肝细胞癌:当前药物治疗状态,进展和挑战
Shunzhen Zheng1,2,3, Siew Wee Chan2, Fei Liu1
1Key Laboratory of Biopharmaceuticals, Postdoctoral Scientific Research Workstation, Shandong Academy of Pharmaceutical Science, Jinan 250098, China.
肝细胞癌 (HCC) 是一种常见的肝癌,尽管有进展,但它仍然存在治疗挑战. 转向代谢相关脂肪肝炎 (MASH) 和对免疫疗法等疗法的耐药性突出显示了正在进行的研究需求.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 在瘤学瘤学.
- 癌症研究 癌症研究
背景情况:
- 肝细胞癌 (HCC) 是最常见的肝癌,对全球健康构成重大负担,是全球癌症死亡的第二大原因.
- 虽然治疗方法已经进步,但HCC的发病率和死亡率仍然具有挑战性,病因学显著转向与代谢相关的脂肪肝炎 (MASH).
研究的目的:
- 审查目前肝细胞癌 (HCC) 治疗的现状,重点关注挑战和新兴趋势.
- 突出演变的病因因素和目前先进的HCC系统治疗的局限性.
主要方法:
- 关于HCC治疗方式的最新进展的文献综述.
- 分析HCC病因学的流行病学变化,包括MASH的增加.
- 系统治疗策略的评估,包括分子向疗法和免疫疗法.
主要成果:
- 早期的HCC提供了切除,移植和切除等治疗选择,改善了生存率.
- 大多数HCC诊断发生在中间或高级阶段,需要全身治疗.
- 分子向疗法和免疫疗法已经推进了HCC治疗,但耐药性和异质性等挑战仍然存在.
结论:
- 尽管有治疗进展,但管理晚期肝细胞癌 (HCC),特别是在肝功能受损的患者中,仍然很困难.
- 抵抗免疫检查点封锁,瘤异质性和缺乏预测生物标志物是当前HCC系统治疗的关键障碍.
- 进一步的研究对于克服这些挑战和改善晚期HCC患者的治疗结果至关重要.
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