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Updated: Sep 9, 2025

Using Human Induced Pluripotent Stem Cell-derived Hepatocyte-like Cells for Drug Discovery
Published on: May 19, 2018
Hepatocellular carcinoma stem cells: the current state of small molecule-based inhibitors
Sara P Neves1, Larissa M Bomfim1, Daniel P Bezerra2
1Gonçalo Moniz Institute, Oswaldo Cruz Foundation (IGM-FIOCRUZ/BA), Salvador, Bahia, Brazil.
Abstract:
Hepatocellular carcinoma (HCC) is the most common type of liver cancer, accounting for over 90% of all cases. Patients with advanced-stage HCC are referred to systemic treatment. Although some advances in HCC therapy have been made in recent years, the prognosis for patients remains poor due to drug resistance, tumor relapse, and metastasis, implying that overall survival remains a challenge. Many studies have shown that tumor-initiating stem cells, also known as cancer stem cells (CSCs), play essential roles in tumorigenesis, metastasis, and treatment resistance in HCC and that future cancer treatments could be significantly improved by targeting this cell population subset. Different markers of CSCs from HCC have been identified, and intracellular signaling pathways and extracellular factors have been reported as targets capable of removing this cell subpopulation, highlighting the possibility of developing targeted drugs to eradicate HCC CSCs. In this review, we highlight emerging small compounds that target HCC CSCs to provide new insights and guide future research. Drugs in the preclinical and clinical trial development stages were selected and discussed.
Insights
Targeting cancer stem cells (CSCs) in hepatocellular carcinoma (HCC) offers a promising strategy to overcome drug resistance and improve patient survival. This review highlights emerging small compounds aimed at eradicating HCC CSCs.
Area of Science:
- Hepatology
- Oncology
- Cancer Stem Cell Biology
Background:
- Hepatocellular carcinoma (HCC) is the most common liver cancer, with advanced stages requiring systemic treatment.
- Despite recent therapeutic advances, poor prognosis persists due to drug resistance, relapse, and metastasis.
- Cancer stem cells (CSCs) are implicated in HCC tumorigenesis, metastasis, and treatment resistance.
Purpose of the Study:
- To review emerging small compounds targeting hepatocellular carcinoma cancer stem cells (HCC CSCs).
- To provide insights for future research and drug development against HCC CSCs.
Main Methods:
- Literature review focusing on preclinical and clinical stage drugs targeting HCC CSCs.
- Selection and discussion of small compounds with potential to eradicate HCC CSCs.
Main Results:
- Identification of various HCC CSC markers.
- Reported intracellular signaling pathways and extracellular factors as potential therapeutic targets.
- Emerging small compounds show promise in preclinical and clinical development.
Conclusions:
- Targeting HCC CSCs is a viable strategy to improve treatment outcomes.
- Further research into small compounds can lead to novel therapies for hepatocellular carcinoma.
- Developing targeted drugs to eradicate HCC CSCs holds potential for significantly improving patient survival.
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