Shodry Syifaus, Hasan Yuliono Trika Nur, Ahdi Iwal Reza, Ulhaq Zulvikar Syambani
Faculty of Medicine and Health Sciences, Maulana Ibrahim Islamic State University of Malang, Malang 65144, Jawa Timur, Indonesia.
Research Center for Preclinical and Clinical Medicine, National Research and Innovation Agency Republic of Indonesia, Cibinong 16911, Indonesia.
World J Gastrointest Oncol. 2024 Dec 15;16(12):4543-4547. doi: 10.4251/wjgo.v16.i12.4543.
Hepatocellular carcinoma (HCC) is the third leading cause of cancer-related deaths worldwide. Major treatments include liver transplantation, resection, and chemotherapy, but the 5-year recurrence rate remains high. Late diagnosis often prevents surgical intervention, contributing to poor patient survival rates. Carcinogenesis in HCC involves genetic alterations that drive the transformation of normal cells into malignant ones. Enhancer of zeste homolog 2 (EZH2), a key regulator of cell cycle progression, is frequently upregulated in HCC and is associated with advanced stages and poor prognosis, making it a potential biomarker. Additionally, signal transducer and activator of transcription 3, which binds to EZH2, affects disease staging and outcomes. Targeting EZH2 presents a promising therapeutic strategy. On the other hand, abnormal lipid metabolism is a hallmark of HCC and impacts prognosis. Fatty acid binding protein 5 is highly expressed in HCC tissues and correlates with key oncogenes, suggesting its potential as a biomarker. Other genes such as guanine monophosphate synthase, cell division cycle associated 5, and epidermal growth factor receptor provide insights into the molecular mechanisms of HCC, offering potential as biomarkers and therapeutic targets.
肝细胞癌(HCC)是全球癌症相关死亡的第三大主要原因。主要治疗方法包括肝移植、切除术和化疗,但5年复发率仍然很高。晚期诊断常常阻碍手术干预,导致患者生存率低下。HCC的致癌作用涉及驱动正常细胞转变为恶性细胞的基因改变。zeste同源物2增强子(EZH2)是细胞周期进程的关键调节因子,在HCC中经常上调,并且与晚期和不良预后相关,使其成为一种潜在的生物标志物。此外,与EZH2结合的信号转导和转录激活因子3会影响疾病分期和预后。靶向EZH2是一种有前景的治疗策略。另一方面,脂质代谢异常是HCC的一个标志,并且影响预后。脂肪酸结合蛋白5在HCC组织中高度表达,并且与关键癌基因相关,表明其作为生物标志物的潜力。其他基因,如鸟苷单磷酸合成酶、细胞分裂周期相关蛋白5和表皮生长因子受体,为HCC的分子机制提供了见解,具有作为生物标志物和治疗靶点的潜力。