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.

Cell Death & Disease
|September 1, 2025
PubMed

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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