Surgical Oncology Program, Center for Cancer Research, National Cancer Institute, Bethesda, MD 20892, USA.
Laboratory of Human Carcinogenesis, Center for Cancer Research, National Cancer Institute, Bethesda, MD 20892, USA.
Carcinogenesis. 2022 Dec 31;43(12):1103-1109. doi: 10.1093/carcin/bgac099.
Hepatocellular carcinoma (HCC) accounts for the majority of liver cancers and is driven by a multitude of viral, metabolic, and lifestyle factors initiating liver injury that subsequently progresses to cancer. Despite significant medical advancements, current treatment options are limited in their efficacy and overall survival remains poor. Recent studies have suggested that intratumor heterogeneity may play a significant role in treatment response, resistance, and overall prognosis. In this review, we will outline new techniques that utilize both human samples and non-human models to evaluate intratumor heterogeneity. Additionally, we will provide an overview of the clinical implications of intratumor heterogeneity on patients with HCC.
肝细胞癌 (HCC) 是大多数肝癌的病因,由多种病毒、代谢和生活方式因素引发肝损伤,进而发展为癌症。尽管医学取得了重大进展,但目前的治疗选择在疗效上仍然有限,整体生存率仍然较差。最近的研究表明,肿瘤内异质性可能在治疗反应、耐药性和整体预后中发挥重要作用。在这篇综述中,我们将概述利用人类样本和非人类模型来评估肿瘤内异质性的新技术。此外,我们还将概述肿瘤内异质性对 HCC 患者的临床意义。