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Updated: Oct 13, 2025

A Three-Dimensional Spheroid Model to Investigate the Tumor-Stromal Interaction in Hepatocellular Carcinoma
Published on: September 30, 2021
Intrinsic and Extrinsic Control of Hepatocellular Carcinoma by TAM Receptors
Viola Hedrich1, Kristina Breitenecker1, Leila Djerlek1
1Comprehensive Cancer Center, Department of Medicine I, Institute of Cancer Research, Medical University of Vienna, 1090 Vienna, Austria.
Abstract:
Hepatocellular carcinoma (HCC) is the major subtype of liver cancer, showing high mortality of patients due to limited therapeutic options at advanced stages of disease. The receptor tyrosine kinases Tyro3, Axl and MerTK-belonging to the TAM family-exert a large impact on various aspects of cancer biology. Binding of the ligands Gas6 or Protein S activates TAM receptors causing homophilic dimerization and heterophilic interactions with other receptors to modulate effector functions. In this context, TAM receptors are major regulators of anti-inflammatory responses and vessel integrity, including platelet aggregation as well as resistance to chemotherapy. In this review, we discuss the relevance of TAM receptors in the intrinsic control of HCC progression by modulating epithelial cell plasticity and by promoting metastatic traits of neoplastic hepatocytes. Depending on different etiologies of HCC, we further describe the overt role of TAM receptors in the extrinsic control of HCC progression by focusing on immune cell infiltration and fibrogenesis. Additionally, we assess TAM receptor functions in the chemoresistance against clinically used tyrosine kinase inhibitors and immune checkpoint blockade in HCC progression. We finally address the question of whether inhibition of TAM receptors can be envisaged for novel therapeutic strategies in HCC.
Insights
TAM receptors (Tyro3, Axl, MerTK) are key drivers in hepatocellular carcinoma (HCC) progression and chemoresistance. Targeting these receptors may offer novel therapeutic strategies for liver cancer.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Hepatocellular carcinoma (HCC) presents a significant global health challenge with high mortality due to limited advanced-stage treatment options.
- The TAM receptor tyrosine kinases (Tyro3, Axl, MerTK) play crucial roles in cancer biology, regulating inflammation, vascular integrity, and chemotherapy resistance.
Purpose of the Study:
- To review the multifaceted roles of TAM receptors in hepatocellular carcinoma (HCC) progression.
- To explore the intrinsic and extrinsic mechanisms by which TAM receptors influence HCC.
- To assess the potential of TAM receptor inhibition as a therapeutic strategy for HCC.
Main Methods:
- Literature review focusing on the function of TAM receptors (Tyro3, Axl, MerTK) in HCC.
- Analysis of TAM receptor signaling pathways, including ligand binding (Gas6, Protein S) and downstream effects.
- Evaluation of TAM receptor involvement in HCC cell plasticity, metastasis, immune evasion, fibrogenesis, and chemoresistance.
Main Results:
- TAM receptors intrinsically control HCC by modulating epithelial cell plasticity and promoting metastatic traits.
- Extrinsically, TAM receptors influence HCC progression through immune cell infiltration and fibrogenesis, varying with HCC etiology.
- TAM receptors contribute to chemoresistance against tyrosine kinase inhibitors and immune checkpoint blockade in HCC.
Conclusions:
- TAM receptors are critical regulators of both intrinsic and extrinsic HCC progression.
- Understanding TAM receptor functions is essential for developing effective therapeutic strategies against liver cancer.
- Inhibition of TAM receptors represents a promising avenue for novel HCC treatments.
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