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Non-coding RNAs: Emerging Regulators of Sorafenib Resistance in Hepatocellular Carcinoma
Yongting Lai1, Bing Feng2, Mubalake Abudoureyimu2
1Department of Medical Oncology, Nanjing School of Clinical Medicine, Jinling Hospital, Southern Medical University, Nanjing, China.
Abstract:
As the first oral multi-target anti-tumor drug proved for the treatment of patients with advanced liver cancer in 2007, sorafenib has changed the landscape of advanced hepatocellular carcinoma (HCC) treatment. However, drug resistance largely hinders its clinical application. Non-coding RNAs (ncRNAs), including microRNAs (miRNAs), and long non-coding (lncRNAs), have recently been demonstrated playing critical roles in a variety of cancers including HCC, while the mechanisms of ncRNAs in HCC sorafenib resistance have not been extensively characterized yet. Herein, we summarize the mechanisms of recently reported ncRNAs involved in sorafenib resistance and discuss the potential strategies for their application in the battle against HCC.
Insights
Sorafenib is a key drug for advanced liver cancer (HCC), but resistance is a problem. This study reviews how non-coding RNAs (ncRNAs) contribute to sorafenib resistance in HCC and suggests future strategies.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Sorafenib, an oral multi-target anti-tumor drug, revolutionized advanced hepatocellular carcinoma (HCC) treatment since 2007.
- Drug resistance remains a significant challenge limiting the clinical efficacy of sorafenib in HCC patients.
Purpose of the Study:
- To summarize recently reported mechanisms of non-coding RNAs (ncRNAs) in sorafenib resistance in HCC.
- To discuss potential therapeutic strategies involving ncRNAs for overcoming sorafenib resistance in HCC.
Main Methods:
- Literature review of studies investigating ncRNAs (miRNAs, lncRNAs) and their roles in HCC sorafenib resistance.
- Analysis of identified mechanisms linking ncRNAs to sorafenib resistance pathways.
Main Results:
- Non-coding RNAs, including microRNAs (miRNAs) and long non-coding RNAs (lncRNAs), are increasingly recognized for their critical roles in various cancers, including HCC.
- Specific ncRNAs have been implicated in the development and progression of sorafenib resistance in HCC through diverse molecular mechanisms.
Conclusions:
- Understanding the intricate mechanisms of ncRNAs in HCC sorafenib resistance is crucial for developing novel therapeutic approaches.
- Targeting specific ncRNAs presents a promising strategy to enhance the effectiveness of sorafenib and combat resistance in advanced HCC.
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