MASLD-Related HCC: A Comprehensive Review of the Trends, Pathophysiology, Tumor Microenvironment, Surveillance, and Treatment Options
Yuming Shi,
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Erfan Taherifard,
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A.I. Saeed
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et al.
Current Issues in Molecular Biology,
Journal Year:
2024,
Volume and Issue:
46(6), P. 5965 - 5983
Published: June 13, 2024
Hepatocellular
carcinoma
(HCC)
represents
a
significant
burden
on
global
healthcare
systems
due
to
its
considerable
incidence
and
mortality
rates.
Recent
trends
indicate
an
increase
in
the
worldwide
of
metabolic
dysfunction-associated
steatotic
liver
disease
(MASLD)
shift
etiology
HCC,
with
MASLD
replacing
hepatitis
B
virus
as
primary
contributor
new
cases
HCC.
MASLD-related
HCC
exhibits
distinct
characteristics
compared
viral
including
unique
immune
cell
profiles
resulting
overall
more
immunosuppressive
or
exhausted
tumor
microenvironment.
Furthermore,
is
frequently
identified
older
age
groups
among
individuals
cardiometabolic
comorbidities.
Additionally,
greater
percentage
occur
noncirrhotic
patients
those
etiologies,
hindering
early
detection.
However,
current
clinical
practice
guidelines
lack
specific
recommendations
for
screening
patients.
The
evolving
landscape
management
offers
spectrum
therapeutic
options,
ranging
from
surgical
interventions
locoregional
therapies
systemic
treatments,
across
various
stages
disease.
Despite
ongoing
debates,
evidence
does
not
support
differences
optimal
treatment
modalities
based
etiology.
In
this
study,
we
aimed
provide
comprehensive
overview
literature
trends,
characteristics,
implications,
Language: Английский
Exploration of Practical Biomarkers for Systemic Drug Therapy for Hepatocellular Carcinoma
Published: July 17, 2023
A
number
of
agents,
including
immune
checkpoint
inhibitors,
have
become
available
for
the
treatment
hepatocellular
carcinoma
(HCC).
However,
objective
response
rate
these
drugs
is
currently
only
30%
to
40%,
with
a
high
incidence
side
effects.
There
are
also
no
prac-tical
biomarkers
predict
their
therapeutic
Most
systemic
therapies
HCC
performed
in
general
hospitals
without
research
facilities.
Such
can
perform
imaging
tests,
like
CT
and
MRI,
as
well
pathological
diagnosis
using
tumor
tissue
sampling
im-munohistochemical
staining.
analyzing
genomic
or
transcriptomic
profiles
difficult
because
limitations
facilities,
personnel,
cost.
Therefore,
this
review,
we
provide
an
overview
wide
range
that
has
been
conducted
on
from
blood,
tissue,
information
be
used
practically
predicting
effect
before
begins.
For
hos-pitals
treat
patients,
recommend
conducting
after
assessing
state
within
much
possible
by
collecting
blood
samples
per-forming
pre-
MRI
image
evaluations.
Language: Английский