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Updated: Oct 27, 2025

An Oncogenic Hepatocyte-Induced Orthotopic Mouse Model of Hepatocellular Cancer Arising in the Setting of Hepatic Inflammation and Fibrosis
Published on: September 12, 2019
Sorafenib for hepatocellular carcinoma: potential molecular targets and resistance mechanisms
Mandeep Dahiya1, Harish Dureja1
1Department of Pharmaceutical Sciences, Maharshi Dayanand University, Rohtak, India.
Abstract:
Hepatocellular carcinoma (HCC) is the most widespread typical therapy-resistant, unresectable type of malignant solid tumour with a high death rate constituting huge medical concern. Sorafenib is a small molecule oral multi-target kinase potent inhibitor that acts by suppressing/blocking the multiplication of the tumour cells, angiogenesis, and encouraging apoptosis of the tumour cells. Though, the precise mechanism of tumour cell death induction by sorafenib is yet under exploration. Furthermore, genetic heterogeneity plays a critical role in developing sorafenib resistance, which leads the way to identify the need for predictive biomarkers responsible for drug resistance. Therefore, it is essential to find out the fundamental resistance mechanisms to expand therapeutic plans. The authors summarize the molecular concepts of resistance, progression, potential molecular targets, HCC management therapies, and discussion on the advancements expected in the coming future, inclusive of biomarker-driven treatment strategies, which may provide the prospects to design innovative therapeutically targeted strategies for the HCC treatment and the clinical implementation of emerging targeted agents.
Insights
Hepatocellular carcinoma (HCC) is a deadly cancer resistant to treatment. Understanding sorafenib resistance mechanisms and identifying predictive biomarkers are crucial for developing effective HCC therapies.
Area of Science:
- Oncology
- Pharmacology
Background:
- Hepatocellular carcinoma (HCC) presents a significant global health challenge due to its high mortality and resistance to conventional therapies.
- Sorafenib, a multi-kinase inhibitor, is a standard treatment for unresectable HCC, but its precise mechanisms of action and the development of resistance require further elucidation.
Purpose of the Study:
- To explore the molecular mechanisms underlying sorafenib resistance in HCC.
- To identify potential predictive biomarkers for sorafenib resistance.
- To discuss current and future therapeutic strategies for HCC management.
Main Methods:
- Review of molecular concepts related to HCC progression and sorafenib resistance.
- Analysis of potential molecular targets for HCC therapy.
- Discussion of advancements in biomarker-driven treatment strategies.
Main Results:
- Genetic heterogeneity is a key factor in the development of sorafenib resistance.
- Understanding resistance mechanisms is essential for improving therapeutic outcomes.
- Biomarker-driven strategies hold promise for personalized HCC treatment.
Conclusions:
- Further research into sorafenib resistance mechanisms is critical for advancing HCC treatment.
- Development and implementation of predictive biomarkers are necessary for effective therapeutic strategies.
- Future advancements may lead to innovative targeted therapies for HCC.
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