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A Three-Dimensional Spheroid Model to Investigate the Tumor-Stromal Interaction in Hepatocellular Carcinoma
Published on: September 30, 2021
Metabolic dysregulation and emerging therapeutical targets for hepatocellular carcinoma
Danyu Du1, Chan Liu1, Mengyao Qin1
1Department of Pharmacology, School of Pharmacy, China Pharmaceutical University, Nanjing 210009, China.
Abstract:
Hepatocellular carcinoma (HCC) is an aggressive human cancer with increasing incidence worldwide. Multiple efforts have been made to explore pharmaceutical therapies to treat HCC, such as targeted tyrosine kinase inhibitors, immune based therapies and combination of chemotherapy. However, limitations exist in current strategies including chemoresistance for instance. Tumor initiation and progression is driven by reprogramming of metabolism, in particular during HCC development. Recently, metabolic associated fatty liver disease (MAFLD), a reappraisal of new nomenclature for non-alcoholic fatty liver disease (NAFLD), indicates growing appreciation of metabolism in the pathogenesis of liver disease, including HCC, thereby suggesting new strategies by targeting abnormal metabolism for HCC treatment. In this review, we introduce directions by highlighting the metabolic targets in glucose, fatty acid, amino acid and glutamine metabolism, which are suitable for HCC pharmaceutical intervention. We also summarize and discuss current pharmaceutical agents and studies targeting deregulated metabolism during HCC treatment. Furthermore, opportunities and challenges in the discovery and development of HCC therapy targeting metabolism are discussed.
Insights
Targeting abnormal metabolism offers new pharmaceutical strategies for hepatocellular carcinoma (HCC) treatment. This review highlights key metabolic pathways and agents for developing effective HCC therapies.
Area of Science:
- Hepatology
- Oncology
- Metabolic Research
Background:
- Hepatocellular carcinoma (HCC) is a prevalent and aggressive cancer with increasing global incidence.
- Current HCC treatments like chemotherapy face limitations such as chemoresistance.
- Tumor development is significantly influenced by metabolic reprogramming, particularly in liver cancer.
Purpose of the Study:
- To review pharmaceutical interventions targeting metabolic pathways in HCC.
- To highlight key metabolic targets in glucose, fatty acid, amino acid, and glutamine metabolism for HCC therapy.
- To discuss current agents and future opportunities in developing metabolism-targeted HCC treatments.
Main Methods:
- Literature review of pharmaceutical therapies for HCC.
- Analysis of metabolic reprogramming in HCC pathogenesis.
- Summary of current research on agents targeting deregulated metabolism in HCC.
Main Results:
- Metabolic pathways, including glucose, fatty acid, amino acid, and glutamine metabolism, are crucial in HCC.
- Abnormal metabolism presents viable targets for novel pharmaceutical interventions in HCC.
- Existing studies show promise in targeting deregulated metabolism for HCC treatment.
Conclusions:
- Targeting aberrant metabolism represents a promising therapeutic avenue for hepatocellular carcinoma.
- Further research into metabolic targets and agents is essential for advancing HCC treatment strategies.
- Addressing metabolic dysregulation may overcome limitations of current HCC therapies, such as chemoresistance.
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