作为治疗肝纤维化和肝细胞癌靶点的紧密连接蛋白

IF 4.3 3区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Seminars in liver disease Pub Date : 2024-04-22 DOI:10.1055/s-0044-1785646
Antonio Saviano, Natascha Roehlen, Thomas F. Baumert
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引用次数: 0

摘要

近十年来,暴露在肝细胞或癌细胞表面的紧密连接蛋白被发现是肝病生物学的介质:Claudin-1和Occludin是丙型肝炎病毒进入的宿主因子,Claudin-1已被确定为肝纤维化和肝细胞癌(HCC)的驱动因子。此外,Claudins 已成为肝病和 HCC 的治疗靶点。CLDN1 在肝纤维化和 HCC 中表达上调。针对 Claudin-1 的单克隆抗体(mAbs)已经完成了治疗肝纤维化和 HCC 的临床前概念验证研究,目前正在进行治疗晚期肝纤维化的临床开发。Claudin-6过表达与HCC侵袭性表型和耐药性有关。目前正在临床研究针对Claudin-6过表达肿瘤的Claudin-6 mAbs或嵌合抗原受体-T细胞疗法。总之,靶向 Claudin 蛋白为治疗晚期肝纤维化和 HCC 患者提供了一个新的临床机会。
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Tight Junction Proteins as Therapeutic Targets to Treat Liver Fibrosis and Hepatocellular Carcinoma.
In the last decade tight junction proteins exposed at the surface of liver or cancer cells have been uncovered as mediators of liver disease biology: Claudin-1 and Occludin are host factors for hepatitis C virus entry and Claudin-1 has been identified as a driver for liver fibrosis and hepatocellular carcinoma (HCC). Moreover, Claudins have emerged as therapeutic targets for liver disease and HCC. CLDN1 expression is upregulated in liver fibrosis and HCC. Monoclonal antibodies (mAbs) targeting Claudin-1 have completed preclinical proof-of-concept studies for treatment of liver fibrosis and HCC and are currently in clinical development for advanced liver fibrosis. Claudin-6 overexpression is associated with an HCC aggressive phenotype and treatment resistance. Claudin-6 mAbs or chimeric antigen receptor-T cells therapies are currently being clinically investigated for Claudin-6 overexpressing tumors. In conclusion, targeting Claudin proteins offers a novel clinical opportunity for the treatment of patients with advanced liver fibrosis and HCC.
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来源期刊
Seminars in liver disease
Seminars in liver disease 医学-胃肠肝病学
CiteScore
8.20
自引率
2.40%
发文量
38
期刊介绍: Seminars in Liver Disease is a quarterly review journal that publishes issues related to the specialties of hepatology and gastroenterology. As the premiere review journal in the field, Seminars in Liver Disease provides in-depth coverage with articles and issues focusing on topics such as cirrhosis, transplantation, vascular and coagulation disorders, cytokines, hepatitis B & C, Nonalcoholic Steatosis Syndromes (NASH), pediatric liver diseases, hepatic stem cells, porphyrias as well as a myriad of other diseases related to the liver. Attention is also given to the latest developments in drug therapy along with treatment and current management techniques. Seminars in Liver Disease publishes commissioned reviews. Unsolicited reviews of an exceptional nature or original articles presenting remarkable results will be considered, but case reports will not be published.
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