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肝细胞癌中的白细胞介素-6:一种二元观点

Interleukin-6 in Hepatocellular Carcinoma: A Dualistic Point of View.

作者信息

Nenu Iuliana, Toadere Teodora Maria, Topor Ioan, Țichindeleanu Andra, Bondor Daniela Andreea, Trella Șerban Ellias, Sparchez Zeno, Filip Gabriela Adriana

机构信息

Department of Physiology, "Iuliu Hațieganu" University of Medicine and Pharmacy, 400006 Cluj-Napoca, Romania.

Department of Gastroenterology, "Prof. Dr. O. Fodor" Regional Institute of Gastroenterology and Hepatology, 400162 Cluj-Napoca, Romania.

出版信息

Biomedicines. 2023 Sep 24;11(10):2623. doi: 10.3390/biomedicines11102623.

Abstract

Hepatocellular Carcinoma (HCC) is a pressing health concern, demanding a deep understanding of various mediators' roles in its development for therapeutic progress. Notably, interleukin-6 (IL-6) has taken center stage in investigations due to its intricate and context-dependent functions. This review delves into the dual nature of IL-6 in HCC, exploring its seemingly contradictory roles as both a promoter and an inhibitor of disease progression. We dissect the pro-tumorigenic effects of IL-6, including its impact on tumor growth, angiogenesis, and metastasis. Concurrently, we examine its anti-tumorigenic attributes, such as its role in immune response activation, cellular senescence induction, and tumor surveillance. Through a comprehensive exploration of the intricate interactions between IL-6 and the tumor microenvironment, this review highlights the need for a nuanced comprehension of IL-6 signaling in HCC. It underscores the importance of tailored therapeutic strategies that consider the dynamic stages and diverse surroundings within the tumor microenvironment. Future research directions aimed at unraveling the multifaceted mechanisms of IL-6 in HCC hold promise for developing more effective treatment strategies and improving patient outcomes.

摘要

肝细胞癌(HCC)是一个紧迫的健康问题,为了取得治疗进展,需要深入了解各种介质在其发展过程中的作用。值得注意的是,白细胞介素-6(IL-6)因其复杂且依赖于环境的功能而在研究中占据了核心地位。本综述深入探讨了IL-6在HCC中的双重性质,探讨了其作为疾病进展的促进剂和抑制剂这两种看似矛盾的作用。我们剖析了IL-6的促肿瘤发生作用,包括其对肿瘤生长、血管生成和转移的影响。同时,我们研究了其抗肿瘤发生特性,例如其在免疫反应激活、细胞衰老诱导和肿瘤监测中的作用。通过全面探索IL-6与肿瘤微环境之间的复杂相互作用,本综述强调了对HCC中IL-6信号进行细致入微理解的必要性。它强调了量身定制治疗策略的重要性,这些策略要考虑到肿瘤微环境中的动态阶段和多样环境。旨在揭示IL-6在HCC中的多方面机制的未来研究方向,有望开发出更有效的治疗策略并改善患者预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/009c/10603956/27cfa700efcb/biomedicines-11-02623-g001.jpg

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