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Updated: Aug 9, 2025

A Three-Dimensional Spheroid Model to Investigate the Tumor-Stromal Interaction in Hepatocellular Carcinoma
Published on: September 30, 2021
Metabolism as a New Avenue for Hepatocellular Carcinoma Therapy
Davide Gnocchi1, Carlo Sabbà1, Mara Massimi2
1Interdisciplinary Department of Medicine, School of Medicine, University of Bari, Piazza G. Cesare 11, 70124 Bari, Italy.
Abstract:
Hepatocellular carcinoma is today the sixth leading cause of cancer-related death worldwide, despite the decreased incidence of chronic hepatitis infections. This is due to the increased diffusion of metabolic diseases such as the metabolic syndrome, diabetes, obesity, and nonalcoholic steatohepatitis (NASH). The current protein kinase inhibitor therapies in HCC are very aggressive and not curative. From this perspective, a shift in strategy toward metabolic therapies may represent a promising option. Here, we review current knowledge on metabolic dysregulation in HCC and therapeutic approaches targeting metabolic pathways. We also propose a multi-target metabolic approach as a possible new option in HCC pharmacology.
Insights
Hepatocellular carcinoma (HCC) is a leading cause of cancer death, driven by metabolic diseases. Targeting metabolic pathways offers a promising alternative to aggressive therapies for HCC treatment.
Area of Science:
- Oncology
- Metabolic Diseases
- Hepatocellular Carcinoma Research
Background:
- Hepatocellular carcinoma (HCC) remains a major global cause of cancer mortality.
- Increased prevalence of metabolic diseases like obesity, diabetes, and nonalcoholic steatohepatitis (NASH) contributes to HCC incidence.
- Current protein kinase inhibitor therapies for HCC are aggressive and lack curative potential.
Purpose of the Study:
- To review current understanding of metabolic dysregulation in HCC.
- To explore therapeutic strategies targeting metabolic pathways in HCC.
- To propose a multi-target metabolic approach for HCC treatment.
Main Methods:
- Literature review of metabolic dysregulation in HCC.
- Analysis of existing and emerging therapeutic approaches targeting metabolic pathways.
- Conceptualization of a novel multi-target metabolic strategy.
Main Results:
- Metabolic dysregulation is a significant driver of HCC development and progression.
- Targeting specific metabolic pathways shows potential for HCC therapy.
- A comprehensive, multi-target metabolic approach may overcome limitations of current treatments.
Conclusions:
- A shift towards metabolic therapies is a promising strategy for HCC.
- Targeting metabolic pathways offers a less aggressive and potentially more effective treatment paradigm for HCC.
- A multi-target metabolic approach represents a novel and promising avenue for HCC pharmacology.
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