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肝细胞癌预后标志物与临床参数之间的相关性:治疗靶点的病理生理学方面

Correlation between prognostic markers and clinical parameters in hepatocellular carcinoma: Pathophysiological aspects to therapeutic targets.

作者信息

Rafaqat Saira, Noshair Iqra, Shahid Momina, Bibi Sadaf, Hafeez Ramsha, Hamid Hafsa

机构信息

Department of Zoology, Lahore College for Women University, Lahore 54000, Pakistan.

Department of Zoology, University of Narowal, Narowal 54000, Pakistan.

出版信息

World J Gastrointest Oncol. 2025 May 15;17(5):106278. doi: 10.4251/wjgo.v17.i5.106278.

DOI:10.4251/wjgo.v17.i5.106278
PMID:40487932
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12142262/
Abstract

One of the main causes of cancer-related morbidity and mortality globally is hepatocellular carcinoma (HCC). At every stage of the disease, HCC may now be treated using a variety of therapy techniques. Nevertheless, despite the abundance of effective therapeutic choices, the prognosis for patients with HCC is still typically dismal. Prognostic indicators are crucial when assessing prognosis and tracking tumor metastases or recurrence. There are many prognostic markers in HCC. We mainly focused on newly reported prognostic markers such as MEX3A, apolipoprotein B, alpha-fetoprotein, circulating tumor cells, SAMD13, Agrin, and Glypican-3 in the pathogenesis of HCC. Further, we highlighted how these prognostic markers correlated to clinical parameters such as tumor node metastasis, tumor diameter, differentiation, hepatocirrhosis, vascular invasion, and others in HCC. Therefore, identifying specific prognostic biomarkers of HCC helps to provide a great opportunity to improve the prognosis in patients with HCC and provide therapeutic targets.

摘要

全球范围内,与癌症相关的发病率和死亡率的主要原因之一是肝细胞癌(HCC)。在疾病的每个阶段,现在都可以使用多种治疗技术来治疗HCC。然而,尽管有大量有效的治疗选择,但HCC患者的预后通常仍然很差。预后指标在评估预后以及跟踪肿瘤转移或复发时至关重要。HCC中有许多预后标志物。我们主要关注新报道的预后标志物,如MEX3A、载脂蛋白B、甲胎蛋白、循环肿瘤细胞、SAMD13、聚集蛋白和HCC发病机制中的磷脂酰肌醇蛋白聚糖-3。此外,我们强调了这些预后标志物如何与HCC中的肿瘤淋巴结转移、肿瘤直径、分化、肝硬化、血管侵犯等临床参数相关。因此,鉴定HCC的特定预后生物标志物有助于为改善HCC患者的预后提供绝佳机会,并提供治疗靶点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67bb/12142262/e29dec3ab9f3/106278-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67bb/12142262/73383877bad9/106278-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67bb/12142262/12d450d618c4/106278-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67bb/12142262/e29dec3ab9f3/106278-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67bb/12142262/73383877bad9/106278-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67bb/12142262/12d450d618c4/106278-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67bb/12142262/e29dec3ab9f3/106278-g003.jpg

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本文引用的文献

1
Hepatocellular carcinoma: signaling pathways and therapeutic advances.肝细胞癌:信号通路与治疗进展
Signal Transduct Target Ther. 2025 Feb 7;10(1):35. doi: 10.1038/s41392-024-02075-w.
2
Mex3a promoter hypomethylation can be utilized to diagnose HBV-associated hepatocellular carcinoma: a randomized controlled trial.Mex3a启动子低甲基化可用于诊断乙肝病毒相关肝细胞癌:一项随机对照试验。
Front Pharmacol. 2024 Nov 5;15:1325869. doi: 10.3389/fphar.2024.1325869. eCollection 2024.
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The role of glypican-3 in hepatocellular carcinoma: Insights into diagnosis and therapeutic potential.
磷脂酰聚糖-3 在肝细胞癌中的作用:诊断和治疗潜力的新见解。
Eur J Med Res. 2024 Oct 5;29(1):490. doi: 10.1186/s40001-024-02073-2.
4
Circulatory Agrin Serves as a Prognostic Indicator for Hepatocellular Carcinoma.循环聚集蛋白聚糖作为肝细胞癌的预后指标。
Cancers (Basel). 2024 Jul 31;16(15):2719. doi: 10.3390/cancers16152719.
5
Serum ApoB/ApoA1 ratio in patients with CHB and the occurrence of HBV related cirrhosis and HBV related hepatocellular carcinoma.乙肝患者血清 ApoB/ApoA1 比值与 HBV 相关肝硬化和 HBV 相关肝细胞癌的发生。
Sci Rep. 2024 May 14;14(1):10996. doi: 10.1038/s41598-024-61820-x.
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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.
7
The suppressive tumor microenvironment of AFP-positive hepatocellular carcinoma and its therapeutic implications.甲胎蛋白阳性肝细胞癌的抑制性肿瘤微环境及其治疗意义。
Transl Gastroenterol Hepatol. 2023 Dec 22;9:1. doi: 10.21037/tgh-23-81. eCollection 2024.
8
APOB is a potential prognostic biomarker in hepatocellular carcinoma.载脂蛋白B是肝细胞癌中一种潜在的预后生物标志物。
Discov Oncol. 2024 Feb 3;15(1):28. doi: 10.1007/s12672-024-00877-6.
9
Prognostic potential of preoperative circulating tumor cells to predict the early progression recurrence in hepatocellular carcinoma patients after hepatectomy.术前循环肿瘤细胞对肝癌患者肝切除术后早期进展复发的预测预后潜力。
BMC Cancer. 2023 Nov 27;23(1):1150. doi: 10.1186/s12885-023-11629-0.
10
SAMD13 serves as a useful prognostic biomarker for hepatocellular carcinoma.SAMD13 可作为肝细胞癌有价值的预后生物标志物。
Eur J Med Res. 2023 Nov 15;28(1):514. doi: 10.1186/s40001-023-01347-5.