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A Three-Dimensional Spheroid Model to Investigate the Tumor-Stromal Interaction in Hepatocellular Carcinoma
Published on: September 30, 2021
Rationale for new drugs targeting the tissue microenvironment in patients with HCC
1Department of Internal Medicine, Immunology, and Infectious Diseases, Section of Internal Medicine, University of Bari Medical School, Bari, Italy.
Abstract:
A better knowledge of the mechanisms underlying hepatocellular carcinoma (HCC) growth and spread is essential to improve the available treatment options. So far, the only therapies available for HCC are mainly based on tumor-destructive approaches, whereas no therapies are available to consolidate these invasive therapies or to cure the tumor. The fact that HCC develops on cirrhotic liver strongly limits the use of common anti-cancer drugs, but the need to find new therapies is strongly felt by clinicians. A large body of evidence suggests that the tissue microenvironment represents a potential target for therapies. Consistently, biological therapies such as inhibitors of the epithelial growth factor receptor (EGFR), are currently under investigation. Unfortunately, there is a discrepancy between the very promising experimental data and the results obtained in patients, although limited sample sizes and advanced stage of the disease could be important factors hampering a reliable judgment of the efficacy of such drugs. Nevertheless, a better identification of the molecular pathways involved in drug effectiveness as well as in HCC tumor progression indicates that the tissue microenvironment likely harbors the solution to the problem. In this review the role and the rationale of using biological drugs to target the microenvironment is discussed, taking into consideration new experimental advances in the field.
Insights
Targeting the liver microenvironment shows promise for treating hepatocellular carcinoma (HCC). Biological therapies offer new avenues beyond destructive approaches for this challenging cancer.
Area of Science:
- Hepatocellular Carcinoma Research
- Cancer Biology
- Tumor Microenvironment
Background:
- Hepatocellular carcinoma (HCC) treatment is limited by its development on cirrhotic livers, restricting conventional chemotherapy.
- Current HCC therapies primarily focus on tumor destruction, lacking consolidation or curative options.
- The tumor microenvironment is increasingly recognized as a critical factor in HCC progression and treatment response.
Purpose of the Study:
- To review the role and rationale of biological drugs targeting the tumor microenvironment in HCC.
- To discuss new experimental advances in targeting the liver microenvironment for HCC therapy.
- To bridge the gap between experimental findings and clinical outcomes for biological therapies in HCC.
Main Methods:
- Literature review of studies on hepatocellular carcinoma (HCC) mechanisms and microenvironment.
- Analysis of biological therapies, including epithelial growth factor receptor (EGFR) inhibitors.
- Evaluation of experimental data and clinical trial results for HCC treatments.
Main Results:
- The tumor microenvironment is a promising target for novel hepatocellular carcinoma (HCC) therapies.
- Biological drugs targeting the microenvironment show potential, despite current clinical discrepancies.
- Identifying molecular pathways is key to enhancing drug effectiveness against HCC.
Conclusions:
- Targeting the hepatocellular carcinoma (HCC) microenvironment offers a promising strategy for improving treatment outcomes.
- Biological therapies hold potential for HCC, necessitating further research into molecular pathways and clinical efficacy.
- Future HCC treatments may leverage the tumor microenvironment to overcome limitations of current approaches.
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