中文English
ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R

留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

肝细胞癌的靶向治疗

张宁宁 陆伟

引用本文:
Citation:

肝细胞癌的靶向治疗

DOI: 10.3969/j.issn.1001-5256.2021.08.003
基金项目: 

天津市科技厅项目 (19YFZCSY00020)

利益冲突声明:所有作者均声明不存在利益冲突。
作者贡献声明:张宁宁负责收集数据,资料分析,撰写论文;陆伟负责课题设计,拟定写作思路,指导撰写文章并最后定稿。
详细信息
    通信作者:

    陆伟,mail4luwei@163.com

  • 中图分类号: R735.7

Targeted therapy for hepatocellular carcinoma

Research funding: 

Project of Tianjin Municipal Bureau of Science and Technology (19YFZCSY00020)

  • 摘要: 近年来,随着肝细胞癌(HCC)分子机制研究深入,靶向治疗也得到了迅猛发展,在延缓和改善患者疾病进展和预后方面作出了巨大贡献。由于HCC的发病机制错综复杂,单一的分子靶向治疗总体临床收益并不理想。因此,近年来靶向联合其他治疗方式的新方案不断出新,并取得了令人鼓舞的成果。就HCC分子靶向治疗药物、研究现状及临床联合应用治疗进展予以简要总结。

     

  • [1] FERLAY J, COLOMBET M, SOERJOMATARAM I, et al. Estimating the global cancer incidence and mortality in 2018: GLOBOCAN sources and methods[J]. Int J Cancer, 2019, 144(8): 1941-1953. DOI: 10.1002/ijc.31937.
    [2] ALQAHTANI A, KHAN Z, ALLOGHBI A, et al. Hepatocellular carcinoma: Molecular mechanisms and targeted therapies[J]. Medicina (Kaunas), 2019, 55(9): 526. DOI: 10.3390/medicina55090526.
    [3] BRAY F, FERLAY J, SOERJOMATARAM I, et al. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J]. CA Cancer J Clin, 2018, 68(6): 394-424. DOI: 10.3322/caac.21492.
    [4] NORDENSTEDT H, WHITE DL, EL-SERAG HB. The changing pattern of epidemiology in hepatocellular carcinoma[J]. Dig Liver Dis, 2010, 42(Suppl 3): s206-s214. DOI: 10.1016/S1590-8658(10)60507-5.
    [5] LIU M, JIANG L, GUAN XY. The genetic and epigenetic alterations in human hepatocellular carcinoma: A recent update[J]. Protein Cell, 2014, 5(9): 673-691. DOI: 10.1007/s13238-014-0065-9.
    [6] DIMRI M, SATYANARAYANA A. Molecular signaling pathways and therapeutic targets in hepatocellular carcinoma[J]. Cancers (Basel), 2020, 12(2): 491. DOI: 10.3390/cancers12020491.
    [7] GONG X, QIN S. Study progression of anti-angiogenetic therapy and its combination with other agents for the treatment of advanced hepatocellular carcinoma[J]. Hepatobiliary Surg Nutr, 2018, 7(6): 466-474. DOI: 10.21037/hbsn.2018.11.04.
    [8] LLOVET JM, RICCI S, MAZZAFERRO V, et al. Sorafenib in advanced hepatocellular carcinoma[J]. N Engl J Med, 2008, 359(4): 378-390. DOI: 10.1056/NEJMoa0708857.
    [9] CHENG AL, KANG YK, CHEN Z, et al. Efficacy and safety of sorafenib in patients in the Asia-Pacific region with advanced hepatocellular carcinoma: A phase Ⅲ randomised, double-blind, placebo-controlled trial[J]. Lancet Oncol, 2009, 10(1): 25-34. DOI: 10.1016/S1470-2045(08)70285-7.
    [10] KUDO M, FINN RS, QIN S, et al. Lenvatinib versus sorafenib in first-line treatment of patients with unresectable hepatocellular carcinoma: A randomised phase 3 non-inferiority trial[J]. Lancet, 2018, 391(10126): 1163-1173. DOI: 10.1016/S0140-6736(18)30207-1.
    [11] MATSUKI M, HOSHI T, YAMAMOTO Y, et al. Lenvatinib inhibits angiogenesis and tumor fibroblast growth factor signaling pathways in human hepatocellular carcinoma models[J]. Cancer Med, 2018, 7(6): 2641-2653. DOI: 10.1002/cam4.1517.
    [12] WILHELM SM, DUMAS J, ADNANE L, et al. Regorafenib (BAY 73-4506): A new oral multikinase inhibitor of angiogenic, stromal and oncogenic receptor tyrosine kinases with potent preclinical antitumor activity[J]. Int J Cancer, 2011, 129(1): 245-255. DOI: 10.1002/ijc.25864.
    [13] FONDEVILA F, MÉNDEZ-BLANCO C, FERNÁNDEZ-PALANCA P, et al. Anti-tumoral activity of single and combined regorafenib treatments in preclinical models of liver and gastrointestinal cancers[J]. Exp Mol Med, 2019, 51(9): 1-15. DOI: 10.1038/s12276-019-0308-1.
    [14] CERRITO L, PONZIANI FR, GARCOVICH M, et al. Regorafenib: A promising treatment for hepatocellular carcinoma[J]. Expert Opin Pharmacother, 2018, 19(17): 1941-1948. DOI: 10.1080/14656566.2018.1534956.
    [15] BRUIX J, QIN S, MERLE P, et al. Regorafenib for patients with hepatocellular carcinoma who progressed on sorafenib treatment (RESORCE): A randomised, double-blind, placebo-controlled, phase 3 trial[J]. Lancet, 2017, 389(10064): 56-66. DOI: 10.1016/S0140-6736(16)32453-9.
    [16] FINN RS, MERLE P, GRANITO A, et al. Outcomes of sequential treatment with sorafenib followed by regorafenib for HCC: Additional analyses from the phase Ⅲ RESORCE trial[J]. J Hepatol, 2018, 69(2): 353-358. DOI: 10.1016/j.jhep.2018.04.010.
    [17] DEEKS ED. Cabozantinib: A review in advanced hepatocellular carcinoma[J]. Target Oncol, 2019, 14(1): 107-113. DOI: 10.1007/s11523-019-00622-y.
    [18] SCOTT AJ, ARCAROLI JJ, BAGBY SM, et al. Cabozantinib exhibits potent antitumor activity in colorectal cancer patient-derived tumor xenograft models via autophagy and signaling mechanisms[J]. Mol Cancer Ther, 2018, 17(10): 2112-2122. DOI: 10.1158/1535-7163.MCT-17-0131.
    [19] ABOU-ALFA GK, MEYER T, CHENG AL, et al. Cabozantinib in patients with advanced and progressing hepatocellular carcinoma[J]. N Engl J Med, 2018, 379(1): 54-63. DOI: 10.1056/NEJMoa1717002.
    [20] LIAO W, HUANG J, HUTTON D, et al. Cost-effectiveness analysis of cabozantinib as second-line therapy in advanced hepatocellular carcinoma[J]. Liver Int, 2019, 39(12): 2408-2416. DOI: 10.1111/liv.14257.
    [21] KUDO M, HATANO E, OHKAWA S, et al. Ramucirumab as second-line treatment in patients with advanced hepatocellular carcinoma: Japanese subgroup analysis of the REACH trial[J]. J Gastroenterol, 2017, 52(4): 494-503. DOI: 10.1007/s00535-016-1247-4.
    [22] ZHU AX, KANG YK, YEN CJ, et al. Ramucirumab after sorafenib in patients with advanced hepatocellular carcinoma and increased α-fetoprotein concentrations (REACH-2): A randomised, double-blind, placebo-controlled, phase 3 trial[J]. Lancet Oncol, 2019, 20(2): 282-296. DOI: 10.1016/S1470-2045(18)30937-9.
    [23] LI Q, QIN SK, GU SZ, et al. Apatinib as second-line therapy in Chinese patients with advanced hepatocellular carcinoma: A randomized, placebo-controlled, double-blind, phase Ⅲ study[J]. J Clin Oncol, 2020, 38(15_suppl): 4507. DOI: 10.1200/JCO.2020.38.15_suppl.4507.
    [24] Guidelines Working Committee of Chinese Society of Clinical Oncology. Guidelines for the diagnosis and treatment of primary liver cancer (2020 edition)[M]. Beijing: People's Medical Publishing House, 2020.

    中国临床肿瘤学会指南工作委员会. 原发性肝癌诊疗指南2020[M]. 北京: 人民卫生出版社, 2020.
    [25] BI F, QIN SK, GU SZ, et al. Donafenib versus sorafenib as first-line therapy in advanced hepatocellular carcinoma: An open-label, randomized, multicenter phase Ⅱ/Ⅲ trial[J]. J Clin Oncol, 38(15_suppl): 4506. DOI: 10.1200/JCO.2020.38.15_suppl.4506.
    [26] VENEPALLI NK, GOFF L. Targeting the HGF-cMET axis in hepatocellular carcinoma[J]. Int J Hepatol, 2013, 2013: 341636. DOI: 10.1155/2013/341636.
    [27] GHERARDI E, BIRCHMEIER W, BIRCHMEIER C, et al. Targeting MET in cancer: Rationale and progress[J]. Nat Rev Cancer, 2012, 12(2): 89-103. DOI: 10.1038/nrc3205.
    [28] BOUATTOUR M, RAYMOND E, QIN S, et al. Recent developments of c-Met as a therapeutic target in hepatocellular carcinoma[J]. Hepatology, 2018, 67(3): 1132-1149. DOI: 10.1002/hep.29496.
    [29] XIANG Q, CHEN W, REN M, et al. Cabozantinib suppresses tumor growth and metastasis in hepatocellular carcinoma by a dual blockade of VEGFR2 and MET[J]. Clin Cancer Res, 2014, 20(11): 2959-2970. DOI: 10.1158/1078-0432.CCR-13-2620.
    [30] ZHAO H, LV F, LIANG G, et al. FGF19 promotes epithelial-mesenchymal transition in hepatocellular carcinoma cells by modulating the GSK3β/β- catenin signaling cascade via FGFR4 activation[J]. Oncotarget, 2016, 7(12): 13575-13586. DOI: 10.18632/oncotarget.6185.
    [31] RAJA A, PARK I, HAQ F, et al. FGF19-FGFR4 signaling in hepatocellular carcinoma[J]. Cells, 2019, 8(6): 536. DOI: 10.3390/cells8060536.
    [32] LIN BC, DESNOYERS LR. FGF19 and cancer[J]. Adv Exp Med Biol, 2012, 728: 183-194. DOI: 10.1007/978-1-4614-0887-1_12.
    [33] VILLANUEVA A, CHIANG DY, NEWELL P, et al. Pivotal role of mTOR signaling in hepatocellular carcinoma[J]. Gastroenterology, 2008, 135(6): 1972-1983. DOI: 10.1053/j.gastro.2008.08.008.
    [34] HUYNH H, CHOW KH, SOO KC, et al. RAD001 (everolimus) inhibits tumour growth in xenograft models of human hepatocellular carcinoma[J]. J Cell Mol Med, 2009, 13(7): 1371-1380. DOI: 10.1111/j.1582-4934.2008.00364.x.
    [35] SHIAH HS, CHEN CY, DAI CY, et al. Randomised clinical trial: Comparison of two everolimus dosing schedules in patients with advanced hepatocellular carcinoma[J]. Aliment Pharmacol Ther, 2013, 37(1): 62-73. DOI: 10.1111/apt.12132.
    [36] FINN RS, QIN S, IKEDA M, et al. Atezolizumab plus Bevacizumab in unresectable hepatocellular carcinoma[J]. N Engl J Med, 2020, 382(20): 1894-1905. DOI: 10.1056/NEJMoa1915745.
    [37] FINN RS, IKEDA M, ZHU AX, et al. Phase Ib study of lenvatinib plus pembrolizumab in patients with unresectable hepatocellular carcinoma[J]. J Clin Oncol, 2020, 38(26): 2960-2970. DOI: 10.1200/JCO.20.00808.
    [38] YAU T, ZAGONEL V, SANTORO A, et al. Nivolumab (NIVO) + ipilimumab (IPI) + cabozantinib (CABO) combination therapy in patients (pts) with advanced hepatocellular carcinoma (aHCC): Results from CheckMate 040[J]. J Clin Oncol, 38(4_suppl): 478. DOI: 10.1200/JCO.2020.38.4_suppl.478.
    [39] European Association for the Study of the Liver. EASL Clinical Practice Guidelines: Management of hepatocellular carcinoma[J]. J Hepatol, 2018, 69(1): 182-236. DOI: 10.1016/j.jhep.2018.03.019.
    [40] KUDO M, UESHIMA K, IKEDA M, et al. Randomised, multicentre prospective trial of transarterial chemoembolisation (TACE) plus sorafenib as compared with TACE alone in patients with hepatocellular carcinoma: TACTICS trial[J]. Gut, 2020, 69(8): 1492-1501. DOI: 10.1136/gutjnl-2019-318934.
    [41] CHEN JH, LU L, WEN TF, et al. Adjuvant lenvatinib in combination with TACE for hepatocellular carcinoma patients with high risk of postoperative relapse (LANCE): Interim results from a muticenter prospective cohort study[J]. J Clin Oncol, 2020, 38(15_Suppl): 4580.
    [42] HE M, LI Q, ZOU R, et al. Sorafenib plus hepatic arterial infusion of oxaliplatin, fluorouracil, and leucovorin vs sorafenib alone for hepatocellular carcinoma with portal vein invasion: A randomized clinical trial[J]. JAMA Oncol, 2019, 5(7): 953-960. DOI: 10.1001/jamaoncol.2019.0250.
    [43] FENG X, XU R, DU X, et al. Combination therapy with sorafenib and radiofrequency ablation for BCLC Stage 0-B1 hepatocellular carcinoma: A multicenter retrospective cohort study[J]. Am J Gastroenterol, 2014, 109(12): 1891-1899. DOI: 10.1038/ajg.2014.343.
  • 加载中
计量
  • 文章访问数:  934
  • HTML全文浏览量:  367
  • PDF下载量:  205
  • 被引次数: 0
出版历程
  • 收稿日期:  2021-03-15
  • 录用日期:  2021-04-15
  • 出版日期:  2021-08-20
  • 分享
  • 用微信扫码二维码

    分享至好友和朋友圈

目录

    /

    返回文章
    返回