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Updated: May 6, 2026

A Three-Dimensional Spheroid Model to Investigate the Tumor-Stromal Interaction in Hepatocellular Carcinoma
Published on: September 30, 2021
Emerging signaling pathways in hepatocellular carcinoma
Agrin Moeini1, Helena Cornellà, Augusto Villanueva
1HCC Translational Research Laboratory, Barcelona-Clinic Liver Cancer Group, Institut d'Investigacions Biomèdiques August Pi i Sunyer, Liver Unit, Hospital Clínic, Catalonia, Madrid, Spain ; Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas, Instituto Carlos III, Madrid, Spain.
Abstract:
Signaling pathways have become a major source of targets for novel therapies in hepatocellular carcinoma (HCC). Survival benefits achieved with sorafenib, a multikinase inhibitor, are unprecedented and underscore the importance of improving our understanding of how signaling networks interact in transformed cells. Numerous signaling modules are de-regulated in HCC, including some related to growth factor signaling (e.g., IGF, EGF, PDGF, FGF, HGF), cell differentiation (WNT, Hedgehog, Notch), and angiogenesis (VEGF). Intracellular mediators such as RAS and AKT/MTOR may also play a role in HCC development and progression. Different molecular mechanisms have been shown to induce aberrant pathway activation. These include point mutations, chromosomal aberrations, and epigenetically driven down-regulation. The use of novel molecular technologies such as next-generation sequencing in HCC research has enabled the identification of novel pathways previously underexplored in the HCC field, such as chromatin remodeling and autophagy. Considering recent failures of molecular therapies in advanced clinical trials (e.g., sunitinib, brivanib), survey of these and other new pathways may provide alternative therapeutic targets.
Insights
Understanding signaling pathways is crucial for developing new hepatocellular carcinoma (HCC) therapies. Research highlights aberrant pathways and novel targets like chromatin remodeling and autophagy for improved treatment strategies.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Signaling pathways are key targets for novel hepatocellular carcinoma (HCC) therapies.
- Sorafenib, a multikinase inhibitor, has shown unprecedented survival benefits in HCC, emphasizing the need to understand signaling networks in cancer cells.
- Numerous signaling modules, including growth factor, cell differentiation, and angiogenesis pathways, are deregulated in HCC.
Purpose of the Study:
- To explore the role of signaling pathways in hepatocellular carcinoma (HCC) development and progression.
- To identify novel therapeutic targets beyond currently explored molecular therapies.
- To investigate the potential of newly identified pathways, such as chromatin remodeling and autophagy, in HCC treatment.
Main Methods:
- Review of signaling pathways implicated in hepatocellular carcinoma (HCC).
- Analysis of molecular mechanisms driving aberrant pathway activation, including mutations and epigenetic changes.
- Leveraging next-generation sequencing to identify novel pathways in HCC research.
Main Results:
- Aberrant activation of growth factor, cell differentiation, and angiogenesis signaling modules is common in HCC.
- Intracellular mediators like RAS and AKT/MTOR are involved in HCC progression.
- Next-generation sequencing has revealed previously underexplored pathways like chromatin remodeling and autophagy in HCC.
Conclusions:
- Understanding complex signaling networks in HCC is essential for therapeutic advancements.
- Novel pathways such as chromatin remodeling and autophagy present potential alternative therapeutic targets for HCC.
- Further investigation into these pathways may overcome limitations of current molecular therapies and improve patient outcomes.
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