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肝细胞癌治疗中的种族/民族差异与免疫治疗进展

Racial/Ethnic Disparities and Immunotherapeutic Advances in the Treatment of Hepatocellular Carcinoma.

作者信息

Garcia Alexsis, Mathew Stephen O

机构信息

Department of Microbiology, Immunology & Genetics, UNT Health Science Center, Fort Worth, TX 76107, USA.

出版信息

Cancers (Basel). 2024 Jul 3;16(13):2446. doi: 10.3390/cancers16132446.

Abstract

Hepatocellular carcinoma (HCC) remains one of the leading causes of death among many associated liver diseases. Various conventional strategies have been utilized for treatment, ranging from invasive surgeries and liver transplants to radiation therapy, but fail due to advanced disease progression, late screening/staging, and the various etiologies of HCC. This is especially evident within racially distinct populations, where incidence rates are higher and treatment outcomes are worse for racial/ethnic minorities than their Caucasian counterparts. However, with the rapid development of genetic engineering and molecular and synthetic biology, many novel strategies have presented promising results and have provided potential treatment options. In this review, we summarize past treatments, how they have shaped current treatments, and potential treatment strategies for HCC that may prove more effective in the future.

摘要

肝细胞癌(HCC)仍然是众多相关肝脏疾病中主要的死亡原因之一。从侵入性手术、肝移植到放射治疗,各种传统策略已被用于治疗,但由于疾病进展晚期、筛查/分期较晚以及HCC的各种病因,这些策略均告失败。这在不同种族人群中尤为明显,与白种人相比,少数族裔的发病率更高,治疗效果更差。然而,随着基因工程以及分子与合成生物学的迅速发展,许多新策略已取得了有前景的成果,并提供了潜在的治疗选择。在本综述中,我们总结了过去的治疗方法、它们如何塑造了当前的治疗方法,以及未来可能被证明更有效的HCC潜在治疗策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b802/11240753/ab30754bccf7/cancers-16-02446-g001.jpg

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