Nonetheless, it is apparent that miR-29a modulates extracellular IGF-1/IGF-1R signaling in PSCs, and intracellular NRAS expression in pancreatic cancer cells, which indicates a functional role of the molecule in tumor-stromal crosstalk via insulin/IRF -RAS/MAPK signaling mechanism in PDAC. The gene discussed is IGF1; the disease is familial pancreatic carcinoma.