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Hepatocellular carcinoma: Therapeutic advances in signaling,epigenetic and immune targets 被引量:5

Hepatocellular carcinoma: Therapeutic advances in signaling,epigenetic and immune targets
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摘要 Hepatocellular carcinoma(HCC)remains a global medical burden with rising incidence due to chronic viral hepatitis and non-alcoholic fatty liver diseases.Treatment of advanced disease stages is still unsatisfying.Besides first and second generation tyrosine kinase inhibitors,immune checkpoint inhibitors have become central for the treatment of HCC.New modalities like epigenetic therapy using histone deacetylase inhibitors(HDACi)and cell therapy approaches with chimeric antigen receptor T cells(CAR-T cells)are currently under investigation in clinical trials.Development of such novel drugs is closely linked to the availability and improvement of novel preclinical and animal models and the identification of predictive biomarkers.The current status of treatment options for advanced HCC,emerging novel therapeutic approaches and different preclinical models for HCC drug discovery and development are reviewed here. Hepatocellular carcinoma(HCC) remains a global medical burden with rising incidence due to chronic viral hepatitis and non-alcoholic fatty liver diseases.Treatment of advanced disease stages is still unsatisfying. Besides first and second generation tyrosine kinase inhibitors, immune checkpoint inhibitors have become central for the treatment of HCC. New modalities like epigenetic therapy using histone deacetylase inhibitors(HDACi) and cell therapy approaches with chimeric antigen receptor T cells(CAR-T cells) are currently under investigation in clinical trials. Development of such novel drugs is closely linked to the availability and improvement of novel preclinical and animal models and the identification of predictive biomarkers. The current status of treatment options for advanced HCC, emerging novel therapeutic approaches and different preclinical models for HCC drug discovery and development are reviewed here.
出处 《World Journal of Gastroenterology》 SCIE CAS 2019年第25期3136-3150,共15页 世界胃肠病学杂志(英文版)
关键词 Liver cancer Immunotherapy CHECKPOINT inhibitors Targeted therapy Mouse model Biomarker Next-generation sequencing Non-alcoholic STEATOHEPATITIS FIBROSIS Clinical trial Liver cancer Immunotherapy Checkpoint inhibitors Targeted therapy Mouse model Biomarker Next-generation sequencing Non-alcoholic steatohepatitis Fibrosis Clinical trial
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