Department of Pharmacy, University of Agriculture, Faisalabad, Pakistan.
Department of Epidemiology, Michigan State University, Michigan, MI USA.
Curr Mol Pharmacol. 2022;15(7):929-942. doi: 10.2174/1874467215666220103111009.
Hepatocellular carcinoma (HCC) is a complex, life-threatening and most common neoplasm in the world. HCC tumors are genetically and phenotypically heterogeneous, and involve various molecular mechanisms and stimulation of several signaling pathways, such as Vascular Endothelial Growth Factor, Epidermal Growth Factor Receptors (EGFR), Insulin growth factor, Ras/extracellular signal-stimulated kinase, the mammalian goal of rapamycin (mTOR), c-mesenchymal- epithelial transition factor-1 (c-Met), Hedgehog, Wnt and apoptotic signaling. Lately, in patients, multi-kinase cascade blockers, such as sorafenib, selumetinib and regorafenib, have increased the survival rate of progressive HCC. This development presents a step forward towards the therapy of liver cancer infection and attests that molecular systemic rehabilitation can be useful in HCC treatment. The development of these systemic therapeutic agents has further expanded the research area for surplus molecular mediators to auxiliary increase the cure rate of patients. This article reviews the complete focus on cascades, current enduring clinical tests by means of HCC therapeutic mediators, and imminent prospects in the cure of HCC.
肝细胞癌(HCC)是一种复杂的、危及生命的、世界上最常见的肿瘤。HCC 肿瘤在遗传和表型上具有异质性,并涉及多种分子机制和多种信号通路的刺激,如血管内皮生长因子、表皮生长因子受体(EGFR)、胰岛素生长因子、Ras/细胞外信号调节激酶、哺乳动物雷帕霉素靶蛋白(mTOR)、c-间质上皮转化因子-1(c-Met)、Hedgehog、Wnt 和细胞凋亡信号。最近,在患者中,多激酶级联抑制剂,如索拉非尼、塞来替尼和regorafenib,已经提高了进展性 HCC 的生存率。这一发展朝着肝癌感染的治疗迈出了一步,并证明分子系统康复在 HCC 治疗中可能是有用的。这些系统性治疗药物的发展进一步扩大了对辅助增加患者治愈率的多余分子介质的研究领域。本文全面综述了级联反应,目前 HCC 治疗介质的持续临床试验,以及 HCC 治疗的前景。