Journal of International Oncology ›› 2019, Vol. 46 ›› Issue (5): 303-306.doi: 10.3760/cma.j.issn.1673-422X.2019.05.011

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Efficacy prediction and molecular mechanism of thyroid hormone levels and multi-target TKI therapy for renal cell carcinoma and hepatocellular carcinoma

Sun Yueqin, Li Aimin, Luo Yue, Song Zhenghui, Zhuang Xuefen, Dai Guanqi, Liu Xinhui   

  1. Department of Hepatobiliary and Pancreatic Oncology, Integrated Hospital of Traditional Chinese Medicine, Southern Medical University, Guangzhou 510315, China
  • Received:2019-02-22 Online:2019-05-08 Published:2019-06-14
  • Contact: Liu Xinhui E-mail:liuxinhui89@126.com
  • Supported by:

    National Natural Science Foundation of China (81572797); Natural Science Foundation of Guangdong Province of China (2016A030311015); Science and Technology Project of Guangzhou City of China (201604020009)

Abstract: Hypothyroidism is a common adverse reaction in clinical multi-target tyrosine kinase inhibitor  (TKI) and may be used as a predictor of efficacy of TKI drugs. Studies show that hypothyroidism is significantly associated with good prognosis in patients with renal cell carcinoma treated with multi-target TKI, which may be related to inhibition of vascular endothelial growth factor receptor pathway, potential offtarget effects and inhibition of cell proliferation. Whereas in the patients with hepatocellular carcinoma who received multi-target TKI therapy, hypothyroidism is an indicator of poor prognosis, which is related to the T3/TR pathway regulating liver cancer growth and invasion. The predictive function and mechanism of thyroid hormone levels in different tumor patients receiving multi-target TKI drugs are different, and further research is still needed.

Key words: Thyroid hormones, Neoplasms, Prognosis, Tyrosine kinase inhibitors