Related Experiment Video
Updated: Jun 14, 2025

An Oncogenic Hepatocyte-Induced Orthotopic Mouse Model of Hepatocellular Cancer Arising in the Setting of Hepatic Inflammation and Fibrosis
Published on: September 12, 2019
Sorafenib resistance and therapeutic strategies in hepatocellular carcinoma
Weijing Zhang1, Xuechuan Hong2, Yuling Xiao3
1School of Pharmacy, Key Laboratory of Molecular Pharmacology and Drug Evaluation (Yantai University), Ministry of Education, Collaborative Innovation Center of Advanced Drug Delivery System and Biotech Drugs in Universities of Shandong, Yantai University, Yantai 264005, China; Shandong Laboratory of Yantai Drug Discovery, Bohai Rim Advanced Research Institute for Drug Discovery, Yantai 264117, China.
Abstract:
Hepatocellular carcinoma (HCC) remains one of the most prevalent and lethal cancers globally. While surgical resection and liver transplantation offer potential cures for early-stage HCC, the majority of patients are diagnosed at advanced stages where such interventions are not viable. Sorafenib, a multi-target kinase inhibitor, has been a cornerstone in the treatment of advanced HCC since its approval in 2007. Despite its significant clinical impact, less than half of the treated patients derive long-term benefits due to the emergence of resistance and associated side effects. This review focuses on the role of sorafenib, an FDA-approved multi-target kinase inhibitor, in treating advanced HCC, discusses the mechanisms underlying its therapeutic effects and associated resistance, and explores additional therapeutic strategies being investigated to improve patient outcomes.
Insights
Hepatocellular carcinoma (HCC) treatment with sorafenib offers benefits but faces resistance. Research explores mechanisms and new strategies to improve outcomes for advanced liver cancer patients.
Area of Science:
- Hepatology
- Oncology
- Pharmacology
Background:
- Hepatocellular carcinoma (HCC) is a leading cause of cancer death worldwide.
- Advanced HCC often precludes curative treatments like surgery or transplantation.
- Sorafenib, an FDA-approved multi-target kinase inhibitor, is a standard treatment for advanced HCC.
Purpose of the Study:
- To review the role of sorafenib in advanced HCC treatment.
- To discuss sorafenib's therapeutic mechanisms and resistance pathways.
- To explore novel therapeutic strategies for improving HCC patient outcomes.
Main Methods:
- Literature review of sorafenib in advanced HCC.
- Analysis of mechanisms of action and resistance to sorafenib.
- Exploration of emerging therapeutic approaches.
Main Results:
- Sorafenib provides clinical benefits but resistance and side effects limit long-term efficacy in less than half of patients.
- Understanding resistance mechanisms is crucial for optimizing treatment.
- Combination therapies and novel agents are under investigation.
Conclusions:
- Sorafenib remains a key therapy for advanced HCC, but challenges persist.
- Further research into resistance mechanisms and combination strategies is essential.
- Improving sorafenib efficacy and overcoming resistance are critical for better HCC patient outcomes.
More Related Videos
12:24A Three-Dimensional Spheroid Model to Investigate the Tumor-Stromal Interaction in Hepatocellular Carcinoma
Published on: September 30, 2021
09:38Establishment and Characterization of Three Afatinib-resistant Lung Adenocarcinoma PC-9 Cell Lines Developed with Increasing Doses of Afatinib
Published on: June 26, 2019
Related Concept Videos
Treatment Resistant Cancers
Targeted Cancer Therapies
There are several types of targeted therapies against...
Combination Therapies and Personalized Medicine
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...
Cancer Therapies
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...