摘要
肝细胞癌(HCC)是原发性肝癌的主要类型,因其复发率高、预后差而成为世界范围内癌症相关死亡的主要原因。手术切除是目前该病早期和中期患者的主要治疗措施。由于诊断较晚,多数患者在病情确诊后已错过手术机会,保守化疗(药物治疗)仍是中晚期肝癌患者综合治疗的重要手段。然而,肝癌患者的多药耐药(MDR)严重降低了治疗效果,是化疗成功的重要障碍。甲胎蛋白(AFP)是诊断HCC的重要生物标志物。许多HCC患者血清中AFP表达水平升高,AFP水平持续升高是HCC进展的危险因素。许多研究表明,AFP具有免疫抑制作用,在HCC发展过程中可促进恶性转化,并可能参与肝癌患者MDR的发生过程。本文综述了肝癌药物治疗过程中的耐药机制,并综述了AFP在肝癌发展进展中的机制与肝癌耐药的关系。
关键词: 肝细胞癌(HCC)、甲胎蛋白(AFP)、恶性转化、耐药性、免疫抑制、多药耐药(MDR)
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