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探索甲胎蛋白在癌症进展中的多功能作用:对肝细胞癌及其他癌症靶向治疗的启示

Exploring the Multifunctional Role of Alpha-Fetoprotein in Cancer Progression: Implications for Targeted Therapy in Hepatocellular Carcinoma and Beyond.

作者信息

Kim Hyunjung, Jang Minji, Kim Eunmi

机构信息

Cancer Molecular Biology Branch, Division of Cancer Biology, National Cancer Center, Goyang-si 10408, Republic of Korea.

出版信息

Int J Mol Sci. 2025 May 19;26(10):4863. doi: 10.3390/ijms26104863.

DOI:10.3390/ijms26104863
PMID:40430002
Abstract

Alpha-fetoprotein (AFP) is a well-known biomarker for liver cancer, and its clinical utility is widely recognized. Recent studies have revealed that AFP plays a multifaceted role in various malignant tumors, including liver cancer. This suggests that AFP is not merely a biomarker but also contributes significantly to the complex process of tumor formation, emphasizing the importance of targeting AFP in therapeutic approaches. Consequently, innovative research and development are essential to overcome the current limitations of AFP-targeted therapies, enhance treatment efficacy, and minimize side effects. This review explores the role of AFP in cancer development and progression, highlights the biological functions of AFP and related pathways, and discusses the clinical implications of AFP-targeted therapies. Ongoing research on AFP will significantly contribute to our understanding of the biological mechanisms of cancer and aid in developing effective and safe treatments. Ultimately, advancements in AFP-targeted therapeutic approaches are expected to play a crucial role in the future of cancer management.

摘要

甲胎蛋白(AFP)是一种广为人知的肝癌生物标志物,其临床应用已得到广泛认可。最近的研究表明,AFP在包括肝癌在内的各种恶性肿瘤中发挥着多方面的作用。这表明AFP不仅是一种生物标志物,而且在肿瘤形成的复杂过程中也起着重要作用,强调了在治疗方法中靶向AFP的重要性。因此,创新研发对于克服当前AFP靶向治疗的局限性、提高治疗效果和最小化副作用至关重要。本综述探讨了AFP在癌症发生发展中的作用,突出了AFP的生物学功能和相关途径,并讨论了AFP靶向治疗的临床意义。正在进行的关于AFP的研究将极大地有助于我们对癌症生物学机制的理解,并有助于开发有效且安全的治疗方法。最终,AFP靶向治疗方法的进展有望在未来癌症管理中发挥关键作用。

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本文引用的文献

1
Progress of research on glucose transporter proteins in hepatocellular carcinoma.肝细胞癌中葡萄糖转运蛋白的研究进展
World J Hepatol. 2025 Mar 27;17(3):104715. doi: 10.4254/wjh.v17.i3.104715.
2
Metabolic reprogramming in hepatocellular carcinoma: mechanisms and therapeutic implications.肝细胞癌中的代谢重编程:机制与治疗意义
Exp Mol Med. 2025 Mar;57(3):515-523. doi: 10.1038/s12276-025-01415-2. Epub 2025 Mar 3.
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Abnormal expression of miR-668-3p in non-small cell lung cancer patients and its correlation with serum-related tumor markers.
非小细胞肺癌患者中miR-668-3p的异常表达及其与血清相关肿瘤标志物的相关性
J Cardiothorac Surg. 2025 Jan 10;20(1):58. doi: 10.1186/s13019-024-03220-w.
4
Current and Evolving Biomarkers in the Diagnosis and Management of Testicular Germ Cell Tumors.睾丸生殖细胞肿瘤诊断与管理中的当前及不断发展的生物标志物
J Clin Med. 2024 Dec 6;13(23):7448. doi: 10.3390/jcm13237448.
5
AFP shields hepatocellular carcinoma from macrophage phagocytosis by regulating HuR-mediated CD47 translocation in cellular membrane.甲胎蛋白通过调控HuR介导的细胞膜上CD47易位,保护肝细胞癌免受巨噬细胞吞噬。
Transl Oncol. 2025 Feb;52:102240. doi: 10.1016/j.tranon.2024.102240. Epub 2024 Dec 11.
6
Primary hepatoid adenocarcinoma of the lung with extremely elevated serum AFP: a case report and literature review.血清甲胎蛋白极度升高的原发性肺肝样腺癌:病例报告及文献复习
Front Oncol. 2024 Oct 3;14:1448219. doi: 10.3389/fonc.2024.1448219. eCollection 2024.
7
Biomarkers for diagnosis and therapeutic options in hepatocellular carcinoma.用于肝细胞癌诊断和治疗选择的生物标志物。
Mol Cancer. 2024 Sep 6;23(1):189. doi: 10.1186/s12943-024-02101-z.
8
An Interesting Case of Alpha-Fetoprotein (AFP)-Producing Pancreaticoduodenal Tumor.一例罕见的产生甲胎蛋白(AFP)的胰十二指肠肿瘤病例。
Cureus. 2024 Apr 30;16(4):e59384. doi: 10.7759/cureus.59384. eCollection 2024 Apr.
9
Structural characteristics of alpha-fetoprotein, including N-glycosylation, metal ion and fatty acid binding sites.甲胎蛋白的结构特征,包括 N-糖基化、金属离子和脂肪酸结合位点。
Commun Biol. 2024 Apr 27;7(1):505. doi: 10.1038/s42003-024-06219-0.
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The role of alpha-fetoprotein in the tumor microenvironment of hepatocellular carcinoma.甲胎蛋白在肝细胞癌肿瘤微环境中的作用。
Front Oncol. 2024 Apr 10;14:1363695. doi: 10.3389/fonc.2024.1363695. eCollection 2024.