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Supportive therapies for prevention of hepatocellular carcinoma recurrence and preservation of liver function.

World journal of gastroenterology
January 1, 1970
Taro Takami et al. (6 authors)
Journal ArticleReviewHuman StudyMolecular Study
Study Details

Study Goal

The researchers aimed to evaluate the therapeutic potential of peretinoin, a vitamin A-like molecule, in preventing hepatocellular carcinoma (HCC) recurrence and inhibiting tumor growth.

Results Summary

Peretinoin, a vitamin A-like molecule, was shown to target the retinoid nuclear receptor, inducing apoptosis and inhibiting tumor growth in HCC cells. The study suggested potential for combination therapies with iron chelators.

Population

Liver cirrhotic patients with hepatocellular carcinoma (HCC).

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (7)
InterventionDirectionEndpointPopulationDosageImpactClaim #
branched chain amino acids (BCAA) supplementation
neutral
prevention of HCC recurrence and preservation of liver function
liver cirrhotic patients with HCC
-
are important
#1
late evening snack with BCAA
neutral
prevention of HCC recurrence and preservation of liver function
liver cirrhotic patients with HCC
-
are important
#2
viral control after radical treatment
neutral
chemoprevention of HCC recurrence
-
-
is important
#3
sorafenib
neutral
treatment of advanced HCC
-
-
is a standard therapy
#4
peretinoin
decrease
tumor growth
HCC cells
-
targets the retinoid nuclear receptor to induce apoptosis and inhibit tumor growth
#5
iron chelators
decrease
cancer cell growth
-
-
act to prevent cancer cell growth
#6
bone marrow cells
decrease
hepatocarcinogenesis
-
-
potential inhibitory effect
#7
Abstract

Hepatocellular carcinoma (HCC) is one of the deadliest cancers in the world and is associated with a high risk of recurrence. The development of a wide range of new therapies is therefore essential. In this study, from the perspective of supportive therapy for the prevention of HCC recurrence and preservation of liver function in HCC patients, we surveyed a variety of different therapeutic agents. We show that branched chain amino acids (BCAA) supplementation and late evening snack with BCAA, strategies that address issues of protein-energy malnutrition, are important for liver cirrhotic patients with HCC. For chemoprevention of HCC recurrence, we show that viral control after radical treatment is important. We also reviewed the therapeutic potential of antiviral drugs, sorafenib, peretinoin, iron chelators. Sorafenib is a kinase inhibitor and a standard therapy in the treatment of advanced HCC. Peretinoin is a vitamin A-like molecule that targets the retinoid nuclear receptor to induce apoptosis and inhibit tumor growth in HCC cells. Iron chelators, such as deferoxamine and deferasirox, act to prevent cancer cell growth. These chelators may have potential as combination therapies in conjunction with peretinoin. Finally, we review the potential inhibitory effect of bone marrow cells on hepatocarcinogenesis.

Medical Subject Headings (MeSH)
Amino Acids, Branched-ChainAnimalsBone Marrow TransplantationCarcinoma, HepatocellularChemopreventionHepatitis, Viral, HumanHumansLiverLiver NeoplasmsNeoplasm Recurrence, Local
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality80/10
Citation Metrics
Total Citations14
Citations/Year1.6
Relative Citation Ratio0.59
NIH Percentile31.7%
Research Impact Scores
APT Score0.25
Weight Score0.85
Normalized Score0.66
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