Microscopic view of pancreatic cells being intercepted by immune cells

Pancreatic Cancer Interception: A Dream Team's Ambitious Plan

"Revolutionizing Outcomes for Those at Risk: A Multidisciplinary Approach to Stopping Pancreatic Cancer Before It Starts."


Pancreatic cancer remains one of the deadliest cancers, often diagnosed late with limited treatment options. Recognizing this challenge, the Stand Up to Cancer Pancreatic Interception Dream Team has launched a targeted initiative to transform outcomes for individuals at high risk of developing this disease. This multidisciplinary effort brings together experts from six leading institutions to focus on 'cancer interception' – identifying and treating cancer at its earliest, preinvasive stages.

Unlike passive prevention methods, cancer interception involves active interventions like advanced screening and treatments to halt cancer progression. While there's no established interception point for pancreatic cancer in the general population, this approach holds significant promise for those with specific risk factors. These factors include genetic predispositions, certain types of pancreatic cysts, and new-onset diabetes in adults.

The Dream Team aims to establish a clinical framework for cancer interception in high-risk individuals. Their strategy involves identifying and screening high-risk groups, exploring innovative immune prevention strategies, and discovering novel biomarkers. By focusing on these key areas, they hope to dramatically improve outcomes for those most vulnerable to pancreatic cancer.

GENETIC RISK ASSESSMENT AND INTERVENTION

Microscopic view of pancreatic cells being intercepted by immune cells

A significant focus of the Dream Team's work involves understanding and addressing genetic predispositions to pancreatic cancer. Dream Team members have previously identified key genetic mutations that increase cancer susceptibility. The GENetic Education Risk Assessment and Testing (GENERATE) study, launching at the Dana Farber Cancer Institute, aims to enhance access to germline genetic testing and screening for families affected by pancreatic cancer.

The study plans to identify 2000 pancreatic cancer patients who have undergone genetic testing for heritable mutations associated with PDAC susceptibility. Healthy relatives of these mutation carriers will be offered 'cascade testing' at no cost. This proactive approach allows for early identification of individuals at increased risk, enabling timely intervention and monitoring.

  • GENERATE study enhances access to genetic testing for at-risk families.
  • Cascade testing offers screening to healthy relatives of mutation carriers.
  • Study aims to enroll 1000 family members for genetic education and testing.
  • Computer-based 'deep learning' imaging algorithms used to detect smaller cancers.
  • Universal germline testing recommended as standard care for pancreatic cancer patients.
Moreover, the team emphasizes the importance of universal germline testing for all pancreatic cancer patients, aligning with updated National Comprehensive Cancer Network guidelines. This recommendation extends to individuals with a personal history of cancer, a family history of cancer, or clinical suspicion of inherited susceptibility, underscoring the broad applicability of genetic risk assessment.

A Vision for the Future

The Stand Up to Cancer and Lustgarten Foundation's support has been instrumental in driving these innovative cancer interception efforts. By focusing on individuals at increased risk of developing PDAC, the Dream Team hopes to significantly reduce pancreatic cancer-associated deaths.

Their comprehensive approach, encompassing genetic screening, vaccine development, and early detection biomarkers, aims to identify interception points and create viable strategies to preempt the disease process at a very early stage.

Ultimately, the Dream Team's work represents a significant step forward in the fight against pancreatic cancer, offering hope for improved outcomes and a future where this deadly disease can be intercepted before it takes hold.

About this Article -

This article was crafted using a human-AI hybrid and collaborative approach. AI assisted our team with initial drafting, research insights, identifying key questions, and image generation. Our human editors guided topic selection, defined the angle, structured the content, ensured factual accuracy and relevance, refined the tone, and conducted thorough editing to deliver helpful, high-quality information.See our About page for more information.

This article is based on research published under:

DOI-LINK: 10.1097/mpa.0000000000001165, Alternate LINK

Title: Intercepting Pancreatic Cancer

Subject: Endocrinology

Journal: Pancreas

Publisher: Ovid Technologies (Wolters Kluwer Health)

Authors: Michael G. Goggins, Scott M. Lippman, Pamela E. Constantinou, Tyler Jacks, Gloria M. Petersen, Sapna Syngal, Anirban Maitra

Published: 2018-11-01

Everything You Need To Know

1

What is the 'Dream Team' and what are they trying to achieve?

The 'Dream Team' is a multidisciplinary group of experts from six leading institutions. They are working on 'cancer interception,' which means identifying and treating pancreatic cancer in its earliest, preinvasive stages. This is important because pancreatic cancer is often diagnosed late, when treatment options are limited. By intercepting the disease early, before it progresses, they hope to dramatically improve outcomes for high-risk individuals. Unlike passive prevention methods, cancer interception involves active interventions like advanced screening and treatments to halt cancer progression.

2

What is the 'GENERATE' study, and what is its purpose?

The 'GENERATE' study is a key part of the 'Dream Team's' approach. It aims to enhance access to genetic testing and screening for families affected by pancreatic cancer. The study involves identifying 2000 pancreatic cancer patients who have undergone genetic testing and offering 'cascade testing' to their healthy relatives. 'Cascade testing' means that if a family member is found to have a genetic mutation associated with increased pancreatic cancer risk, their relatives are then offered testing. This proactive approach allows for early identification of individuals at increased risk, enabling timely intervention and monitoring.

3

Who is considered to be at high risk for pancreatic cancer in this context?

The 'Dream Team' focuses on individuals at high risk of developing pancreatic cancer. These risks include genetic predispositions, certain types of pancreatic cysts, and new-onset diabetes in adults. By focusing on these specific groups, the team can tailor their interventions and potentially catch the disease at its earliest stages. Identifying these factors is crucial because it allows for targeted screening and intervention, which can significantly improve the chances of successful treatment.

4

Why is universal germline testing important?

Universal germline testing is recommended for all pancreatic cancer patients. This includes those with a personal or family history of cancer, or those with clinical suspicion of inherited susceptibility. The recommendation aligns with updated National Comprehensive Cancer Network guidelines. This is important because it helps identify individuals with inherited genetic mutations that increase their risk of developing pancreatic cancer. Early identification through genetic testing allows for more informed decisions regarding screening, lifestyle modifications, and potential interventions.

5

What are the key strategies the 'Dream Team' is using to combat pancreatic cancer?

The 'Dream Team's' approach includes identifying high-risk groups, exploring immune prevention strategies, and discovering new biomarkers. They are also using computer-based 'deep learning' imaging algorithms to detect smaller cancers. The aim is to significantly reduce pancreatic cancer-associated deaths by intercepting the disease early. The goal is to transform outcomes for individuals at high risk of developing pancreatic cancer by focusing on early detection and intervention strategies. This comprehensive approach is designed to improve the chances of successful treatment and survival.

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