Predictive biomarkers of sorafenib efficacy in advanced hepatocellular carcinoma: Are we getting there?

Abstract:

:Sorafenib is the current standard treatment for advanced hepatocellular carcinoma (HCC), but its efficacy is modest with low response rates and short response duration. Predictive biomarkers for sorafenib efficacy are necessary. However, efforts to determine biomarkers for sorafenib have led only to potential candidates rather than clinically useful predictors. Studies based on patient cohorts identified the potential of blood levels of angiopoietin-2, hepatocyte growth factor, insulin-like growth factor-1, and transforming growth factor-β1 for predicting sorafenib efficacy. Alpha-fetoprotein response, dynamic contrast-enhanced magnetic resonance imaging, and treatment-related side effects may serve as early surrogate markers. Novel approaches based on super-responders or experimental mouse models may provide new directions in biomarker research. These studies identified tumor amplification of FGF3/FGF4 or VEGFA and tumor expression of phospho-Mapk14 and phospho-Atf2 as possible predictive markers that await validation. A group effort that considers various prognostic factors and proper collection of tumor tissues before treatment is imperative for the success of future biomarker research in advanced HCC.

journal_name

World J Gastroenterol

authors

Shao YY,Hsu CH,Cheng AL

doi

10.3748/wjg.v21.i36.10336

subject

Has Abstract

pub_date

2015-09-28 00:00:00

pages

10336-47

issue

36

eissn

1007-9327

issn

2219-2840

journal_volume

21

pub_type

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