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Chinese Journal of Operative Procedures of General Surgery(Electronic Edition) ›› 2021, Vol. 15 ›› Issue (03): 351-354. doi: 10.3877/cma.j.issn.1674-3946.2021.03.031

Special Issue:

• Reviews • Previous Articles    

Research progress on the effect of hypoxic microenvironment on pancreatic cancer

Haowei Shi1, Shaolong Hao1, Yu Ji1, Hao Sun2, Wei Han1,()   

  1. 1. General Surgery, Beijing Luhe Hospital, Cappital Medical University, Beijing 101100, China
    2. Central Laboratories, Beijing Luhe Hospital, Capital Medical University, Beijing 101100, China
  • Received:2020-12-26 Online:2021-06-26 Published:2021-06-18
  • Contact: Wei Han
  • Supported by:
    Science and Technology Program of Tongzhou, Beijing(KJ2020CX006-10); Science and Technology Innovation Project of Science and Technology Commission of Tongzhou, Beijing(KJ2019CX014-05)

Abstract:

With the growth of solid tumors, 90% of tumor cells form a hypoxic microenvironment. The reason why pancreatic cancer can become the " king of cancer" with its extremely low survival rate is closely related to its prominent hypoxic microenvironment. In the hypoxic microenvironment, pancreatic cancer cells achieve early invasion and metastasis and immune evasion through multiple mechanisms such as metabolic reconstruction, abnormal vascular regeneration, extracellular matrix regulation, and epithelial-mesenchymal transition, thereby increasing the death of pancreatic cancer patients rate. In addition, chemotherapy resistance and immune evasion mechanisms have also become important reasons for the low cure rate of pancreatic cancer. This article summarizes the impact of hypoxic microenvironment on pancreatic cancer and discusses the relevant mechanisms, hoping to provide clues for targeted therapy of pancreatic cancer in hypoxic microenvironment in the future.

Key words: Pancreatic neoplasms, Hypoxic microenvironment, Metabolism reconstruction, Drug resistance, neoplasm, Immune evasion

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