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.

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.

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