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Zhu et al. Hepatoma Res 2017;3:129-40                                Hepatoma Research
           DOI: 10.20517/2394-5079.2017.14
                                                                                                  www.hrjournal.net
            Review                                                                              Open Access

           Function of myeloid cell leukaemia-1 and

           its regulative relations with hepatocellular

           carcinoma



           Man Zhu, Yan-Min Zhang

           School of Pharmacy, Health Science Center, Xi'an Jiaotong University, Xi’an 710061, Shaanxi, China.

           Correspondence to: Dr. Yan-Min Zhang, School of Pharmacy, Health Science Center, Xi'an Jiaotong University, Xi’an 710061, Shaanxi, China. E-mail:
           zhang2008@mail.xjtu.edu.cn
           How to cite this article: Zhu M, Zhang YM. Function of myeloid cell leukaemia-1 and its regulative relations with hepatocellular carcinoma.
           Hepatoma Res 2017;3:129-40.


                                         ABSTRACT
            Article history:              Hepatocellular carcinoma (HCC) remains a challenging disease with a high recurrence rate
            Received: 07-04-2017          after surgery and there is an imminent need to identify new treatments. Currently, adjuvant
            Accepted: 12-06-2017          therapy like chemotherapeutics arises to counteract the malignant trait escaping from apoptosis
            Published: 06-07-2017         of tumors induced by overexpressed anti-apoptotic factors in HCC. Myeloid cell leukaemia-1
                                          (Mcl-1) as an anti-apoptotic member of Bcl-2 is highly expressed in diverse human cancers,
            Key words:                    which contributes to cancer cell survival and the resistance to diverse chemotherapeutic
            Myeloid cell leukaemia-1,     agents. It is confirmed that Mcl-1 protein expression is quite enhanced in human HCC tissue
            apoptosis,                    compared to adjacent non-tumor tissue. Correspondingly, forced Mcl-1 down-regulation
            hepatocellular carcinoma,     leads to prominent apoptosis of HCC cells and a sensitization towards chemotherapeutic
            target                        drug-induced apoptosis, which indicates Mcl-1 is indeed a crucial regulatory factor of HCC.
                                          Hence, this review highlights the function of Mcl-1 on HCC progression, how it is regulated
                                          in HCC and the recent anti-hepatoma drug research and development down-regulation of
                                          Mcl-1 or targeting on Mcl-1. Meanwhile, the authors discuss Mcl-1 as an essential regulatory
                                          factor in HCC can be designed as target for drugs to improve the survival of HCC patients.


           INTRODUCTION                                       were at early stage, whereas the majority of patients
                                                              with  advanced  disease  undergone  the torture of
           Hepatocellular carcinoma (HCC), being the sixth most   illness and were not suitable to receive surgery due to
           common  cancer worldwide,  represents  the second   various reasons. [2,3]  Although chemotherapy is known
           most common cause of cancer-related mortality in the   as a vital management  for advanced  HCC, inherent
           world  and the incidence and mortality rates continue   resistance to chemotherapeutics by HCC cells makes
                [1]
           to rise all over the world. The main reasons may be late   it hard to have a good effect on the disease. Therefore,
           diagnosis and poor treatment options. To date, surgical   identification of new drugs targeting different signaling
           resection, local treatment and liver transplantation can   pathways is urgently needed to improve the survival of
           only cure a small number of patients whose disease   HCC patients.  This  review summarizes the  current
                                                                           [4]
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