The role of inflammasomes in hepatocellular carcinoma: Mechanisms and therapeutic insights

Hepatocellular carcinoma is among the most frequent forms of primary liver cancer and develops within a context of chronic inflammation, frequently associated with a multitude of risk factors, including viral infections, metabolic dysfunction-associated fatty liver disease, metabolic dysfunction-ass...

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Main Authors: Valentina Arrè, Roberto Negro, Gianluigi Giannelli
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Annals of Hepatology
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Online Access:http://www.sciencedirect.com/science/article/pii/S1665268124005556
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author Valentina Arrè
Roberto Negro
Gianluigi Giannelli
author_facet Valentina Arrè
Roberto Negro
Gianluigi Giannelli
author_sort Valentina Arrè
collection DOAJ
description Hepatocellular carcinoma is among the most frequent forms of primary liver cancer and develops within a context of chronic inflammation, frequently associated with a multitude of risk factors, including viral infections, metabolic dysfunction-associated fatty liver disease, metabolic dysfunction-associated steatohepatitis and liver fibrosis. The tumor microenvironment is crucial for the progression of HCC, as immune cells, tumor-associated fibroblasts and hepatic stellate cells interact to promote chronic inflammation and tumor spread. Inflammasomes, the multiprotein complexes that launch the innate immune response, emerge as important mediators in the pathogenesis of HCC. Among others, the inflammasome Nucleotide-binding oligomerization domain, Leucine rich Repeat (NLR) and Pyrin (NLRP) 3 (NLRP3), and absent in melanoma 2 (AIM2), exhibit a dual role in HCC background. It has been reported that they can exert oncosuppressive functions by triggering the inflammatory death of cancer cells. Vice versa, chronic activation contributes to the development of a pro-tumorigenic environment, thus supporting tumor growth. In addition, other inflammasomes such as Nucleotide-binding oligomerization domain, Leucine rich Repeat (NLR) and Pyrin (NLRP) 6 and 12 (NLRP6 and NLRP12, respectively) regulate HCC onset and progression, although more experimental evidence is required. This review focuses on the molecular mechanisms underpinning the inflammasome's contribution to the onset, progression and spread of HCC. Moreover, we will explore the potential therapeutic approaches currently under investigation, which aim to improve the efficacy and reduce the side effects of the treatments currently available. Targeting inflammasomes may be a promising therapeutic strategy for the treatment of HCC, offering new opportunities to improve patient prognosis.
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spelling doaj-art-80243eddd87d4bbea06d22509826694f2025-01-26T05:03:38ZengElsevierAnnals of Hepatology1665-26812025-01-01301101772The role of inflammasomes in hepatocellular carcinoma: Mechanisms and therapeutic insightsValentina Arrè0Roberto Negro1Gianluigi Giannelli2Personalized Medicine Laboratory, National Institute of Gastroenterology “S. de Bellis”, IRCCS Research Hospital, Via Turi 27, Castellana Grotte, 70013 Bari, Italy; Corresponding authors.Personalized Medicine Laboratory, National Institute of Gastroenterology “S. de Bellis”, IRCCS Research Hospital, Via Turi 27, Castellana Grotte, 70013 Bari, ItalyScientific Direction, National Institute of Gastroenterology, “S. de Bellis”, IRCCS Research Hospital, Via Turi 27, Castellana Grotte, 70013 Bari, Italy; Corresponding authors.Hepatocellular carcinoma is among the most frequent forms of primary liver cancer and develops within a context of chronic inflammation, frequently associated with a multitude of risk factors, including viral infections, metabolic dysfunction-associated fatty liver disease, metabolic dysfunction-associated steatohepatitis and liver fibrosis. The tumor microenvironment is crucial for the progression of HCC, as immune cells, tumor-associated fibroblasts and hepatic stellate cells interact to promote chronic inflammation and tumor spread. Inflammasomes, the multiprotein complexes that launch the innate immune response, emerge as important mediators in the pathogenesis of HCC. Among others, the inflammasome Nucleotide-binding oligomerization domain, Leucine rich Repeat (NLR) and Pyrin (NLRP) 3 (NLRP3), and absent in melanoma 2 (AIM2), exhibit a dual role in HCC background. It has been reported that they can exert oncosuppressive functions by triggering the inflammatory death of cancer cells. Vice versa, chronic activation contributes to the development of a pro-tumorigenic environment, thus supporting tumor growth. In addition, other inflammasomes such as Nucleotide-binding oligomerization domain, Leucine rich Repeat (NLR) and Pyrin (NLRP) 6 and 12 (NLRP6 and NLRP12, respectively) regulate HCC onset and progression, although more experimental evidence is required. This review focuses on the molecular mechanisms underpinning the inflammasome's contribution to the onset, progression and spread of HCC. Moreover, we will explore the potential therapeutic approaches currently under investigation, which aim to improve the efficacy and reduce the side effects of the treatments currently available. Targeting inflammasomes may be a promising therapeutic strategy for the treatment of HCC, offering new opportunities to improve patient prognosis.http://www.sciencedirect.com/science/article/pii/S1665268124005556Hepatocellular carcinomaInflammasomeNLRP3AIM2Therapeutic approach
spellingShingle Valentina Arrè
Roberto Negro
Gianluigi Giannelli
The role of inflammasomes in hepatocellular carcinoma: Mechanisms and therapeutic insights
Annals of Hepatology
Hepatocellular carcinoma
Inflammasome
NLRP3
AIM2
Therapeutic approach
title The role of inflammasomes in hepatocellular carcinoma: Mechanisms and therapeutic insights
title_full The role of inflammasomes in hepatocellular carcinoma: Mechanisms and therapeutic insights
title_fullStr The role of inflammasomes in hepatocellular carcinoma: Mechanisms and therapeutic insights
title_full_unstemmed The role of inflammasomes in hepatocellular carcinoma: Mechanisms and therapeutic insights
title_short The role of inflammasomes in hepatocellular carcinoma: Mechanisms and therapeutic insights
title_sort role of inflammasomes in hepatocellular carcinoma mechanisms and therapeutic insights
topic Hepatocellular carcinoma
Inflammasome
NLRP3
AIM2
Therapeutic approach
url http://www.sciencedirect.com/science/article/pii/S1665268124005556
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