Understanding Gene Involvement in Hepatocellular Carcinoma: Implications for Gene Therapy and Personalized Medicine

Mahmoud A Younis1,2, Hideyoshi Harashima1

  • 1Laboratory of Innovative Nanomedicine, Faculty of Pharmaceutical Sciences, Hokkaido University, Sapporo, 060-0812, Japan.

Insights

Gene therapy offers new hope for treating hepatocellular carcinoma (HCC), a deadly liver cancer. This review explores gene targets, innovative therapies like genome editing, and nanomedicine delivery for improved HCC treatment.

Area of Science:

  • Hepatology and Oncology
  • Molecular Biology and Genetics
  • Biomedical Engineering

Background:

  • Hepatocellular carcinoma (HCC) is a leading cause of cancer-related mortality worldwide.
  • Conventional treatments for HCC often lack efficacy and cause severe side effects.
  • Gene therapy presents a promising alternative for managing HCC.

Purpose of the Study:

  • To review the role of genes and signaling pathways in HCC pathogenesis and prognosis.
  • To highlight non-coding RNAs as potential therapeutic targets in HCC.
  • To discuss opportunities and challenges in HCC gene therapy, including novel delivery systems.

Main Methods:

  • Literature review focusing on gene therapy for hepatocellular carcinoma.
  • Analysis of dysregulated signaling pathways, immune evasion genes, and non-coding RNAs in HCC.
  • Examination of advanced gene delivery technologies, including nanomedicines and genome editing.

Main Results:

  • Dysregulated genes, signaling pathways, and non-coding RNAs are key players in HCC development and progression.
  • Gene therapy targets offer potential for more effective and less toxic HCC treatment.
  • Innovative approaches like genome editing, cell therapies, and nanomedicine-based delivery are emerging.

Conclusions:

  • Gene therapy holds significant promise for advancing hepatocellular carcinoma treatment.
  • Overcoming challenges in gene delivery and clinical translation is crucial for therapeutic success.
  • Future research should focus on refining gene targets and delivery systems for clinical application in HCC.

Related Concept Videos

Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
4.9K
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
7.6K
Cancer-Critical Genes I: Proto-oncogenes01:33

Cancer-Critical Genes I: Proto-oncogenes

Genes usually encode proteins necessary for the proper functioning of a healthy cell. Mutations can often cause changes to the gene expression pattern, thereby altering the phenotype.
When the function of certain critical genes, especially those involved in cell cycle regulation and cell growth signaling cascades, gets disrupted, it upsets the cell cycle progression. Such cells with unchecked cell cycles start proliferating uncontrollably and eventually develop into tumors.
Such genes that act...
8.8K
Gene Therapy00:59

Gene Therapy

Gene therapy is a technique where a gene is inserted into a person’s cells to prevent or treat a serious disease. The added gene may be a healthy version of the gene that is mutated in the patient, or it could be a different gene that inactivates or compensates for the patient’s disease-causing gene. For example, in patients with severe combined immunodeficiency (SCID) due to a mutation in the gene for the enzyme adenosine deaminase, a functioning version of the gene can be...
25.4K
Cell Specific Gene Expression01:58

Cell Specific Gene Expression

Multicellular organisms contain a variety of structurally and functionally distinct cell types, but the DNA in all the cells originated from the same parent cells. The differences in the cells can be attributed to the differential gene expression. Liver cells, whose functions include detoxification of blood, production of bile to metabolize fats, and synthesis of proteins essential for metabolism, must express a specific set of genes to perform their functions. Gene expression also varies with...
13.6K
Mitogens and the Cell Cycle02:38

Mitogens and the Cell Cycle

Mitogens and their receptors play a crucial role in controlling the progression of the cell cycle. However, the loss of mitogenic control over cell division leads to tumor formation. Therefore, mitogens and mitogen receptors play an important role in cancer research. For instance, the epidermal growth factor (EGF) - a type of mitogen and its transmembrane receptor (EGFR), decides the fate of the cell's proliferation. When EGF binds to EGFR, a member of the ErbB family of tyrosine kinase...
6.5K