STZ is a broad-spectrum antibiotic that is toxic to the insulin producing β cells of pancreatic islets. It is currently used clinically for the treatment of metastatic islet cell carcinoma of the pancreas [12 ] and has been used investigationally in a wide variety of large and small animal species [2 (link)–5 , 13 (link)–17 (link)]. The method of STZ action in β cell depletion has been studied extensively over the years. It is generally assumed that STZ is taken up via the cell membrane GLUT2 glucose transporter and causes DNA alkylation and eventual β cell death [15 (link), 17 (link)], although streptozotocin’s actions as a protein alkylating agent [18 (link)] and nitric oxide donor may contribute to its cytotoxicity [19 (link)]. Because STZ enters the cell via GLUT2, the toxic action is not specific to β cells and can cause damage to other tissues including the liver and kidney [5 , 15 (link), 17 (link), 19 (link)].
>
Disorders
>
Neoplastic Process
>
Pancreatic Carcinoma
Pancreatic Carcinoma
Pancreatic Carcinoma is a malignant neoplasm originating from epithelial cells of the pancreas.
It is one of the most aggressive and deadly forms of cancer, often diagnosed at an advanced stage due to the lack of early symptoms.
Pancreatic Carcinoma can arise from various cell types within the pancreas, including exocrine glandular cells and endocrine cells.
Common subtypes include ductal adenocarcinoma, the most prevalent form, as well as less common types like acinar cell carinoma and neuroendocrine tumors.
Symptoms may include abdominal pain, weight loss, jaundice, and digestive issues.
Accurate diagnosis and effective treatment remain significant challenges, highlighting the need for continued research and development of new therapeutic approaches.
It is one of the most aggressive and deadly forms of cancer, often diagnosed at an advanced stage due to the lack of early symptoms.
Pancreatic Carcinoma can arise from various cell types within the pancreas, including exocrine glandular cells and endocrine cells.
Common subtypes include ductal adenocarcinoma, the most prevalent form, as well as less common types like acinar cell carinoma and neuroendocrine tumors.
Symptoms may include abdominal pain, weight loss, jaundice, and digestive issues.
Accurate diagnosis and effective treatment remain significant challenges, highlighting the need for continued research and development of new therapeutic approaches.
Most cited protocols related to «Pancreatic Carcinoma»
Alkylating Agents
Alkylation
Animals
Antibiotics
Cell Death
Cells
Cytotoxin
Glucose Transporter
Islets of Langerhans
Kidney
Liver
Nitric Oxide Donors
Pancreatic beta Cells
Pancreatic Carcinoma
Plasma Membrane
SLC2A2 protein, human
Staphylococcal Protein A
Tissues
Toxic Actions
acetonitrile
Amides
Amino Acids
Biopharmaceuticals
Cell Extracts
Chemical Processes
Chromatography
Isotopes
neuro-oncological ventral antigen 2, human
Pancreatic Carcinoma
Retention (Psychology)
Animals
Antibodies
Antibodies, Blocking
Cells
CTLA4 protein, human
IgG2B
Immune Checkpoint Blockade
Immunoglobulin Isotypes
Malignant Neoplasm of Breast
matrigel
Melanoma
Melanoma, B16
Mice, Inbred BALB C
Mice, Inbred C57BL
Mus
Neoplasms
Ovum Implantation
Pancreatic Carcinoma
pathogenesis
Radiation
Radiotherapy
Woman
Autopsy
Base Pairing
Capillaries
Carcinoma
Cell Lines
Cells
Culture Media
Diploid Cell
DNA, Neoplasm
Fibroblasts
Gene Rearrangement
Genome
Genome, Human
Genotype
Germ Line
Hypersensitivity
Malignant Neoplasms
Neoplasm Metastasis
Neoplasms
Oligonucleotide Primers
Pancreatic Carcinoma
Patients
Point Mutation
Specimen Collection
Sterility, Reproductive
Stromal Cells
Tissues
The RMA (Robust Multichip Average) algorithm was first applied to the microarray raw data to obtain gene expression data. All statistical analyses were performed using R and the Bioconductor suite (http://www.r-project.org/ ).
PCA was performed using the prcomp R function with default parameters.
Hierarchical cluster analysis was based on Pearson correlation between the samples. Differentially expressed genes between tumor and normal samples were identified with the limma package of Bioconductor, which applies empirical-based methods to a moderated t-statistic and takes multiple testing into account by providing an estimate of the false discovery rate (FDR). This analysis was performed in a paired way, .i.e. comparing tumor and normal samples from the same patient.
For the pairwise correlation analysis, the Pearson correlation was calculated in the ExpO breast and prostate subsets. Gene expression and annotation data from the ExpO consortium (http://www.intgen.org/expo/ ) were downloaded from GEO (GSE2109) in December 2008, including batches 1–16. The breast and prostate cancer subsets (354, respectively 83 samples) were extracted and processed separately with the RMA procedure (quantile normalization at probe-level data).
For comparison with published stromal signatures, multiple testing correction was done with the Bonferroni procedure. We re-analyzed the expression data of Ma et al.[13] (link) to obtain a list of differentially expressed genes comparing invasive breast ductal carcinoma stroma versus normal stroma. For that we used the expression data deposited in GEO (series GSE14548) and performed a paired analysis of differential expression using limma. The probesets with FDR<1% were then selected and used for the comparison. We compared our upregulated stromal genes with the ones found upregulated in breast carcinoma-associated fibroblasts compared to normal mammary fibroblasts in Bauer et al.[22] We compared our data with the pancreatic cancer stroma genes set identified in Binkley et al.[15] (link) For the comparison with the mouse study from Bacac et al.[16] (link) we considered the list containing the mouse genes found to be upregulated in invasive compared to pre-invasive prostate tumor stroma. These genes were converted into human genes using HomoloGene (build 62) and taking into account only the mouse genes with a unique homologene human ortholog.
PCA was performed using the prcomp R function with default parameters.
Hierarchical cluster analysis was based on Pearson correlation between the samples. Differentially expressed genes between tumor and normal samples were identified with the limma package of Bioconductor, which applies empirical-based methods to a moderated t-statistic and takes multiple testing into account by providing an estimate of the false discovery rate (FDR). This analysis was performed in a paired way, .i.e. comparing tumor and normal samples from the same patient.
For the pairwise correlation analysis, the Pearson correlation was calculated in the ExpO breast and prostate subsets. Gene expression and annotation data from the ExpO consortium (
For comparison with published stromal signatures, multiple testing correction was done with the Bonferroni procedure. We re-analyzed the expression data of Ma et al.[13] (link) to obtain a list of differentially expressed genes comparing invasive breast ductal carcinoma stroma versus normal stroma. For that we used the expression data deposited in GEO (series GSE14548) and performed a paired analysis of differential expression using limma. The probesets with FDR<1% were then selected and used for the comparison. We compared our upregulated stromal genes with the ones found upregulated in breast carcinoma-associated fibroblasts compared to normal mammary fibroblasts in Bauer et al.[22] We compared our data with the pancreatic cancer stroma genes set identified in Binkley et al.[15] (link) For the comparison with the mouse study from Bacac et al.[16] (link) we considered the list containing the mouse genes found to be upregulated in invasive compared to pre-invasive prostate tumor stroma. These genes were converted into human genes using HomoloGene (build 62) and taking into account only the mouse genes with a unique homologene human ortholog.
Breast
Cancer-Associated Fibroblasts
Fibroblasts
Gene, Cancer
Gene Expression
Genes
Genes, Neoplasm
Genes, vif
Invasive Ductal Carcinoma, Breast
Mice, Laboratory
Microarray Analysis
Neoplasms
Oncogenes
Pancreas
Pancreatic Carcinoma
Patients
Prostate
Prostate Cancer
Prostatic Neoplasms
Most recents protocols related to «Pancreatic Carcinoma»
Detailed baseline and clinicopathological information, including sex, age, tumor location, tumor size, pathological type, differentiation, lymph node metastasis, and TNM stage of the patients with pancreatic diseases and HC, were obtained from the medical records of the inpatients or outpatients. The preoperative hematological parameters and liver function tests included neutrophils (× 109/L), lymphocytes (× 109/L), monocytes (× 109/L), platelets (× 109/L), plasma fibrinogens (g/L), serum albumins (g/L), prealbumin (mg/L), and CA199 (U/L) within seven days before surgery (average 2—7 days) were gathered from the medical records. TNM staging was performed using the 8th edition of the AJCC Cancer Staging Manual for Pancreatic Cancer.
Blood Platelets
Fibrinogen
Inpatient
Liver Function Tests
Lymph Node Metastasis
Lymphocyte
Monocytes
Neoplasms
Neoplasms by Site
Neutrophil
Outpatients
Pancreatic Carcinoma
Pancreatic Diseases
Patients
Plasma
Prealbumin
Serum Albumin
Human natural killer cell line NK92 was purchased from the American Type Culture Collection and grown in α-MEM medium (Cat. No.12571089; Life Technologies, Carlsbad, CA, USA) supplemented with 12.5% fetal bovine serum (FBS; Cat. No.1614007; Gibco, Grand Island, NY, USA), 12.5% horse serum (Cat. No. 26050070; Gibco), 1.5 g/L sodium bicarbonate, 2 mM L-glutamine (Cat. No. 25030149; Gibco), 100 to 200 U/ml recombinant IL-2 (Cat. No. 200-02; PeproTech, Rocky Hill, NJ, USA,), 0.1 mM 2-mercaptoethanol, 0.2 mM inositol (Cat. No. I5125; Sigma-Aldrich, St. Louis, MO, USA), 0.02 mM folic acid, and 1% penicillin-streptomycin solution (Cat. No. SV30010; Solarbio, Beijing, China). Mouse pancreatic carcinoma cell line PAN02 and human pancreatic carcinoma cell line PANC28, PANC1, SW1990 were purchased from the American Type Culture Collection and cultured in DMEM medium contained 10% FBS (Gibco, Gaithersburg, MD, USA) at 37 °C in an atmosphere of 5% CO2.
2-Mercaptoethanol
Atmosphere
Bicarbonate, Sodium
Cell Lines
Culture Media
Equus caballus
Folic Acid
Glutamine
Homo sapiens
Inositol
Mus
Natural Killer Cells
Pancreatic Carcinoma
Penicillins
Serum
Streptomycin
A total of 76 locally advanced PDAC specimens were collected from patients (median age, 61.2 years; age range, 32-79 years; 43 male patients, 33 female patients) who received a platinum-based chemotherapy program at Guangdong Provincial People's Hospital and Sun Yat-sen Memorial Hospital (both Guangzhou, China) between July 2015 and June 2021. Patients with locally advanced PDAC underwent laparoscopic biopsy or endoscopic ultrasound-guided sample acquisition from a solid pancreatic mass. The samples were confirmed as PDAC by two certified pathologists. Patients were included if they i) were 18-80 years of age; ii) had advanced PDAC stage III or IV, according to the pathology results; iii) had received oxaliplatin chemotherapy; and iv) had provided written informed consent. Patients were excluded if they i) had received other specific pancreatic cancer treatments (surgery, preoperative chemotherapy or chemoradiation); ii) had a pathologic diagnosis of a benign tumor; iii) had a history of other malignancies; or iv) had a mental illness. In accordance with the Guangdong Provincial People's Hospital's Protection of Human Subjects Committee (approval no. KY-H-2022-011-01), the protocol was approved, and all of the patients provided written informed consent before the biopsy sample collection. Progression-free survival (PFS) was measured from the date of chemotherapy to the occurrence of an event (progressive disease, death or diagnosis of a second malignant neoplasm). The response of oxaliplatin chemotherapy was assessed 4 months after the start of chemotherapy, complete response (CR) and partial response (PR) were classified as oxaliplatin-sensitive (35 cases), while stable disease (SD) and progressive disease (PD) were classified as oxaliplatin-resistant (41 cases).
Anophthalmia with pulmonary hypoplasia
Benign Neoplasm
Biopsy
Chemoradiotherapy
Diagnosis
Homo sapiens
Laparoscopy
Males
Malignant Neoplasms
Mental Disorders
Neoplasms, Second Primary
Operative Surgical Procedures
Oxaliplatin
Pancreas
Pancreatic Carcinoma
Pathologists
Patients
Pharmacotherapy
Platinum
Specimen Collection
Ultrasonography, Endoscopic
Woman
Protocol full text hidden due to copyright restrictions
Open the protocol to access the free full text link
Abdomen
Abdominal Cavity
Cancer of Liver
Diagnosis
Ethics Committees
Females
Inhalation
Inhalation Therapy
Males
Metals
Pancreatic Carcinoma
Patients
Prosthesis
Radiation Oncologists
Stents
Woman
This study was approved by the Institutional Review Board at our institution (IRB #202,100,888). Pancreatic adenocarcinoma patients with different TNM stages who had undergone Whipple resection and/or distal pancreatectomy at a tertiary care hospital during the period between January 2008 and May 2021 were reviewed in the study, and patients who underwent Whipple resection with or without total pancreatectomy who survived more than 30 days following surgery were analyzed. The following information was obtained from the electronic medical record and tumor registry at our institution: age, gender, and clinical follow-up concerning progression, recurrence, and survival (as of July 1, 2021).
All gross descriptions and hematoxylin and eosin slides were reviewed by three board-certified anatomic pathologists with experience in gastrointestinal pathology (AA, BB, AG) for the following parameters: tumor size (maximum tumor dimension in the pathology report), histologic grade, margin status (R0: negative and R1: positive or less 1 mm for the retroperitoneal margin), the presence of intraductal papillary mucinous neoplasm (IPMN), perineural invasion (PNI), lymphovascular invasion (LVI), DWI (involvement of muscularis propria of the duodenal wall and/or ampullary involvement), extrapancreatic common bile duct invasion by tumor, the number of examined lymph nodes, and the number of involved lymph nodes. All cases were grossed according to our institution’s protocol which includes at least 1 routine section from ampulla (including duodenal wall and pancreas), and cases were staged according to the 8th edition of the AJCC.
The patients were divided into 2 groups: group 1 with DWI and group 2 without DWI, and the clinicopathologic features were compared between the two groups. Descriptive summaries included frequencies and percentages for categorical variables and means (and range) for continuous variables. Univariate analyses were done to compare group 1 and group 2. Means (and ranges) of continuous variables with normal distributions were compared using the two-tailed Student t-test. Pearson’s chi-squared test or Fisher’s exact test were used as applicable to compare the categorical variables. Multivariate logistic regression with unadjusted and adjusted models was run to identify variables significantly associated with DWI.
Overall survival (OS) was calculated from the date of surgical resection to the date of death or last follow-up. Progression-free survival (PFS) was calculated from the date of surgical resection to the date of first recurrence or death, whichever came first. The OS rate and PFS time were calculated using Kaplan–Meier curves, and the log-rank test was used to determine the statistical significance of differences. Multivariate Cox regression analysis was conducted to identify whether DWI or any other parameters in the model were significantly associated with OS and PFS post-pancreatic cancer surgery using unadjusted and adjusted models. STATA/BE 17 was used for data management and statistical analysis. A P-value ≤ 0.05 was considered statistically significant.
All gross descriptions and hematoxylin and eosin slides were reviewed by three board-certified anatomic pathologists with experience in gastrointestinal pathology (AA, BB, AG) for the following parameters: tumor size (maximum tumor dimension in the pathology report), histologic grade, margin status (R0: negative and R1: positive or less 1 mm for the retroperitoneal margin), the presence of intraductal papillary mucinous neoplasm (IPMN), perineural invasion (PNI), lymphovascular invasion (LVI), DWI (involvement of muscularis propria of the duodenal wall and/or ampullary involvement), extrapancreatic common bile duct invasion by tumor, the number of examined lymph nodes, and the number of involved lymph nodes. All cases were grossed according to our institution’s protocol which includes at least 1 routine section from ampulla (including duodenal wall and pancreas), and cases were staged according to the 8th edition of the AJCC.
The patients were divided into 2 groups: group 1 with DWI and group 2 without DWI, and the clinicopathologic features were compared between the two groups. Descriptive summaries included frequencies and percentages for categorical variables and means (and range) for continuous variables. Univariate analyses were done to compare group 1 and group 2. Means (and ranges) of continuous variables with normal distributions were compared using the two-tailed Student t-test. Pearson’s chi-squared test or Fisher’s exact test were used as applicable to compare the categorical variables. Multivariate logistic regression with unadjusted and adjusted models was run to identify variables significantly associated with DWI.
Overall survival (OS) was calculated from the date of surgical resection to the date of death or last follow-up. Progression-free survival (PFS) was calculated from the date of surgical resection to the date of first recurrence or death, whichever came first. The OS rate and PFS time were calculated using Kaplan–Meier curves, and the log-rank test was used to determine the statistical significance of differences. Multivariate Cox regression analysis was conducted to identify whether DWI or any other parameters in the model were significantly associated with OS and PFS post-pancreatic cancer surgery using unadjusted and adjusted models. STATA/BE 17 was used for data management and statistical analysis. A P-value ≤ 0.05 was considered statistically significant.
Adenocarcinoma
Bladder Detrusor Muscle
Choledochus
Duodenum
Eosin
Gender
Hematoxylin
Neoplasm Invasiveness
Neoplasms
Neoplasms, Mucinous
Nodes, Lymph
Operative Surgical Procedures
Pancreas
Pancreatectomy
Pancreatic Carcinoma
Pathologists
Patients
Recurrence
Retroperitoneal Space
Student
Top products related to «Pancreatic Carcinoma»
Sourced in United States, China, United Kingdom, Germany, Australia, Japan, Canada, Italy, France, Switzerland, New Zealand, Brazil, Belgium, India, Spain, Israel, Austria, Poland, Ireland, Sweden, Macao, Netherlands, Denmark, Cameroon, Singapore, Portugal, Argentina, Holy See (Vatican City State), Morocco, Uruguay, Mexico, Thailand, Sao Tome and Principe, Hungary, Panama, Hong Kong, Norway, United Arab Emirates, Czechia, Russian Federation, Chile, Moldova, Republic of, Gabon, Palestine, State of, Saudi Arabia, Senegal
Fetal Bovine Serum (FBS) is a cell culture supplement derived from the blood of bovine fetuses. FBS provides a source of proteins, growth factors, and other components that support the growth and maintenance of various cell types in in vitro cell culture applications.
Sourced in United States, Japan, China, Germany, United Kingdom, Italy, Australia, France, Poland
PANC-1 is a cell line derived from a human pancreatic ductal adenocarcinoma. It is a commonly used model for in vitro studies of pancreatic cancer.
Sourced in United States, Germany, China, United Kingdom, Japan, Italy, Australia, France
MIA PaCa-2 is a human pancreatic carcinoma cell line derived from a primary tumor. It is a well-established model used in cancer research.
Sourced in United States, China, United Kingdom, Germany, France, Australia, Canada, Japan, Italy, Switzerland, Belgium, Austria, Spain, Israel, New Zealand, Ireland, Denmark, India, Poland, Sweden, Argentina, Netherlands, Brazil, Macao, Singapore, Sao Tome and Principe, Cameroon, Hong Kong, Portugal, Morocco, Hungary, Finland, Puerto Rico, Holy See (Vatican City State), Gabon, Bulgaria, Norway, Jamaica
DMEM (Dulbecco's Modified Eagle's Medium) is a cell culture medium formulated to support the growth and maintenance of a variety of cell types, including mammalian cells. It provides essential nutrients, amino acids, vitamins, and other components necessary for cell proliferation and survival in an in vitro environment.
Sourced in United States, Japan, Germany, China, Sweden, United Kingdom, Italy, France
BxPC-3 is a cell line derived from a human pancreatic adenocarcinoma. It is commonly used in research related to pancreatic cancer.
Sourced in United States, Japan, China, Germany, United Kingdom, Italy
AsPC-1 is a cell line derived from a human pancreatic adenocarcinoma. It is a commonly used in vitro model for pancreatic cancer research.
Sourced in United States, China, Germany, United Kingdom, Japan, France, Canada, Australia, Italy, Switzerland, Belgium, New Zealand, Spain, Israel, Sweden, Denmark, Macao, Brazil, Ireland, India, Austria, Netherlands, Holy See (Vatican City State), Poland, Norway, Cameroon, Hong Kong, Morocco, Singapore, Thailand, Argentina, Taiwan, Province of China, Palestine, State of, Finland, Colombia, United Arab Emirates
RPMI 1640 medium is a commonly used cell culture medium developed at Roswell Park Memorial Institute. It is a balanced salt solution that provides essential nutrients, vitamins, and amino acids to support the growth and maintenance of a variety of cell types in vitro.
Sourced in United States, United Kingdom, Germany, China, France, Canada, Australia, Japan, Switzerland, Italy, Belgium, Israel, Austria, Spain, Netherlands, Poland, Brazil, Denmark, Argentina, Sweden, New Zealand, Ireland, India, Gabon, Macao, Portugal, Czechia, Singapore, Norway, Thailand, Uruguay, Moldova, Republic of, Finland, Panama
Streptomycin is a broad-spectrum antibiotic used in laboratory settings. It functions as a protein synthesis inhibitor, targeting the 30S subunit of bacterial ribosomes, which plays a crucial role in the translation of genetic information into proteins. Streptomycin is commonly used in microbiological research and applications that require selective inhibition of bacterial growth.
Sourced in United States, Germany, United Kingdom, China, Canada, France, Japan, Australia, Switzerland, Israel, Italy, Belgium, Austria, Spain, Gabon, Ireland, New Zealand, Sweden, Netherlands, Denmark, Brazil, Macao, India, Singapore, Poland, Argentina, Cameroon, Uruguay, Morocco, Panama, Colombia, Holy See (Vatican City State), Hungary, Norway, Portugal, Mexico, Thailand, Palestine, State of, Finland, Moldova, Republic of, Jamaica, Czechia
Penicillin/streptomycin is a commonly used antibiotic solution for cell culture applications. It contains a combination of penicillin and streptomycin, which are broad-spectrum antibiotics that inhibit the growth of both Gram-positive and Gram-negative bacteria.
Sourced in United States, United Kingdom, Germany, China, France, Canada, Japan, Australia, Switzerland, Italy, Israel, Belgium, Austria, Spain, Brazil, Netherlands, Gabon, Denmark, Poland, Ireland, New Zealand, Sweden, Argentina, India, Macao, Uruguay, Portugal, Holy See (Vatican City State), Czechia, Singapore, Panama, Thailand, Moldova, Republic of, Finland, Morocco
Penicillin is a type of antibiotic used in laboratory settings. It is a broad-spectrum antimicrobial agent effective against a variety of bacteria. Penicillin functions by disrupting the bacterial cell wall, leading to cell death.
More about "Pancreatic Carcinoma"
Pancreatic Adenocarcinoma, Pancreatic Cancer, Pancreatic Ductal Adenocarcinoma (PDAC), Pancreatic Neoplasm, Pancreatic Tumor, Pancreatic Carcinogenesis, Pancreatic Malignancy, Pancreatic Exocrine Carcinoma, Pancreatic Endocrine Carcinoma, Pancreatic Acinar Cell Carcinoma, Pancreatic Neuroendocrine Tumor (PNET), Pancreatic Cystic Neoplasm, Pancreatic Islet Cell Tumor, Pancreatic Intraepithelial Neoplasia (PanIN), Pancreatic Ductal Epithelium, Pancreatic Duct, Pancreatic Acinar Cells, Pancreatic Islet Cells, Pancreatic Stellate Cells, Pancreatic Enzyme, Pancreatic Duct Obstruction, Pancreatic Duct Dilation, Pancreatic Duct Stricture, Pancreatic Duct Stones, Pancreatic Duct Cyst, Pancreatic Inflammation, Pancreatitis, Pancreatic Fibrosis, Pancreatic Stroma, Pancreatic Microenvironment, Pancreatic Angiogenesis, Pancreatic Metabolism, Pancreatic Signaling Pathways, Pancreatic Stem Cells, Pancreatic Organoids, Pancreatic Cell Lines (FBS, PANC-1, MIA PaCa-2, DMEM, BxPC-3, AsPC-1, RPMI 1640 medium), Pancreatic Cancer Biomarkers, Pancreatic Cancer Genetics, Pancreatic Cancer Epigenetics, Pancreatic Cancer Immunology, Pancreatic Cancer Metastasis, Pancreatic Cancer Therapy, Pancreatic Cancer Prognosis, Pancreatic Cancer Survivial, Pancreatic Cancer Risk Factors, Pancreatic Cancer Prevention, Pancreatic Cancer Screening, Pancreatic Cancer Diagnosis, Pancreatic Cancer Staging, Pancreatic Cancer Treatment (Surgery, Chemotherapy, Radiation Therapy, Targeted Therapy, Immunotherapy), Pancreatic Cancer Clinical Trials, Pancreatic Cancer Research, Pancreatic Cancer Epidemiology, Pancreatic Cancer Palliative Care, Pancreatic Cancer Supportive Care, Pancreatic Cancer Patient Education, Pancreatic Cancer Caregiver Support, Pancreatic Cancer Advocacy, Pancreatic Cancer Awareness, Pancreatic Cancer Funding, Pancreatic Cancer Organizations, Pancreatic Cancer Resources, Pancreatic Cancer Penicillin/streptomycin, Pancreatic Cancer Streptomycin.