cancers Review NF-κB Dependent Chemokine Signaling in Pancreatic Cancer Claudia Geismann 1, Heiner Schäfer 1,2 , Jan-Paul Gundlach 3, Charlotte Hauser 3 , Jan-Hendrik Egberts 3, Günter Schneider 4 and Alexander Arlt 1,* 1 Laboratory of Molecular Gastroenterology & Hepatology, Department of Internal Medicine I, UKSH-Campus Kiel, 24105 Kiel, Germany;
[email protected] (C.G.);
[email protected] (H.S.) 2 Institute of Experimental Cancer Research, UKSH Campus Kiel, 24105 Kiel, Germany 3 Department of Surgery, UKSH-Campus Kiel, 24105 Kiel, Germany;
[email protected] (J.-P.G.);
[email protected] (C.H.);
[email protected] (J.-H.E.) 4 Technische Universität München, Klinikum rechts der Isar, II. Medizinische Klinik, 81675 Munich, Germany;
[email protected] * Correspondence:
[email protected]; Tel.: +49-431-5002-2210 Received: 30 August 2019; Accepted: 24 September 2019; Published: 26 September 2019 Abstract: Pancreatic cancer is one of the carcinomas with the worst prognoses, as shown by its five-year survival rate of 9%. Although there have been new therapeutic innovations, the effectiveness of these therapies is still limited, resulting in pancreatic ductal adenocarcinoma (PDAC) becoming the second leading cause of cancer-related death in 2020 in the US. In addition to tumor cell intrinsic resistance mechanisms, this disease exhibits a complex stroma consisting of fibroblasts, immune cells, neuronal and vascular cells, along with extracellular matrix, all conferring therapeutic resistance by several mechanisms. The NF-κB pathway is involved in both the tumor cell-intrinsic and microenvironment-mediated therapeutic resistance by regulating the transcription of a plethora of target genes.