RAS/RAF/MEK/ERK, PI3K/PTEN/AKT/mTORC1 and TP53 pathways and regulatory miRs as therapeutic targets in hepatocellular carcinoma

Introduction: Hepatocellular carcinoma (HCC) is a significant problem globally because of viral infections and the increasing incidence of obesity and fatty liver disease. However, it is difficult to treat because its inherent genetic heterogeneity results in activation of numerous signaling pathways. Kinases have been targeted for decades with varying results, but the development of therapeutic resistance is a major challenge.Areas covered: The key roles of the RAS/RAF/MEK/ERK, PI3K/PTEN/AKT/mTORC1, TP53 microRNAs (miRs) as therapeutic targets are discussed and we suggests novel approaches for targeting miRs or their downstream targets to combat HCC. We performed literature searches using the Medline Database from 2000 to the present.Expert opinion: The involvement of RAS/RAF/MEK/ERK, PI3K/PTEN/AKT/mTORC and TP53 pathways as drivers of the disease and drug resistance is a challenge. Moreover, miRs regulate the expression of key genes in these pathways. What we and others are proposing is the prospect of targeting miRs and their downstream targets to improve conventional approaches to treat HCC. Combination approaches are often promising because multiple signaling pathways are deregulated due to diverse mutations and events.

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:23

Enthalten in:

Expert opinion on therapeutic targets - 23(2019), 11 vom: 15. Nov., Seite 915-929

Sprache:

Englisch

Beteiligte Personen:

Akula, Shaw M [VerfasserIn]
Abrams, Stephen L [VerfasserIn]
Steelman, Linda S [VerfasserIn]
Emma, Maria R [VerfasserIn]
Augello, Giuseppa [VerfasserIn]
Cusimano, Antonella [VerfasserIn]
Azzolina, Antonina [VerfasserIn]
Montalto, Giuseppe [VerfasserIn]
Cervello, Melchiorre [VerfasserIn]
McCubrey, James A [VerfasserIn]

Links:

Volltext

Themen:

Antineoplastic Agents
Cancer
HCC
Hepatocellular carcinoma
Journal Article
MicroRNAs
Mirs
PI3K/PTEN/AKT
RAS/RAF/MEK/ERK
Research Support, Non-U.S. Gov't
Review
Signal transduction inhibitors
TP53
Targeted therapy

Anmerkungen:

Date Completed 11.03.2020

Date Revised 11.03.2020

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/14728222.2019.1685501

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM302627073