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Updated: May 30, 2026

An Oncogenic Hepatocyte-Induced Orthotopic Mouse Model of Hepatocellular Cancer Arising in the Setting of Hepatic Inflammation and Fibrosis
Published on: September 12, 2019
Evolving molecular mechanism-based strategies for control of hepatocellular carcinoma
1Department of Medicine and Molecular Science, Gunma University Graduate School of Medicine, 3-39-22 Showa-machi, Maebashi, Gunma 371-8511, Japan. satoken@showa.gunma-u.ac.jp
Abstract:
Hepatocellular carcinoma (HCC) is a major cause of cancer mortality worldwide. Unresectable or metastatic HCC has a poor prognosis, and systemic cytotoxic chemotherapy has failed to show a substantial benefit for patients with HCC. However, there has been increasing interest in developing novel molecularly targeted agents in HCC due to the accumulation of knowledge of cell signaling and molecular carcinogenesis. Furthermore, some of these agents have proven to be efficacious in other traditionally challenging carcinomas, such as renal cell carcinoma. Recently, a phase III, randomized, placebo-controlled trial demonstrated that sorafenib, an oral multikinase inhibitor of the vascular endothelial growth factor receptor and Ras kinase, improves overall survival (OS) in patients with advanced HCC. This seminal study described the first agent to improve OS in HCC and began a new era of molecule-targeted cancer therapies. Currently, many novel molecularly targeted agents are under evaluation in clinical trials. In this review, we comprehensively summarize the molecular pathogenesis, targets, and signal transduction pathways involved in HCC. We also detail the current status of molecularly targeted agents that are under clinical development in advanced HCC, including the mechanisms of action of these agents.
Insights
Hepatocellular carcinoma (HCC) treatment has advanced with molecularly targeted agents. Sorafenib, a multikinase inhibitor, is the first drug to significantly improve overall survival in advanced HCC patients.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Hepatocellular carcinoma (HCC) is a leading cause of cancer mortality globally.
- Advanced HCC has a poor prognosis, with limited efficacy of traditional chemotherapy.
- Growing understanding of HCC's molecular pathogenesis fuels interest in targeted therapies.
Purpose of the Study:
- To review the molecular pathogenesis, targets, and signaling pathways in HCC.
- To summarize the current status of molecularly targeted agents in advanced HCC clinical development.
- To detail the mechanisms of action for these novel agents.
Main Methods:
- Comprehensive literature review of molecular pathogenesis and targeted agents in HCC.
- Analysis of clinical trial data for molecularly targeted therapies in advanced HCC.
- Examination of signal transduction pathways and their inhibition.
Main Results:
- Sorafenib, an oral multikinase inhibitor, demonstrated improved overall survival in advanced HCC.
- This marks the first agent to show a survival benefit in HCC, initiating a new therapeutic era.
- Numerous novel molecularly targeted agents are currently in clinical trials for HCC.
Conclusions:
- Molecularly targeted agents represent a promising new frontier in advanced HCC treatment.
- Understanding molecular pathways is crucial for developing effective targeted therapies.
- Ongoing clinical trials are evaluating various agents, offering hope for improved patient outcomes.
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