Role and mechanism of ferroptosis in treatment of liver cancer with sorafenib
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摘要: 晚期肝癌患者基础状况差,可供选择的治疗方式有限,预后不良。索拉非尼作为被FDA批准用于晚期肝癌治疗的一线用药,具有多激酶抑制活性,能延长肝癌患者生存期。近年来研究发现索拉非尼也是一种铁死亡诱导剂,其对肝癌细胞的毒性作用部分依赖于诱导肿瘤细胞的铁死亡,通过促进索拉非尼诱导的铁死亡,能提高索拉非尼治疗肝癌的疗效,同时铁死亡在索拉非尼的耐药机制中也扮演重要角色,铁死亡途径中的某些关键蛋白也可以用来提示索拉非尼效用及肝癌预后。综述了铁死亡在索拉非尼治疗肝癌中发挥的作用以及相关最新研究进展。Abstract: Patients with advanced liver cancer have poor basic conditions and poor prognosis due to limited treatment options. Sorafenib is the first-line drug approved by FDA for the treatment of advanced liver cancer,and it has multi-kinase inhibitory activity and can improve the survival time of patients with liver cancer. Recent studies have shown that sorafenib is also an inducer of ferroptosis and its toxicity on hepatoma cells partly depends on the induction of ferroptosis of tumor cells. The enhancement of sorafenib-induced ferroptosis can improve the therapeutic effect of sorafenib on liver cancer. At the same time,ferroptosis also plays an important role in the drug-resistance mechanism of sorafenib,and some key proteins involved in the pathways of ferroptosis can also be used to indicate the efficacy of sorafenib and the prognosis of liver cancer. This article reviews the latest research advances in the role of ferroptos in the treatment of liver cancer with sorafenib.
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Key words:
- liver neoplasms /
- cell death /
- autophagy /
- sorafenib
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