Furthermore, an analog of TQ induced apoptosis by downregulating Bcl-2, Bcl-xL, survivin, XIAP, COX-2 combined with Gemcitabine and oxaliplatin in Gemcitabine resistant pancreatic cancer MiaPaCa-2 cells [67,68]. The gene discussed is XIAP; the disease is familial pancreatic carcinoma.