Xu Junnv, Lin Haifeng, Wu Gang, Zhu Mingyue, Li Mengsen
Hainan Provincial Key Laboratory of Carcinogenesis and Intervention, Hainan Medical College, Haikou, China.
Department of Medical Oncology, Second Affiliated Hospital, Hainan Medical College, Haikou, China.
Front Oncol. 2021 Dec 15;11:760971. doi: 10.3389/fonc.2021.760971. eCollection 2021.
Hepatocellular carcinoma (HCC) is a common malignant tumor of which the occurrence and development, the tumorigenicity of HCC is involving in multistep and multifactor interactions. Interleukin-6 (IL-6), a multifunctional inflammatory cytokine, has increased expression in HCC patients and is closely related to the occurrence of HCC and prognosis. IL-6 plays a role by binding to the IL-6 receptor (IL-6R) and then triggering the Janus kinase (JAK) associated with the receptor, stimulating phosphorylation and activating signal transducer and activator of transcription 3 (STAT3) to initiate downstream signals, participating in the processes of anti-apoptosis, angiogenesis, proliferation, invasion, metastasis, and drug resistance of cancer cells. IL-6/STAT3 signal axes elicit an immunosuppressive in tumor microenvironment, it is important to therapy HCC by blocking the IL-6/STAT3 signaling pathway. Recent, some inhibitors of IL-6/STAT3 have been development, such as S31-201 or IL-6 neutralizing monoclonal antibody (IL-6 mAb), Madindoline A (Inhibits the dimerization of IL-6/IL-6R/gpl30 trimeric complexes), C188-9 and Curcumin (Inhibits STAT3 phosphorylation), etc. for treatment of cancers. Overall, consideration of the IL-6/STAT3 signaling pathway, and its role in the carcinogenesis and progression of HCC will contribute to the development of potential drugs for targeting treatment of liver cancer.
肝细胞癌(HCC)是一种常见的恶性肿瘤,其发生发展过程中,肝癌的致瘤性涉及多步骤和多因素相互作用。白细胞介素-6(IL-6)是一种多功能炎性细胞因子,在肝癌患者中表达升高,且与肝癌的发生及预后密切相关。IL-6通过与IL-6受体(IL-6R)结合发挥作用,随后触发与该受体相关的Janus激酶(JAK),刺激磷酸化并激活信号转导子和转录激活子3(STAT3)以启动下游信号,参与癌细胞的抗凋亡、血管生成、增殖、侵袭、转移及耐药过程。IL-6/STAT3信号轴在肿瘤微环境中引发免疫抑制,通过阻断IL-6/STAT3信号通路治疗肝癌很重要。近来,已研发出一些IL-6/STAT3抑制剂,如S31-201或IL-6中和单克隆抗体(IL-6 mAb)、马吲哚啉A(抑制IL-6/IL-6R/gp130三聚体复合物的二聚化)、C188-9和姜黄素(抑制STAT3磷酸化)等用于癌症治疗。总体而言,考虑IL-6/STAT3信号通路及其在肝癌发生和进展中的作用将有助于开发针对肝癌靶向治疗的潜在药物。