Hu Xinyao, Zhu Hua, Shen Yang, Zhang Xiaoyu, He Xiaoqin, Xu Ximing
Department of Oncology, Renmin Hospital of Wuhan University, Wuhan, China.
Cancer Center, Renmin Hospital of Wuhan University, Wuhan, China.
Front Oncol. 2021 Jul 22;11:696705. doi: 10.3389/fonc.2021.696705. eCollection 2021.
Hepatocellular carcinoma (HCC) is the second most common cause of cancer-related death. Sorafenib is approved by the U.S. Food and Drug Administration to be a first-line chemotherapy agent for patients with advanced HCC. A portion of advanced HCC patients can benefit from the treatment with sorafenib, but many patients ultimately develop sorafenib resistance, leading to a poor prognosis. The molecular mechanisms of sorafenib resistance are sophisticated and indefinite. Notably, non-coding RNAs (ncRNAs), which include long ncRNAs (lncRNAs), microRNAs (miRNAs) and circular RNAs (circRNAs), are critically participated in the occurrence and progression of tumors. Moreover, growing evidence has suggested that ncRNAs are crucial regulators in the development of resistance to sorafenib. Herein, we integrally and systematically summarized the molecular mechanisms and vital role of ncRNAs impact sorafenib resistance of HCC, and ultimately explored the potential clinical administrations of ncRNAs as new prognostic biomarkers and therapeutic targets for HCC.
肝细胞癌(HCC)是癌症相关死亡的第二大常见原因。索拉非尼已被美国食品药品监督管理局批准为晚期HCC患者的一线化疗药物。一部分晚期HCC患者可从索拉非尼治疗中获益,但许多患者最终会产生索拉非尼耐药性,导致预后不良。索拉非尼耐药的分子机制复杂且不明确。值得注意的是,非编码RNA(ncRNA),包括长链非编码RNA(lncRNA)、微小RNA(miRNA)和环状RNA(circRNA),在肿瘤的发生和发展中起着关键作用。此外,越来越多的证据表明,ncRNA是索拉非尼耐药发展的关键调节因子。在此,我们全面系统地总结了ncRNA影响HCC索拉非尼耐药的分子机制和重要作用,并最终探讨了ncRNA作为HCC新的预后生物标志物和治疗靶点的潜在临床应用。