Wnt signaling in liver regeneration, disease, and cancer.

Wnt signaling in liver regeneration, disease, and cancer.
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DOI:
10.3350/cmh.2022.0058
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发表时间:
2023-01
影响因子:
8.9
通讯作者:
Park, Jae-Il
Park, Jae-Il
中科院分区:
医学2区
文献类型:
--
作者:
Zou, Gengyi;Park, Jae-Il

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肝脏在急性损伤后恢复率最高。然而,在慢性肝病中,肝细胞的长期损失常常导致不良后果,如纤维化、肝硬化和肝癌。Wnt信号在肝脏再生和肿瘤发生中起着关键作用。因此,操纵Wnt信号已成为治疗包括癌症在内的肝脏疾病的一种有吸引力的方法。然而,考虑到Wnt信号在生理过程中的关键作用,阻断Wnt信号也会导致一些不良反应。最近的研究已经确定了Wnt信号的癌症特异性调节因子,这将克服Wnt信号靶点方法的局限性。在这篇综述中,我们讨论了Wnt信号在肝脏再生、癌前病变和肝癌中的作用。此外,我们总结了Wnt信号阻断的基础和临床方法,并提出了肿瘤特异性Wnt信号阻断治疗肝癌的治疗前景。
The liver exhibits the highest recovery rate from acute injuries. However, in chronic liver disease, the long-term loss of hepatocytes often leads to adverse consequences such as fibrosis, cirrhosis, and liver cancer. The Wnt signaling plays a pivotal role in both liver regeneration and tumorigenesis. Therefore, manipulating the Wnt signaling has become an attractive approach to treating liver disease, including cancer. Nonetheless, given the crucial roles of Wnt signaling in physiological processes, blocking Wnt signaling can also cause several adverse effects. Recent studies have identified cancer-specific regulators of Wnt signaling, which would overcome the limitation of Wnt signaling target approaches. In this review, we discussed the role of Wnt signaling in liver regeneration, precancerous lesion, and liver cancer. Furthermore, we summarized the basic and clinical approaches of Wnt signaling blockade and proposed the therapeutic prospects of cancer-specific Wnt signaling blockade for liver cancer treatment.
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