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An Oncogenic Hepatocyte-Induced Orthotopic Mouse Model of Hepatocellular Cancer Arising in the Setting of Hepatic Inflammation and Fibrosis
Published on: September 12, 2019
Targeting cell death and survival receptors in hepatocellular carcinoma
1Liver Research Unit, IMIBIC (Instituto Maimónides para la Investigación Biomédica de Córdoba), Reina Sofia University Hospital, Córdoba, Spain. jordi.muntane.exts@juntadeandalucia.es
Abstract:
Hepatocarcinoma (HCC) is the fifth most common neoplasia in the world, and the first cause of death by cancer in some areas. The clinical course of HCC patients has improved greatly owing to the use of the oral multikinase inhibitor, Sorafenib. The expression of receptors belonging to the superfamily of tumor necrosis factor receptors (TNF-R), such as TNF-R1, CD95 and TNF-related apoptosis inducing ligand (TRAIL) receptor -1 (TRAIL-R1) and -2 (TRAIL-R2) are altered in patients with HCC, especially those in advanced stages of de-differentiation. The disruption of death receptor (DR)-dependent cell signaling is related to poor survival in patients with HCC. These observations, together with the lack of antitumoral therapy alternatives, have stimulated research on DR-targeted therapies. The increasing research progress in cell death shows the intense crosstalk among DR and cell survival pathways in cancer cells. In consequence, new potential therapeutic strategies involving antibodies or small molecules specifically targeted to DR pathways either in monotherapy or in combination with other therapeutic strategies may be envisaged in the future to treat HCC.
Insights
Hepatocellular carcinoma (HCC) treatments are improving with Sorafenib, but altered death receptor (DR) signaling impacts survival. Targeting DR pathways offers new therapeutic avenues for HCC patients.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Hepatocellular carcinoma (HCC) is a leading cause of cancer death globally.
- Sorafenib, an oral multikinase inhibitor, has improved HCC patient outcomes.
- Altered expression of tumor necrosis factor receptors (TNF-R) superfamily members is observed in HCC, particularly in advanced stages.
Purpose of the Study:
- To investigate the role of death receptor (DR)-dependent cell signaling in HCC.
- To explore the potential of DR-targeted therapies for HCC treatment.
- To understand the crosstalk between DR and cell survival pathways in cancer cells.
Main Methods:
- Analysis of TNF-R superfamily receptor expression in HCC patients.
- Investigation of DR-dependent cell signaling pathways.
- Review of current and emerging therapeutic strategies targeting DR pathways.
Main Results:
- Disruption of DR-dependent cell signaling correlates with poor survival in HCC patients.
- Altered expression of TNF-R1, CD95, TRAIL-R1, and TRAIL-R2 is linked to HCC de-differentiation.
- Significant crosstalk exists between DR and cell survival pathways in cancer cells.
Conclusions:
- DR-dependent signaling disruption is a critical factor in HCC progression and survival.
- Targeting DR pathways holds promise for novel HCC therapies.
- Future strategies may involve antibodies or small molecules targeting DR pathways, potentially in combination therapies.
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