Hepatocellular carcinoma (HCC) is the main cause of cancer deaths worldwide, which is the leading type of primary liver cancer. At present, treatments for HCC mainly consist of surgery, chemotherapy, radiofrequency ablation, and liver transplantation, all of which are not always satisfactory. Due to the high heterogeneity of tumors, patients with HCC have a poor prognosis and high mortality, with a 5-year survival rate of 18%. Therefore, it is necessary to excavate more effective prognostic biomarkers for therapeutic targets and clinical decisions. Glycosylation is a complex form of protein modification in the biological process that inserts sugar chains into macromolecules such as proteins, DNA, and lipids, which directly leads to the mutation or inactivation of biological macromolecules. Aberrant glycosylation directly impacts key processes supporting tumor progression and metastasis. Sustained high glucose can produce irreversible toxic products, thereby accelerating HCC proliferation and metastasis.
Fig.1 Representation depicting the glycolytic pathway in liver tumors. (Lee, et al., 2018)
HCC is the main cause of cancer-related mortality worldwide. Glycosylation is a ubiquitous and important post-translational modification. More and more evidence shows that the glycosylation pattern in tumors is significantly changed, and abnormal glycosylation patterns are used as diagnostic biomarkers or therapeutic targets.
Liver Cancer and Glycogenes | ||||
HK2 (Hexokinase 2) |
ALDOA (Aldolase A) |
PKM2 (Pyruvate kinase M2) |
ST6GALNAC4 | AFP (Alpha-fetoprotein) |
CA-125 (Carbohydrate antigen) |
CEA (Carcinoembryonic antigen) |
GP73 (Golgi glycoprotein 73) |
GPC-3 (Glypican-3) |
A1AT (Alpha-1 antitrypsin) |
FN (Fibronectin) |
OPN (Osteopontin) |
Kng-1 (Kininogen 1) |
FN (Fibronectin) |
HPX (Hemopexin) |
Apo-J (Apolipoprotein J) |
PON1 (Paraoxonase 1) |
DCP (Des-carboxyprothrombin) |
AKR1B10 | CTCs (Circulating tumor cells) |
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