摘要
肝细胞癌(HCC)是一个复杂的肝病,其治疗方法有限,常常导致预后不良。肝癌的发展取决于新血管的形成,它演示了临床脉管系统的环境对血管型和血管的侵袭的影响。具有复杂网络结构的生长因子作用于肿瘤细胞和内皮细胞介导肝细胞癌血管生成。抑制血管生成过程从而实现肝癌的治疗,这是一个有吸引力的方法。因此, TKIs血管再生术被开发来抑制肿瘤的血管形成。目前发现的功效TKIs血管再生术已达到稳定水平,有必要开发出非TKI机制的新药物来抑制血管生成目标。更好地理解控制血管生成的分子机制,以及生物医学工程的发展。基因治疗的新方法为肝癌干预治疗带来了希望。基因治疗是基于患者遗传物质转移从达到修改或纠正恶性肿瘤的分子基础。在本文中,我们将讨论在肝癌中,传统的抗血管生成方法以及基因治疗方法。基因疗法治疗肝癌的治疗潜力已经证明和抗血管生成法的进一步发展可能使HCC患者选择新的治疗方法。
关键词: 血管生成,基因治疗,肝肿瘤
Current Gene Therapy
Title:Targeting Angiogenic Genes as a Therapeutic Approach for Hepatocellular Carcinoma
Volume: 15 Issue: 2
Author(s): Chi Hang Wong, Cesar S.C. Wong and Stephen L. Chan
Affiliation:
关键词: 血管生成,基因治疗,肝肿瘤
摘要: Hepatocellular carcinoma (HCC) is a complex liver disease with limited treatment options and often resulting in a poor prognosis. The development of HCC depends on the formation of new blood vessels and it demonstrates hypervascularity and invasive property to the surrounding vasculature clinically. A complex network of growth factors acting on both tumor cells and endothelial cells mediates the angiogenesis in HCC. It is an attractive approach to inhibit the angiogenic processes as the treatment of HCC and therefore, anti-angiogenic TKIs were developed to inhibit the vessel formation in the tumors. However, it is currently perceived that the efficacy of these anti-angiogenic TKIs has reached plateau, and it is necessary to develop novel agents with non-TKI mechanism to inhibit the angiogenic targets. With the better understanding of molecular mechanisms that govern angiogenesis, as well as the advancement in biomedical engineering, new approaches of gene therapy have brought hopes for therapeutic intervention in HCC. Gene therapy is based on the transfer of genetic material to the patients with the aim to modify or correct the malignancy from its molecular basis. In this article, we will discuss the conventional anti-angiogenic therapies and the gene therapy approaches in HCC. The therapeutic potential of gene therapy for HCC treatment has been demonstrated and further development of anti-angiogenic may result in new treatment option for HCC patients.
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Cite this article as:
Chi Hang Wong, Cesar S.C. Wong and Stephen L. Chan , Targeting Angiogenic Genes as a Therapeutic Approach for Hepatocellular Carcinoma, Current Gene Therapy 2015; 15 (2) . https://dx.doi.org/10.2174/1566523214666141224094648
DOI https://dx.doi.org/10.2174/1566523214666141224094648 |
Print ISSN 1566-5232 |
Publisher Name Bentham Science Publisher |
Online ISSN 1875-5631 |
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