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肝细胞癌临床前研究的实验模型

Experimental Models for Preclinical Research in Hepatocellular Carcinoma

作者信息

Molina-Sánchez Pedro, Lujambio Amaia

机构信息

Department of Oncological Sciences, Icahn School of Medicine at Mount Sinai, New York, NY, USA

Liver Cancer Program, Division of Liver Diseases, Department of Medicine, Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA

Abstract

Hepatocellular carcinoma (HCC), the most frequent form of liver cancer, is among the top fatal malignancies worldwide. The therapeutic options for patients with advanced HCC are limited and poorly efficient. Therefore, it is critical that we identify and develop novel curative strategies in order to address this major health issue. For this, it is essential to gain mechanistic understanding of HCC pathogenesis as clues to therapeutic intervention. Over the last decades, a wide range of HCC models have been developed, aiming to achieve the goal. In particular, animal models and in vitro systems that mimic the major characteristics of the human HCC have emerged to enable functional assessment of candidate therapeutic targets in liver cancer. However, each model recapitulates limited aspects of the whole pathogenesis of the human disease. Nevertheless, combined analysis of multiple different models can collectively provide clinically relevant insights into the complex disease mechanisms. Here we summarize the major approaches of experimental modeling in HCC and their strengths and limitations.

摘要

肝细胞癌(HCC)是最常见的肝癌形式,位列全球最致命的恶性肿瘤之中。晚期HCC患者的治疗选择有限且效果不佳。因此,识别并开发新的治愈策略以解决这一重大健康问题至关重要。为此,深入了解HCC发病机制以获得治疗干预线索至关重要。在过去几十年里,为实现这一目标已开发出多种HCC模型。特别是,已出现模拟人类HCC主要特征的动物模型和体外系统,以对肝癌候选治疗靶点进行功能评估。然而,每种模型仅概括了人类疾病整个发病机制的有限方面。尽管如此,对多种不同模型的综合分析能够共同为复杂的疾病机制提供与临床相关的见解。在此,我们总结了HCC实验建模的主要方法及其优缺点。

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