Gemcitabine (GEM) is first-line standard chemotherapy used for the treatment of pancreatic cancer; however resistance of pancreatic cancer to GEM remains the major obstacle to the successful control of this disease. Toward understanding the molecular mechanisms associated with GEM-induced resistance, here the authors developed and investigated the GEM-resistant pancreatic cancer MIA PaCa-2 cells (MIA PaCa-2/GR). the authors showed that MIA PaCa-2/GR cells underwent distinct morphological changes including spindle-shaped morphology, appearance of pseudopodia and reduced adhesion characteristic of transformed fibloblasts. the authors also found that Vimentin was up-regulated, while E-Cadherin was down-regulated in MIA PaCa-2/GR cells; these are the typical characteristics of epithelial-to-mesenchymal transition (EMT) phenotype. In addition, MIA PaCa-2/GR cells induced the expression of anti-apoptotic proteins including Survivin, XIAP and Bcl2, and activated the phosphorylation and expression of c-MET. Moreover, MIA PaCa-2/GR cells displayed higher expression level and activity of ALDHIAI, the molecular maker of cancer stem cells, emphasizing that MIA PaCa-2/GR cells increased the population of pancreatic cancer stem cells. These novel findings may lead to development of an effective therapeutic regimen to overcome the resistance of pancreatic cancer to GEM.