Molecular Diagnostics in Pancreatic Cancer

  • Shruti Mishra
  • Vipin Rai
  • Abhai Kumar
  • Sushil Kumar Aggarwal
  • Subash Chandra GuptaEmail author


Pancreatic cancer (PaCa) originates from the lining of the ductal cells or the islets cells of the pancreas. The most common form of pancreatic cancer is the ductal adenocarcinoma. During recent years, an increase in the incidence of PaCa is reported in India as compared to western countries. Although exact molecular mechanism remains unknown, life style factors have been shown to play a major role. The disease is normally diagnosed at an advanced stage. Several markers have been developed for the diagnosis and prognosis of the disease. Among these markers include carbohydrate antigen 19-9, carbohydrate antigen 242, CAM17.1, tissue inhibitor of matrix metalloproteinase 1 (TIMP-1), macrophage inhibitory cytokine-1 (MIC-1), osteopontin (OPN), alterations in DNA methylation, mutations in KRAS, hENT1, SPARC, and mucins. The biological fluids such as serum and pancreatic juice have been used for the diagnosis and prognosis of the disease. The advantages and disadvantages associated with these markers and biological fluids are discussed in this chapter.


Biomarker Diagnosis KRAS Prognosis Pancreatic cancer 



The authors would like to acknowledge the financial support from Science and Engineering Research Board (ECR/2016/000034), and University Grants Commission [No. F.30-112/2015 (BSR)]. SM is an ICMR-JRF (3/1/3/JRF-2016/LS/HRD-65-80388).


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Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Shruti Mishra
    • 1
  • Vipin Rai
    • 1
  • Abhai Kumar
    • 2
  • Sushil Kumar Aggarwal
    • 3
  • Subash Chandra Gupta
    • 1
    Email author
  1. 1.Laboratory for Translational Cancer Research, Department of BiochemistryInstitute of ScienceVaranasiIndia
  2. 2.Interdisciplinary School of Life Sciences, Institute of ScienceVaranasiIndia
  3. 3.Department of OtorhinolaryngologyInstitute of Medical Sciences, Banaras Hindu UniversityVaranasiIndia

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