Updates on the hepatocyte growth factor/c-Met axis in hepatocellular carcinoma and its therapeutic implications.

Hepatocellular carcinoma (HCC) is the fifth most common cancer and is the second leading cause of cancer death. Since the diagnosis of HCC is difficult, in many cases patients with HCC are diagnosed advanced stage of development. Hepatocyte growth factor (HGF)/c-mesenchymal-epithelial transition rec...

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Detalles Bibliográficos
Autores: García-Vilas, Javier A, Medina, Miguel Ángel
Tipo de recurso: artículo
Fecha de publicación:2018
País:España
Institución:Instituto de Salud Carlos III (ISCIII)
Repositorio:Repisalud
Idioma:inglés
OAI Identifier:oai:repisalud.isciii.es:20.500.12105/25237
Acceso en línea:https://hdl.handle.net/20.500.12105/25237
Access Level:acceso abierto
Palabra clave:Hepatocellular carcinoma
Hepatocyte growth factor/c-MET
Tumor microenvironment
c-Met canonical and non-canonical pathways
Antineoplastic Agents
Carcinoma, Hepatocellular
Cell Movement
Cell Proliferation
Cell Transformation, Neoplastic
Epithelial-Mesenchymal Transition
Gene Expression Regulation, Neoplastic
Hepatocyte Growth Factor
Hepatocytes
Humans
Liver Neoplasms
MicroRNAs
Neovascularization, Pathologic
Oxidative Stress
Proto-Oncogene Proteins c-met
Signal Transduction
Tumor Microenvironment
Descripción
Sumario:Hepatocellular carcinoma (HCC) is the fifth most common cancer and is the second leading cause of cancer death. Since the diagnosis of HCC is difficult, in many cases patients with HCC are diagnosed advanced stage of development. Hepatocyte growth factor (HGF)/c-mesenchymal-epithelial transition receptor (c-Met) axis is a key signaling pathway in HCC, either via canonical or non-canonical pathways. Available treatments against HCC based upon HGF/c-Met inhibition can increase patient lifespan, but do not reach the expected therapeutic benefits. In HCC, c-Met monomers can bind other receptor monomers, activating several noncanonical signaling pathways, leading to increased cell proliferation, invasion, motility, and drug resistance. All of these processes are enhanced by the tumor microenvironment, with stromal cells contributing to boost tumor progression through oxidative stress, angiogenesis, lymphangiogenesis, inflammation, and fibrosis. Novel treatments against HCC are being explored to modulate other targets such as microRNAs, methyltransferases, and acetyltransferases, which are all involved in the regulation of gene expression in cancer. This review compiles basic knowledge regarding signaling pathways in HCC, and compounds already used or showing potential to be used in clinical trials.