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  1. Book: Pancreatology

    Iovanna, Juan

    from bench to bedside

    2009  

    Author's details Juan Iovanna ... ed
    Keywords Bauchspeicheldrüsenkrankheit
    Subject Bauchspeicheldrüse ; Pankreaserkrankung ; Pankreaskrankheit
    Language English
    Size X, 92 S. : Ill., graph. Darst., 235 mm x 155 mm
    Publisher Springer
    Publishing place Dordrecht u.a.
    Publishing country Netherlands
    Document type Book
    HBZ-ID HT016029395
    ISBN 978-3-642-00151-2 ; 9783642001529 ; 3-642-00151-3 ; 3642001521
    Database Catalogue ZB MED Medicine, Health

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  2. Article: Implementing biological markers as a tool to guide clinical care of patients with pancreatic cancer.

    Iovanna, Juan

    Translational oncology

    2020  Volume 14, Issue 1, Page(s) 100965

    Abstract: A major obstacle for the effective treatment of pancreatic ductal adenocarcinoma (PDAC) is its molecular heterogeneity, reflected by the diverse clinical outcomes and responses to therapies that occur. The tumors of patients with PDAC must therefore be ... ...

    Abstract A major obstacle for the effective treatment of pancreatic ductal adenocarcinoma (PDAC) is its molecular heterogeneity, reflected by the diverse clinical outcomes and responses to therapies that occur. The tumors of patients with PDAC must therefore be closely examined and classified before treatment initiation in order to predict the natural evolution of the disease and the response to therapy. To stratify patients, it is absolutely necessary to identify biological markers that are highly specific and reproducible, and easily measurable by inexpensive sensitive techniques. Several promising strategies to find biomarkers are already available or under development, such as the use of liquid biopsies to detect circulating tumor cells, circulating free DNA, methylated DNA, circulating RNA, and exosomes and extracellular vesicles, as well as immunological markers and molecular markers. Such biomarkers are capable of classifying patients with PDAC and predicting their therapeutic sensitivity. Interestingly, developing chemograms using primary cell lines or organoids and analyzing the resulting high-throughput data via artificial intelligence would be highly beneficial to patients. How can exploiting these biomarkers benefit patients with resectable, borderline resectable, locally advanced, and metastatic PDAC? In fact, the utility of these biomarkers depends on the patient's clinical situation. At the early stages of the disease, the clinician's priority lies in rapid diagnosis, so that the patient receives surgery without delay; at advanced disease stages, where therapeutic possibilities are severely limited, the priority is to determine the PDAC tumor subtype so as to estimate the clinical outcome and select a suitable effective treatment.
    Language English
    Publishing date 2020-11-25
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2443840-6
    ISSN 1936-5233 ; 1936-5233 ; 1944-7124
    ISSN (online) 1936-5233
    ISSN 1936-5233 ; 1944-7124
    DOI 10.1016/j.tranon.2020.100965
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Un tratamiento "a la carta" para los pacientes con adenocarcinoma pancreático.

    Iovanna, Juan / Dusetti, Nelson

    Medicina

    2022  Volume 82, Issue 4, Page(s) 571–573

    Abstract: Pancreatic adenocarcinoma is a heterogeneous disease. Undeniably, the appearance and accumulation of genetic mutations promote the development of pancreatic adenocarcinoma. However, counterintuitively, genetic analyzes, no matter how precise and in-depth ...

    Title translation An "a la carte" treatment for patients with pancreatic adenocarcinoma.
    Abstract Pancreatic adenocarcinoma is a heterogeneous disease. Undeniably, the appearance and accumulation of genetic mutations promote the development of pancreatic adenocarcinoma. However, counterintuitively, genetic analyzes, no matter how precise and in-depth they may be, do not allow stratification of patients to predict their clinical evolution or to select the most effective treatment in each case. This is due to the fact that the clinical evolution and sensitivity to treatments are associated with the tumoral phenotype, which, in turn, is determined by the global expression of genes that is regulated at the transcriptomic level. Therefore, the stratification of these patients must be done by analysis at the transcriptomic level and not by genetic analysis. The data obtained from large cohorts of patients indicate that studying the transcription of a selected set of genes could predict the clinical outcome and can help to decide about the most appropriate treatment. We are moving very rapidly towards a personalized medicine for this disease, which in itself has a poor prognosis, even worse if the therapeutic decision is not the most adapted to each patient. We are convinced that in the near future the treatment of cancers will be preceded by an extensive transcriptomic characterization in order to select the most suitable "a la carte" treatments.
    MeSH term(s) Adenocarcinoma/genetics ; Adenocarcinoma/pathology ; Adenocarcinoma/therapy ; Biomarkers, Tumor/genetics ; Humans ; Pancreatic Neoplasms/drug therapy ; Pancreatic Neoplasms/therapy ; Precision Medicine ; Prognosis ; Transcriptome ; Pancreatic Neoplasms
    Chemical Substances Biomarkers, Tumor
    Language Spanish
    Publishing date 2022-07-29
    Publishing country Argentina
    Document type Journal Article
    ZDB-ID 411586-7
    ISSN 1669-9106 ; 0025-7680 ; 0325-951X
    ISSN (online) 1669-9106
    ISSN 0025-7680 ; 0325-951X
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Combating pancreatic cancer chemoresistance by triggering multiple cell death pathways.

    Santofimia-Castaño, Patricia / Iovanna, Juan

    Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.

    2021  Volume 21, Issue 3, Page(s) 522–529

    Abstract: Pancreatic cancer is the fourth most common cause of cancer-associated death in western countries, where the incidence and number of deaths are increasing every year. Intrinsic or acquired resistance of tumor cells to chemotherapy agents is the major ... ...

    Abstract Pancreatic cancer is the fourth most common cause of cancer-associated death in western countries, where the incidence and number of deaths are increasing every year. Intrinsic or acquired resistance of tumor cells to chemotherapy agents is the major reason for failure of traditional cancer treatment. Several factors are implicated in this impressive resistance; however, of these, it is important to highlight the extensive cellular heterogeneity of these tumors. This heterogeneity is linked to a wide range of sensitivity that different clones in the same tumor display to chemotherapeutic agents. Accordingly, recent findings in this field have discovered new therapeutic targets in order to develop new combinatory treatments, as well as to induce several cell death pathways and reduce therapy-threshold and likelihood of future resistance. Accordingly, recent research has focused on targeting mitochondria, an organelle with key roles regulating cell death signaling pathways, such as apoptosis, necroptosis, autophagy, ferroptosis, or parthanatos. These findings - identifying new compounds, alone or in combination, that can target pancreatic ductal adenocarcinoma cell resistance - could be the key to future treatments.
    MeSH term(s) Antineoplastic Agents/pharmacology ; Antineoplastic Agents/therapeutic use ; Antineoplastic Combined Chemotherapy Protocols/pharmacology ; Antineoplastic Combined Chemotherapy Protocols/therapeutic use ; Carcinoma, Pancreatic Ductal/drug therapy ; Cell Death/drug effects ; Drug Resistance, Neoplasm/drug effects ; Humans ; Pancreatic Neoplasms/drug therapy ; Treatment Failure
    Chemical Substances Antineoplastic Agents
    Language English
    Publishing date 2021-01-22
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2056680-3
    ISSN 1424-3911 ; 1424-3903
    ISSN (online) 1424-3911
    ISSN 1424-3903
    DOI 10.1016/j.pan.2021.01.010
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: L’autophagie contribue à l’initiation du cancer pancréatique.

    Iovanna, Juan L

    Medecine sciences : M/S

    2017  Volume 33, Issue 3, Page(s) 335–339

    Abstract: The pancreatic adenocarcinoma initiation results from the interaction of genetic events combined with multiple other factors. Among the genetic alterations that contribute to the pathogenesis of this disease, the mutation of the KRAS oncogene is required ...

    Title translation Autophagy contributes to the initiation of pancreatic cancer.
    Abstract The pancreatic adenocarcinoma initiation results from the interaction of genetic events combined with multiple other factors. Among the genetic alterations that contribute to the pathogenesis of this disease, the mutation of the KRAS oncogene is required but not sufficient to trigger this cancer. Pancreatitis, an inflammatory disease, facilitates and accelerates the transformation of pancreatic cells when the KRAS oncogene is mutated. Of note, the repertoire of molecular mediators of pancreatitis which are responsible of the promotion of KRAS-mediated transformation is not completely defined. Importantly, autophagy has been proposed as one of the cellular mechanisms contributing to pancreatic carcinogenesis, especially in the initial phases, in which the oncogene KRAS appears to play its leading role. In addition, autophagy is strongly induced during pancreatitis. Although some aspects of autophagy in pancreatic cancer development are not completely established, we can affirm that overexpression of VMP1, an inducer of autophagy which is specifically activated in pancreas during pancreatitis, improves the development of pancreatic precancerous lesions PanINs when the oncogene KRAS is mutated. In addition, inhibition of the autophagic flux with chloroquine inhibits the KRAS pro-tumor effect in the pancreas. In conclusion, activation of expression of VMP1 improves the pro-tumor role of KRAS in pancreas.
    MeSH term(s) Animals ; Autophagy/physiology ; Cell Transformation, Neoplastic/pathology ; Humans ; Mice ; Pancreatic Neoplasms/pathology ; Signal Transduction
    Language French
    Publishing date 2017-03
    Publishing country France
    Document type Journal Article ; Review
    ZDB-ID 632733-3
    ISSN 1958-5381 ; 0767-0974
    ISSN (online) 1958-5381
    ISSN 0767-0974
    DOI 10.1051/medsci/20173303022
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Deciphering the Binding of the Nuclear Localization Sequence of Myc Protein to the Nuclear Carrier Importin α3.

    Rizzuti, Bruno / Iovanna, Juan L / Neira, José L

    International journal of molecular sciences

    2022  Volume 23, Issue 23

    Abstract: The oncoprotein Myc is a transcription factor regulating global gene expression and modulating cell proliferation, apoptosis, and metabolism. Myc has a nuclear localization sequence (NLS) comprising residues Pro320 to Asp328, to allow for nuclear ... ...

    Abstract The oncoprotein Myc is a transcription factor regulating global gene expression and modulating cell proliferation, apoptosis, and metabolism. Myc has a nuclear localization sequence (NLS) comprising residues Pro320 to Asp328, to allow for nuclear translocation. We designed a peptide comprising such region and the flanking residues (Ala310-Asn339), NLS-Myc, to study, in vitro and in silico, the ability to bind importin α3 (Impα3) and its truncated species (ΔImpα3) depleted of the importin binding domain (IBB), by using fluorescence, circular dichroism (CD), biolayer interferometry (BLI), nuclear magnetic resonance (NMR), and molecular simulations. NLS-Myc interacted with both importin species, with affinity constants of ~0.5 µM (for Impα3) and ~60 nM (for ΔImpα3), as measured by BLI. The molecular simulations predicted that the anchoring of NLS-Myc took place in the major binding site of Impα3 for the NLS of cargo proteins. Besides clarifying the conformational behavior of the isolated NLS of Myc in solution, our results identified some unique properties in the binding of this localization sequence to the nuclear carrier Impα3, such as a difference in the kinetics of its release mechanism depending on the presence or absence of the IBB domain.
    Language English
    Publishing date 2022-12-05
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2019364-6
    ISSN 1422-0067 ; 1422-0067 ; 1661-6596
    ISSN (online) 1422-0067
    ISSN 1422-0067 ; 1661-6596
    DOI 10.3390/ijms232315333
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Stroma-targeting strategies in pancreatic cancer: a double-edged sword.

    Liu, Xi / Iovanna, Juan / Santofimia-Castaño, Patricia

    Journal of physiology and biochemistry

    2022  Volume 79, Issue 1, Page(s) 213–222

    Abstract: Pancreatic ductal adenocarcinoma (PDAC) is a type of cancer with limited treatment options and terrible long-term survival, and it is expected to become the second leading cause of cancer-related death by 2030. One reason why this cancer is so aggressive ...

    Abstract Pancreatic ductal adenocarcinoma (PDAC) is a type of cancer with limited treatment options and terrible long-term survival, and it is expected to become the second leading cause of cancer-related death by 2030. One reason why this cancer is so aggressive and resistant is the formation of dense stroma that surrounds the neoplastic epithelium, which promotes tumor progression, invasion, metastasis, and resistance. The three major components of PDAC stroma are extracellular matrix (ECM), cancer-associated fibroblasts (CAFs), and vasculature. The dense ECM acts as a natural physical barrier, impeding drug penetration to PDAC tumor cells. Consequently, the method that combines stroma-targeting with anticancer therapy may be a viable alternative for increasing drug penetration. Additionally, blood vessels are key entities of the tumor stroma, serving as a pathway for nutrition as well as the only way for chemical medicines and immune cells to act. Finally, PDAC CAFs and tumor cells have crosstalk effects in the tumor microenvironment, where they are responsible for enhanced matrix deposition. In this review, we aim to provide an overview of our current comprehension of the three key components of PDAC stroma and the new promising therapeutic targets for PDAC.
    MeSH term(s) Humans ; Pancreatic Neoplasms/metabolism ; Carcinoma, Pancreatic Ductal/metabolism ; Cancer-Associated Fibroblasts/metabolism ; Cancer-Associated Fibroblasts/pathology ; Extracellular Matrix/metabolism ; Extracellular Matrix/pathology ; Tumor Microenvironment ; Pancreatic Neoplasms
    Language English
    Publishing date 2022-12-29
    Publishing country Spain
    Document type Journal Article ; Review
    ZDB-ID 1325104-1
    ISSN 1877-8755 ; 0034-9402 ; 1138-7548
    ISSN (online) 1877-8755
    ISSN 0034-9402 ; 1138-7548
    DOI 10.1007/s13105-022-00941-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Short-term contracts: Labs leak staff under French law.

    Iovanna, Juan

    Nature

    2015  Volume 518, Issue 7537, Page(s) 35

    MeSH term(s) Contract Services/economics ; Contract Services/legislation & jurisprudence ; Contracts/legislation & jurisprudence ; Employment/economics ; Employment/legislation & jurisprudence ; France ; Laboratories/manpower ; Laboratory Personnel/economics ; Research Personnel/economics ; Time Factors
    Language English
    Publishing date 2015-02-05
    Publishing country England
    Document type Letter
    ZDB-ID 120714-3
    ISSN 1476-4687 ; 0028-0836
    ISSN (online) 1476-4687
    ISSN 0028-0836
    DOI 10.1038/518035b
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Organoïdes dérivés des adénocarcinomes pancréatiques.

    Dusetti, Nelson / Iovanna, Juan

    Medecine sciences : M/S

    2020  Volume 36, Issue 1, Page(s) 57–62

    Abstract: Pancreatic ductal adenocarcinoma (PDAC) is a rapidly evolving and most frequently fatal disease. Despite the enormous progress in understanding the mechanisms related to PDAC pathogenesis, the impact on patient management has not yet been possible. ... ...

    Title translation Organoids from pancreatic ductal adenocarcinoma.
    Abstract Pancreatic ductal adenocarcinoma (PDAC) is a rapidly evolving and most frequently fatal disease. Despite the enormous progress in understanding the mechanisms related to PDAC pathogenesis, the impact on patient management has not yet been possible. Pancreatic organoids can be generated from small amounts of tissue. One of the most promising applications of organoids is that they can serve as a platform for selecting the right drugs for each patient. This approach has the potential to identify individual therapeutic vulnerabilities by allowing the personalization of treatments. However, these analyzes require several weeks before obtaining enough organoids from the same individual, to carry out the tests with several drugs, and to analyze the results, which limits its use in current clinical practice for the patients with a PDAC, whose it must be remembered that half die within 6 months of diagnosis. To overcome this obstacle, we assessed the ability of transcriptomic molecular signatures to identify patients with a particular sensitivity profile to a given treatment. The approaches based on transcriptomic profiling have the enormous advantage of using very little biological material and thus significantly reducing the time to arrive at the selection of more effective drugs to each patient.
    MeSH term(s) Adenocarcinoma/genetics ; Adenocarcinoma/pathology ; Carcinoma, Pancreatic Ductal/genetics ; Carcinoma, Pancreatic Ductal/pathology ; Cell Proliferation/genetics ; Cell Separation ; Gene Expression Profiling ; Gene Expression Regulation, Neoplastic ; Humans ; Organoids/pathology ; Pancreatic Neoplasms/genetics ; Pancreatic Neoplasms/pathology ; Precision Medicine/methods ; Primary Cell Culture/methods ; Transcriptome/genetics ; Tumor Cells, Cultured
    Language French
    Publishing date 2020-02-04
    Publishing country France
    Document type Journal Article ; Review
    ZDB-ID 632733-3
    ISSN 1958-5381 ; 0767-0974
    ISSN (online) 1958-5381
    ISSN 0767-0974
    DOI 10.1051/medsci/2019259
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Autophagy Induced during Pancreatitis Promotes

    Iovanna, Juan L

    Frontiers in oncology

    2016  Volume 6, Page(s) 226

    Abstract: Pancreatitis is an inflammatory disease that both facilitates and accelerates the transformation of pancreatic cells upon activation of ... ...

    Abstract Pancreatitis is an inflammatory disease that both facilitates and accelerates the transformation of pancreatic cells upon activation of the
    Language English
    Publishing date 2016-10-26
    Publishing country Switzerland
    Document type Review ; Journal Article
    ZDB-ID 2649216-7
    ISSN 2234-943X
    ISSN 2234-943X
    DOI 10.3389/fonc.2016.00226
    Database MEDical Literature Analysis and Retrieval System OnLINE

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