The Third-Grade Pharmacological Laboratory on Traditional Chinese Medicine (Approved by State Administration of Traditional Chinese Medicine), China Three Gorges University, Yichang, China.
Department of Morphology, Medical College of China Three Gorges University, Yichang, China.
Clin Res Hepatol Gastroenterol. 2021 Nov;45(6):101736. doi: 10.1016/j.clinre.2021.101736. Epub 2021 Jun 17.
Hepatocellular carcinoma (HCC) is the sixth most common malignancy in the world and the fourth leading cause of cancer-related death, and its incidence is increasing globally. Despite significant advances in treatment strategies for HCC, the prognosis is still poor due to its high recurrence rate. Therefore, there is an urgent need to understand the pathogenesis of HCC and further develop new therapies to improve the prognosis and quality of life of HCC patients. MicroRNAs (miRNAs, miRs) are small non-coding RNAs involved in post-transcriptional regulation of gene expression that is abnormally expressed in cancer-associated genomic regions or vulnerable sites. More and more findings have shown that miRNAs are important regulatory factors of mRNA expression in HCC, and they are receiving more and more attention as a possible key biomarker of HCC. This review mainly summarizes the potential applied value on miRNAs as diagnostic, drug resistant, prognostic, and therapeutic biomarkers in the diagnosis, therapy, and prognosis of HCC. Also, we summarize the research value of long non-coding RNA (lncRNAs), circular RNAs (circRNAs), and miRNAs network in HCC as novel biomarkers, aiming at providing some references for the therapy of HCC.
肝细胞癌(HCC)是世界上第六种最常见的恶性肿瘤,也是癌症相关死亡的第四大主要原因,其发病率在全球范围内呈上升趋势。尽管 HCC 的治疗策略取得了重大进展,但由于其高复发率,预后仍然不佳。因此,迫切需要了解 HCC 的发病机制,并进一步开发新的治疗方法,以改善 HCC 患者的预后和生活质量。微小 RNA(miRNAs,miRs)是一种参与基因表达转录后调控的小非编码 RNA,在癌症相关基因组区域或脆弱位点异常表达。越来越多的研究表明,miRNAs 是 HCC 中 mRNA 表达的重要调节因子,作为 HCC 的一个可能关键生物标志物,它们受到越来越多的关注。本综述主要总结了 miRNA 在 HCC 的诊断、治疗和预后中的诊断、治疗和预后中作为诊断、耐药性、预后和治疗生物标志物的潜在应用价值。此外,我们还总结了长链非编码 RNA(lncRNAs)、环状 RNA(circRNAs)和 miRNA 网络在 HCC 作为新型生物标志物中的研究价值,旨在为 HCC 的治疗提供一些参考。