From Spice to Scaffold: Design and Development of Curcumin Analogs to Combat Pancreatic Cancer

Pancreatic ductal adenocarcinoma (PDAC) is considered as one of the most lethal malignancies, characterized by late diagnosis, aggressive local invasion, profound therapy resistance, and a suppressive tumor microenvironment. Currently known chemotherapy regimens for the treatment of PDAC are limited and typically depend on the stage of disease. For pre-surgery and post-surgery settings, modified combination of fluorouracil, leucovorin, irinotecan, and oxaliplatin are used. Gemcitabine/nab-paclitaxel is an alternative regimen used for the disease at advanced stage. However, modest efficacy and high toxicity are often associated with these treatments. Therefore, more efficacious, safer, and novel therapeutic options are urgently required. The natural product curcumin has been shown to exert promising anti-inflammatory, pro-apoptotic, and antimetastatic activities in PDAC models. Inspired by these initial reports, there has been a sustained effort in the medicinal chemistry community to develop chemotherapeutic agents for the treatment of PDAC based on the chemical architecture of curcumin. This review highlights recent developments of multiple classes of curcumin analogs as a credible and versatile class of investigational agents for addressing the unmet therapeutic needs of pancreatic cancer.