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miRNA 和长链非编码 RNA 在肝细胞癌中的作用。

Role of microRNA and Long Non-Coding RNA in Hepatocellular Carcinoma.

机构信息

Amity Institute of Pharmacy, Amity University, Noida-201313, Uttar Pradesh, India.

出版信息

Curr Pharm Des. 2020;26(4):415-428. doi: 10.2174/1381612826666200115093835.

Abstract

Hepatocellular carcinoma (HCC) accounts for about 80-90% of all liver cancers and is found to be the third most common cause of cancer mortality in the Asia-Pacific region. Risk factors include hepatitis B and C virus, cirrhosis, aflatoxin-contaminated food, alcohol, and diabetes. Surgically removing the tumor tissue seems effective but a high chance of recurrence has led to an urgent need to develop novel molecules for the treatment of HCC. Clinical management with sorafenib is found to be effective but it is only able to prolong survival for a few months. Various side effects like gastrointestinal and abdominal pain, hypertension, and hemorrhage are also associated with sorafenib, which calls for the unmet need of effective therapies against HCC. Similarly, the genetic mechanisms behind the occurrence of HCC are still unknown and need to be expounded further for developing newer candidates. Since unearthing the concept of these variants, transcriptomics has revealed the role of noncoding RNAs (ncRNAs) in many cellular, physiological and pathobiological processes. They are also found to be widely associated and abundantly expressed in a variety of cancer. Aberrant expression and mutations are closely related to tumorigenesis and metastasis and hence are classified as novel biomarkers and therapeutic targets for the treatment of cancer, including HCC. Herein, this review summarises the relationship between ncRNAs and hepatocellular carcinoma.

摘要

肝细胞癌(HCC)约占所有肝癌的 80-90%,是亚太地区癌症死亡的第三大常见原因。危险因素包括乙型和丙型肝炎病毒、肝硬化、黄曲霉毒素污染的食物、酒精和糖尿病。手术切除肿瘤组织似乎有效,但高复发率导致迫切需要开发治疗 HCC 的新型分子。索拉非尼的临床治疗被发现有效,但只能延长几个月的生存时间。索拉非尼还伴有胃肠道和腹痛、高血压和出血等各种副作用,这就需要针对 HCC 的有效治疗方法。同样,HCC 发生的遗传机制尚不清楚,需要进一步阐明,以开发更新的候选药物。自从发现这些变体的概念以来,转录组学已经揭示了非编码 RNA(ncRNA)在许多细胞、生理和病理生物学过程中的作用。它们还广泛存在于各种癌症中,并大量表达。异常表达和突变与肿瘤发生和转移密切相关,因此被归类为癌症治疗的新型生物标志物和治疗靶点,包括 HCC。本文综述了 ncRNA 与肝细胞癌的关系。

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