Application of CRISPR in the Treatment of Pancreatic Cancer
DOI:
https://doi.org/10.61173/w0sk0575Keywords:
pancreatic cancer, CRISPR, Gene editing, tumor microenvironmentAbstract
As a highly invasive malignant tumor, pancreatic cancer (PC) has an increasing incidence rate and a long-term low 5-year survival rate. At present, CRISPR has been used in the research of PC to analyze the function of oncogenes, explore drug resistance mechanisms and develop treatment strategies. Most of them are in the stage of cell and animal experiments. However, there are still research gaps in tumor microenvironment penetration, low delivery efficiency in vivo, off target effects and treatment limitations caused by tumor heterogeneity. This article systematically reviews the CRISPR foundation, analyzes the pathogenesis of high-frequency mutant genes in PC, elaborates three major treatment strategies based on CRISPR, combs the progress of second-generation CRISPR, clarifies the current technical challenges, and proposes targeted vector development, high fidelity Cas protein application and other corresponding programs. This study provides a comprehensive reference for the clinical transformation of CRISPR in the field of PC, helping to break through the bottleneck of traditional treatment; However, the long-term safety of this technology in the human body still needs to be verified. Future research can rely on the third-generation CRISPR to optimize the targeted delivery system, explore the joint strategy with immunotherapy and chemotherapy, promote the technology to clinical implementation, and provide more accurate treatment schemes for PC patients.
References
[1] Wu L, Sheng S, Shan X, Zhou K, Bian T, Dong Y, Yang Dean&Francis ISSN 2959-409X Y. Improving rice quality by knocking out OsAAP13 using CRISPR/Cas9 technology. Journal of Zhejiang A&F University, 2025, 42(4): 694-702.
[2] Wang J, Jiang L, Xiong Q, et al. Recent efficacy of abdominal superficial ultrasound-guided interventional therapy for mid-tolate stage pancreatic cancer and its effect on patients’ immune status. Chinese Journal of Immunology, 2025, 41(7): 1586-1592.
[3] Liu T, Tao J, Zhang T. Advances in CRISPR-edited organoids for basic and translational research in pancreatic cancer. Tumor, 2024, 44(12): 1209-1215.
[4] Guo Q, Huang X, Xia N, et al. Epidemiological status and trends of pancreatic cancer globally and in China. Chinese Journal of General Surgery (Basic & Clinical), 2025, 32(6): 677- 686.
[5] Zhang F, Zhu B. Relationship between K-ras mutation expression and pancreatic cancer and its clinical significance. Anhui Medical Journal, 2005, (3): 216-218.
[6] Wang X, Xiong C, Zhang Y, et al. Whole-exome capture sequencing of TP53 and KRAS mutations in common digestive system tumors and their clinical significance. Journal of Jilin University (Medical Edition), 2025, 51(2): 471-478. doi:10.13481/j.1671-587X.20250221.
[7] Wang X, Liu Y, Shang H, et al. Treatment of CDKN2A- deleted pancreatic cancer with pabociclib: A case report. Journal of Clinical Military Medicine, 2018, 46(7): 851. doi:10.16680/ j.1671-3826.2018.07.43.
[8] He Y, Wang F, Wang Y, et al. Downregulation of SMAD4 promotes pancreatic cancer metastasis by inhibiting type I IFN signaling pathway. Journal of Tongji University (Medical Edition), 2023, 44(3): 326-335.
[9] Wen D, Li Q, Li Y, et al. OPTN deficiency through CRISPR/ Cas9 downregulates autophagy and mitophagy in a SOD1- G93A-expressing transgenic cell line. IBRO Neuroscience Reports, 2025, 19: 307-316.
[10] Park J S, Lee E G, Cho M S, et al. Recent applications, future perspectives, and limitations of the CRISPR-Cas system. Molecular Therapy-Nucleic Acids, 2025, 36(3): 102634.
[11] Kalter N, García F C, Silva A, et al. Off-target effects in CRISPR-Cas genome editing for human therapeutics: Progress and challenges. Molecular Therapy-Nucleic Acids, 2025, 36(3): 102636.
[12] Pai J V, Shan H, Donaldson J C, et al. CRISPR- Cas9 screening reveals microproteins regulating adipocyte proliferation and lipid metabolism. Proceedings of the National Academy of Sciences of the United States of America, 2025, 122(32): e2506534122.
[13] Kumar D, Thakur G, Singh P, et al. Biofuel production from starchy crops: advanced technology and current perspectives. Archives of Microbiology, 2025, 207(9): 220.
[14] Rynjah D, Sandhanam K, Bhattacharjee B, et al. CRISPR/ Cas9 gene editing systems for enhancing secondary metabolite biosynthesis via reproductive tissue modification. Discover Plants, 2025, 2(1): 245.
[15] Yang H, Bailey P, Pilarsky C. CRISPR Cas9 in pancreatic cancer research. Frontiers in Cell and Developmental Biology, 2019, 7: 239.
[16] Zhao X, et al. A CRISPR-Cas13a system for efficient and specific therapeutic targeting of mutant KRAS for pancreatic cancer treatment. Cancer Letters, 2018, 431: 171-181.
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