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EMT在肝细胞肝癌耐药中的分子机制研究进展

Research progress on molecular mechanism of EMT in drug resistance of hepatocellular carcinoma

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【作者】 张彦吉隋红王凯冰

【Author】 ZHANG Yanji;SUI Hong;WANG Kaibing;The Second Department of Internal Medicine,the Affiliated Cancer Hospital of Harbin Medical University;Hepatobiliary and Pancreatic Interventional Center,the First Affiliated Hospital of Zhejiang University School of Medicine;

【通讯作者】 隋红;

【机构】 哈尔滨医科大学附属肿瘤医院内二科浙江大学医学院附属第一医院肝胆胰介入中心

【摘要】 肝细胞肝癌肿瘤组织的高度异质性使得肝细胞肝癌患者经常对化疗药物及靶向药物产生耐药。研究表明,上皮间质转化(epithelial-mesenchymal transition, EMT)过程中调控EMT的转录因子、细胞因子及相关的信号通路和一些非编码RNA介导了肝细胞肝癌的耐药。此外,发生EMT的肝细胞显示出类似癌症干细胞的特征—对药物原发耐药。EMT在肝癌耐药的发展中起着不可忽视的作用,为此我们就EMT在肝细胞肝癌耐药机制中的作用及靶向EMT治疗肝细胞肝癌的可行性进行综述。

【Abstract】 The high heterogeneity of hepatocellular tumor tissue makes hepatocellular carcinoma patients often resistant to chemotherapeutic and targeted drugs.Studies have shown that transcription factors, cytokines and related signaling pathways and some non-coding RNAs that regulate EMT during epithelial-mesenchymal transition mediate the drug resistance of hepatocellular carcinoma.In addition, hepatocytes undergoing EMT displayed characteristics similar to those of cancer stem cells—primary drug resistance.EMT plays an important role in the development of drug resistance in hepatocellular carcinoma.Therefore, we reviewed the role of EMT in the drug resistance mechanism of hepatocellular carcinoma and the feasibility of targeting EMT in the treatment of hepatocellular carcinoma.

【关键词】 EMT化疗靶向治疗耐药
【Key words】 EMTchemotherapytarget therapydrug resistance
【基金】 吴阶平医学基金会临床科研专项基金(编号:320.6750.2020-12-7,320.6750.18555);哈尔滨医科大学附属肿瘤医院海燕科研基金项目(编号:JJZD2019-08)
  • 【文献出处】 现代肿瘤医学 ,Journal of Modern Oncology , 编辑部邮箱 ,2024年01期
  • 【分类号】R735.7
  • 【下载频次】187
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