New insights on sorafenib resistance in liver cancer with correlation of individualized therapy

被引:97
作者
Zhang Cheng [1 ,2 ]
Jiang Wei-Qi [1 ]
Ding Jin [1 ,2 ]
机构
[1] Second Mil Med Univ, Eastern Hepatobiliary Surg Hosp Inst, Int Cooperat Lab Signal Transduct, Shanghai 200433, Peoples R China
[2] Natl Ctr Liver Canc, Shanghai 200433, Peoples R China
来源
BIOCHIMICA ET BIOPHYSICA ACTA-REVIEWS ON CANCER | 2020年 / 1874卷 / 01期
关键词
Liver cancer; Sorafenib; Chemoresistance; Individualized therapy; ADVANCED HEPATOCELLULAR-CARCINOMA; MULTIDRUG-RESISTANCE; DRUG-RESISTANCE; STEM-CELL; PHOSPHORYLATED ERK; AUTOPHAGY; EFFICACY; RECEPTOR; SENSITIVITY; INHIBITION;
D O I
10.1016/j.bbcan.2020.188382
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Liver cancer is highly malignant and insensitive to cytotoxic chemotherapy and is associated with very poor patient prognosis. In 2007, the small-molecule targeted drug sorafenib was approved for the treatment of advanced liver cancer. In the subsequent ten years, sorafenib has been the only first-line therapeutic targeted drug for advanced hepatocellular carcinoma (HCC). However, a number of clinical studies show that a considerable percentage of patients with liver cancer are insensitive to sorafenib. The number of patients who actually benefit significantly from sorafenib treatment is very limited, and the overall efficacy of sorafenib is far from satisfactory, which has attracted the attention of researchers. Based on previous studies and reports, this article reviews the potential mechanisms of sorafenib resistance (SR) and summarizes the biomarkers and clinicopathological indicators that might be used for predicting sorafenib response and developing personalized therapy.
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页数:8
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