Hao Wei, Zhang Qingchen, Ma Yuan, Ding Yue, Zhao Chunling, Tian Chunyan
School of Life Science and Technology, Shandong Second Medical University, Weifang, 261053, Shandong Province, China.
State Key Laboratory of Proteomics, National Center for Protein Sciences (Beijing), Beijing Proteome Research Center, Beijing Institute of Lifeomics, Beijing, 102206, China.
J Mol Med (Berl). 2025 Apr;103(4):469-484. doi: 10.1007/s00109-025-02532-1. Epub 2025 Mar 25.
Hepatoma is the sixth most malignant tumor in the world and the second leading cause of cancer death. Among the types of hepatoma, hepatocellular carcinoma (HCC) is the most important pathological type. For patients with early-stage HCC, the curative treatment is tumor resection. However, early diagnosis and treatment of HCC are difficult; the disease progresses rapidly, and the prognosis is poor. Due to the current limited treatment options for advanced HCC, the identification of new targeted agents is critical for the development of novel approaches to HCC treatment. Histone deacetylases (HDACs) is a protease that removes acetyl groups from histone lysine residues in proteins, and it plays an important role in the structural modification of chromosomes and the regulation of gene expression. Abnormally expressed HDACs can promote tumorigenesis by inducing biological processes such as cell proliferation, migration, and apoptosis inhibition. Since HDACs activity is upregulated in HCC, treatment regimens specifically inhibiting various HDACs have shown good efficacy. This article reviews the application of HDAC inhibitors in the treatment of HCC and explains their mechanisms of action. KEY MESSAGES: HDAC network and cellular effects of HDAC inhibitors. Role and mechanism of HDAC inhibitors in HCC. HDAC inhibitor combined with other ways to treat HCC. The side effects of HDACis in the treatment of HCC.
肝癌是全球第六大恶性肿瘤,也是癌症死亡的第二大主要原因。在肝癌类型中,肝细胞癌(HCC)是最重要的病理类型。对于早期HCC患者,根治性治疗是肿瘤切除。然而,HCC的早期诊断和治疗困难;疾病进展迅速,预后较差。由于目前晚期HCC的治疗选择有限,鉴定新的靶向药物对于开发HCC治疗新方法至关重要。组蛋白去乙酰化酶(HDACs)是一种从蛋白质中的组蛋白赖氨酸残基上去除乙酰基的蛋白酶,它在染色体的结构修饰和基因表达调控中起重要作用。异常表达的HDACs可通过诱导细胞增殖、迁移和凋亡抑制等生物学过程促进肿瘤发生。由于HDACs活性在HCC中上调,特异性抑制各种HDACs的治疗方案已显示出良好疗效。本文综述了HDAC抑制剂在HCC治疗中的应用并解释其作用机制。关键信息:HDAC网络和HDAC抑制剂的细胞效应。HDAC抑制剂在HCC中的作用和机制。HDAC抑制剂联合其他方法治疗HCC。HDACis治疗HCC的副作用。