Abstract
This chapter summarizes the clinical studies which have identified new-onset diabetes (NOD) as a harbinger of pancreatic ductal adenocarcinoma (PDAC). It describes the ongoing efforts to identify biomarkers of PDAC-diabetes mellitus (DM), and proposes strategies which will enable the identification of PDAC at an early stage of the disease. Because PDAC-DM is frequently of new onset, a possible hypothesis is that the NOD associated with PDAC is a paraneoplastic phenomenon caused by the tumor. One approach to recognizing the cohort of NOD patients who are at high risk of PDAC is to identify the type of DM which is caused by the tumor and which is distinct from other DM types. The most promising candidate biomarker for pancreatogenic diabetes is the islet hormone pancreatic polypeptide. Validating and implementing biomarkers for early PDAC detection into clinical practice is a mutual urgent goal for scientists and clinicians alike across the Atlantic.
Original language | English (US) |
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Title of host publication | Clinical Pancreatology for Practising Gastroenterologists and Surgeons |
Subtitle of host publication | Second Edition |
Publisher | wiley |
Pages | 409-417 |
Number of pages | 9 |
ISBN (Electronic) | 9781119570097 |
ISBN (Print) | 9781119570073 |
DOIs | |
State | Published - Jan 1 2021 |
Keywords
- islet hormone pancreatic polypeptide
- new-onset diabetes
- pancreatic ductal adenocarcinoma
- PDAC-diabetes mellitus
ASJC Scopus subject areas
- General Medicine