2020
DOI: 10.1038/s41392-020-0187-x
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The mechanisms of sorafenib resistance in hepatocellular carcinoma: theoretical basis and therapeutic aspects

Abstract: Sorafenib is a multikinase inhibitor capable of facilitating apoptosis, mitigating angiogenesis and suppressing tumor cell proliferation. In late-stage hepatocellular carcinoma (HCC), sorafenib is currently an effective first-line therapy. Unfortunately, the development of drug resistance to sorafenib is becoming increasingly common. This study aims to identify factors contributing to resistance and ways to mitigate resistance. Recent studies have shown that epigenetics, transport processes, regulated cell dea… Show more

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Cited by 641 publications
(460 citation statements)
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References 164 publications
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“…The tumor tissues were then cut into 2-3 mm 3 pieces and subcutaneously implanted into the flanks of NOD/SCID mice. The tissues from mice bearing PDX tumors were harvested and cut into pieces when the tumor volume reached 1-2 cm 3 , and then implanted into BALB/c nude mice. When the xenografted tumors grew to 50 mm 3 , recombinant lentivirus vectors were intratumorally injected into the tumor tissues for 20 days.…”
Section: Western Blottingmentioning
confidence: 99%
See 1 more Smart Citation
“…The tumor tissues were then cut into 2-3 mm 3 pieces and subcutaneously implanted into the flanks of NOD/SCID mice. The tissues from mice bearing PDX tumors were harvested and cut into pieces when the tumor volume reached 1-2 cm 3 , and then implanted into BALB/c nude mice. When the xenografted tumors grew to 50 mm 3 , recombinant lentivirus vectors were intratumorally injected into the tumor tissues for 20 days.…”
Section: Western Blottingmentioning
confidence: 99%
“…1,2 Despite the tremendous progress in HCC treatment, therapeutic options remain limited. 3,4 Only a small proportion of patients with HCC are eligible for curative treatments such as surgical resection, ablation, and liver transplantation. The majority of patients with HCC demonstrate postsurgical recurrence and metastasis, resulting in a poor 5-year overall survival rate.…”
Section: Introductionmentioning
confidence: 99%
“…Sorafenib is a multiple-target tyrosine kinase inhibitor (TKI) and can inhibit Raf-1, B-Raf, and kinase activity in the Ras/Raf/MEK/ERK signaling pathways, to further suppress tumor cell proliferation. The mechanism of drug resistance development may be related to changes in epigenetics in drug targets, upregulated transport processes, regulated cell death, or the tumor microenvironment [ 227 ]. The patient response rate of sorafenib is poor (0.7–3.0%); however, it is the recommend standard treatment for advanced HCC [ 228 ].…”
Section: The Stemness Of Hcc Contributes To the Limitation Of Targmentioning
confidence: 99%
“…Sorafenib targeting multiple receptor tyrosine kinases (RTKs) is currently an effective first-line therapy for HCC. However, sorafenib resistance is frequently observed during HCC treatment [134]. The lncRNA TUC338 has been known to be involved in the development of HCC and sorafenib resistance [135].…”
Section: Clinical Application Of Lncrnas and Circrnas As Novel Biomarmentioning
confidence: 99%