© 1999 by Oxford University Press
Journal of the National Cancer Institute, Vol. 91, No. 18, 1532-1534,
September 15, 1999
© 1999 Oxford University Press
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Pancreatic Cancer Research: Putting All Their Ducts in a Row
In the 1980s, many cancer researchers took what seemed like a logical leap of faith: If several genes must be mutated over time to create a tumor cell, it must follow that the first gene to be mutated acts as the initial flashpoint in starting a tumor. Find the flashpoint; pinpoint the cause of the tumor.
But, what if tumor cells in some parts of the body do not have a single flashpoint? What if they have multiple flashpoints that erupt over time into raging tumors that are highly metastatic, largely resistant to chemotherapy, and extremely deadly?
That is the scenario that now faces molecular biologists and geneticists who study pancreatic
adenocarcinoma, which accounts for about 90% of cancer in the pancreas. After an
intensive, decade-long search to locate a tumor-initiating gene, many scientists say they now have
doubts that such a thing exists. With this doubt has come the
Empty Cupboard
Working Model
No "Gatekeeper"
Chess Match