%0 Journal Article %T Hallmarks of perineural invasion in pancreatic ductal adenocarcinoma: new biological dimensions. %A Sun Y %A Jiang W %A Liao X %A Wang D %J Front Oncol %V 14 %N 0 %D 2024 %M 39119085 %F 5.738 %R 10.3389/fonc.2024.1421067 %X Pancreatic ductal adenocarcinoma (PDAC) is an aggressive malignant tumor with a high metastatic potential. Perineural invasion (PNI) occurs in the early stages of PDAC with a high incidence rate and is directly associated with a poor prognosis. It involves close interaction among PDAC cells, nerves and the tumor microenvironment. In this review, we detailed discuss PNI-related pain, six specific steps of PNI, and treatment of PDAC with PNI and emphasize the importance of novel technologies for further investigation.