» Articles » PMID: 37511193

Friend or Foe? Locoregional Therapies and Immunotherapies in the Current Hepatocellular Treatment Landscape

Overview
Journal Int J Mol Sci
Publisher MDPI
Date 2023 Jul 29
PMID 37511193
Authors
Affiliations
Soon will be listed here.
Abstract

Over the last several decades, a number of new treatment options for patients with hepatocellular carcinoma (HCC) have been developed. While treatment decisions for some patients remain clear cut, a large numbers of patients have multiple treatment options, and it can be hard for multidisciplinary teams to come to unanimous decisions on which treatment strategy or sequence of treatments is best. This article reviews the available data with regard to two treatment strategies, immunotherapies and locoregional therapies, with a focus on the potential of locoregional therapies to be combined with checkpoint inhibitors to improve outcomes in patients with locally advanced HCC. In this review, the available data on the immunomodulatory effects of locoregional therapies is discussed along with available clinical data on outcomes when the two strategies are combined.

Citing Articles

Transarterial Chemoembolization With or Without Systemic Therapy for Unresectable Hepatocellular Carcinoma: A Retrospective Comparative Study.

Guo C, Du W, Chen Y, Xiao W, Sun K, Shen Y Cancer Med. 2025; 14(3):e70633.

PMID: 39907261 PMC: 11795419. DOI: 10.1002/cam4.70633.


Liver-Directed Therapy Combined with Systemic Therapy: Current Status and Future Directions.

Young S, Hannallah J, Goldberg D, Khreiss M, Shroff R, Arshad J Semin Intervent Radiol. 2024; 40(6):515-523.

PMID: 38274222 PMC: 10807971. DOI: 10.1055/s-0043-1777711.


Thermal Ablation in the Liver: Heat versus Cold-What Is the Role of Cryoablation?.

DSouza D, Ragulojan R, Guo C, Dale C, Jones C, Talaie R Semin Intervent Radiol. 2024; 40(6):491-496.

PMID: 38274220 PMC: 10807970. DOI: 10.1055/s-0043-1777845.


Advances in Molecular Medicine: Unravelling Disease Complexity and Pioneering Precision Healthcare.

Bustin S, Jellinger K Int J Mol Sci. 2023; 24(18).

PMID: 37762471 PMC: 10531697. DOI: 10.3390/ijms241814168.

References
1.
de la Torre-Alaez M, Matilla A, Varela M, Inarrairaegui M, Reig M, Lledo J . Nivolumab after selective internal radiation therapy for the treatment of hepatocellular carcinoma: a phase 2, single-arm study. J Immunother Cancer. 2022; 10(11). PMC: 9716796. DOI: 10.1136/jitc-2022-005457. View

2.
Garin E, Tselikas L, Guiu B, Chalaye J, Edeline J, De Baere T . Personalised versus standard dosimetry approach of selective internal radiation therapy in patients with locally advanced hepatocellular carcinoma (DOSISPHERE-01): a randomised, multicentre, open-label phase 2 trial. Lancet Gastroenterol Hepatol. 2020; 6(1):17-29. DOI: 10.1016/S2468-1253(20)30290-9. View

3.
Hannon G, Lesch M, Gerber S . Harnessing the Immunological Effects of Radiation to Improve Immunotherapies in Cancer. Int J Mol Sci. 2023; 24(8). PMC: 10138513. DOI: 10.3390/ijms24087359. View

4.
Su T, Wu C, Liu T, Ho C, Liu C . Clinical practice guidelines and real-life practice in hepatocellular carcinoma: A Taiwan perspective. Clin Mol Hepatol. 2023; 29(2):230-241. PMC: 10121301. DOI: 10.3350/cmh.2022.0421. View

5.
Llovet J, Ricci S, Mazzaferro V, Hilgard P, Gane E, Blanc J . Sorafenib in advanced hepatocellular carcinoma. N Engl J Med. 2008; 359(4):378-90. DOI: 10.1056/NEJMoa0708857. View