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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.
Abstract:
Hepatocellular carcinoma (HCC) is the dominant type of liver cancers and is one of the deadliest health threats globally. The conventional therapeutic options for HCC are hampered by low efficiency and intolerable side effects. Gene therapy, however, now offers hope for the treatment of many disorders previously considered incurable, and gene therapy is beginning to address many of the shortcomings of conventional therapies. Herein, we summarize the involvement of genes in the pathogenesis and prognosis of HCC, with a special focus on dysregulated signaling pathways, genes involved in immune evasion, and non-coding RNAs as novel two-edged players, which collectively offer potential targets for the gene therapy of HCC. Herein, the opportunities and challenges of HCC gene therapy are discussed. These include innovative therapies such as genome editing and cell therapies. Moreover, advanced gene delivery technologies that recruit nanomedicines for use in gene therapy for HCC are highlighted. Finally, suggestions are offered for improved clinical translation and future directions in this area of endeavor.
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.
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