2015
DOI: 10.1517/14728222.2015.1071354
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Hepatocellular carcinoma treatment over sorafenib: epigenetics, microRNAs and microenvironment. Is there a light at the end of the tunnel?

Abstract: Future research should aim to understand how best to identify patient groups that would benefit most from the prescribed therapy. To overcome the 'therapeutic stranding' of HCC, a possible way out from the current therapeutic tunnel might be to evaluate the major epigenetic and genetic processes involved in HCC carcinogenesis, not underestimating the tumor microenvironment and its 'actors' (angiogenesis, immune system, platelets). We are only at the start of a long journey towards the elucidation of HCC molecu… Show more

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Cited by 61 publications
(44 citation statements)
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“…Molecular analysis, based on testing a small piece of tumor, might underestimate the complexity of tumor genomics. Therefore, exploring the molecular pathways involved in hepatocarcinogenesis might provide new therapeutic targets in HCC and molecular-based individualized therapies, not underestimating the tumor microenvironment and its roles in angiogenesis or immune system [36].…”
Section: Reg3a Is a Key Molecule Modulated By Crosstalk Between Hcc Cmentioning
confidence: 99%
“…Molecular analysis, based on testing a small piece of tumor, might underestimate the complexity of tumor genomics. Therefore, exploring the molecular pathways involved in hepatocarcinogenesis might provide new therapeutic targets in HCC and molecular-based individualized therapies, not underestimating the tumor microenvironment and its roles in angiogenesis or immune system [36].…”
Section: Reg3a Is a Key Molecule Modulated By Crosstalk Between Hcc Cmentioning
confidence: 99%
“…70 Further studies are still ongoing to determine its safety and efficacy. 71 Additionally, carrageenan has been formulated as a prophylactic microbicidal gel to block HIV and HPV infection. 72 Unfortunately, it failed in a Phase III trial and has been discontinued.…”
Section: Targeting Heparan Sulfate-protein Interactionsmentioning
confidence: 99%
“…Primary liver cancer types include hepatocellular carcinoma and cholangiocarcinoma; the most frequent original sites of metastasis in liver cancer are the stomach, pancreas and colon (1). Surgery is the most effective curative treatment for primary and metastatic liver cancer (2,3); however, if surgery is not a viable option, chemotherapy or molecular target therapy are considered for further treatment (4)(5)(6). The agents used in chemotherapy and molecular targeted therapy frequently cause hepatotoxicity, which limits the efficacy of this treatment (7,8).…”
Section: Introductionmentioning
confidence: 99%