven personalised therapies, highlighting the key pathways under investigation and their relationship to the PI3K pathway.


Subject(s)
Carcinoma, Pancreatic Ductal/drug therapy , Pancreatic Neoplasms/drug therapy , Phosphoinositide-3 Kinase Inhibitors , Precision Medicine , Protein Kinase Inhibitors/therapeutic use , Biomarkers, Tumor/analysis , Carcinoma, Pancreatic Ductal/genetics , Carcinoma, Pancreatic Ductal/pathology , Disease Progression , Humans , Pancreatic Neoplasms/genetics , Pancreatic Neoplasms/pathology , Signal Transduction
2.
Elife ; 72018 07 09.
Article in English | MEDLINE | ID: mdl-29985127

ABSTRACT

Intravital microscopy can provide unique insights into the function of biological processes in a native context. However, physiological motion caused by peristalsis, respiration and the heartbeat can present a significant challenge, particularly for functional readouts such as fluorescence lifetime imaging (FLIM), which require longer acquisition times to obtain a quantitative readout. Here, we present and benchmark Galene, a versatile multi-platform software tool for image-based correction of sample motion blurring in both time resolved and conventional laser scanning fluorescence microscopy data in two and three dimensions. We show that Galene is able to resolve intravital FLIM-FRET images of intra-abdominal organs in murine models and NADH autofluorescence of human dermal tissue imaging subject to a wide range of physiological motions. Thus, Galene can enable FLIM imaging in situations where a stable imaging platform is not always possible and rescue previously discarded quantitative imaging data.


Subject(s)
Imaging, Three-Dimensional , Intravital Microscopy , Motion , Algorithms , Animals , Biosensing Techniques , Cell Adhesion , Computer Simulation , Fluorescence Resonance Energy Transfer , Guanosine Triphosphate/metabolism , Humans , Intestines/physiology , Mice , Microscopy, Fluorescence , Models, Biological , Neoplasm Metastasis , Neuropeptides/metabolism , Pancreatic Neoplasms/pathology , Skin/anatomy & histology , Software , rac1 GTP-Binding Protein/metabolism , src-Family Kinases/metabolism
3.
Small GTPases ; 6(2): 123-33, 2015.
Article in English | MEDLINE | ID: mdl-26103062

ABSTRACT

Numerous large scale genomics studies have demonstrated that cancer is a molecularly heterogeneous disease, characterized by acquired changes in the structure and DNA sequence of tumor genomes. More recently, the role of the equally complex tumor microenvironment in driving the aggressiveness of this disease is increasingly being realized. Tumor cells are surrounded by activated stroma, creating a dynamic environment that promotes cancer development, metastasis and chemoresistance. The Rho family of small GTPases plays an essential role in the regulation of cell shape, cytokinesis, cell adhesion, and cell motility. Importantly, these processes need to be considered in the context of a complex 3-dimensional (3D) environment, with reciprocal feedback and cross-talk taking place between the tumor cells and host environment. Here we discuss the role of molecular networks involving Rho GTPases in cancer, and the therapeutic implications of inhibiting Rho signaling in both cancer cells and the emerging concept of targeting the surrounding stroma.


Subject(s)
Neoplasms/metabolism , Second Messenger Systems , Tumor Microenvironment , rho GTP-Binding Proteins/metabolism , Animals , Enzyme Inhibitors/pharmacology , Enzyme Inhibitors/therapeutic use , Humans , Neoplasms/drug therapy , rho GTP-Binding Proteins/antagonists & inhibitors , rho GTP-Binding Proteins/genetics
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