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    • What is cancer?
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      • View 45 other cancers
    • Coping with a diagnosis
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      • Immunotherapy
      • Targeted therapy
      • Hormone therapy
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    • Managing side effects
      • Fatigue
      • Taste and smell changes
      • Hair loss
      • Pain and cancer
      • Peripheral neuropathy
      • Changes in thinking and memory
      • Lymphoedema
      • Mouth health
      • Nutrition and cancer
      • Breast prostheses and reconstruction
      • Fertility
      • Sexuality
    • Supporting someone with cancer
      • Caring for someone with cancer
      • Caring for someone with advanced cancer
      • Family and friends
      • Supportive schools
      • Supportive workplaces
      • Caring for mob with cancer
    • Living well during and after treatment
      • Nutrition and cancer
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    Our cancer helpline consultants are ready for your call to support all people impacted by cancer. We may be able to assist with direct support services or by putting you in touch with other people who can support you.
    • 13 11 20 – Speak to a cancer professional
    • How can we help you
      • Accommodation during treatment
      • Cancer Counselling
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    • Coping with a diagnosis
      • Coping with emotions
      • Talking to kids about cancer
      • Cancer and your finances
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    • Cancer stories
    • Cancer podcasts
    • Meditation and relaxation podcasts
  • Preventing Cancer
    Discover lifestyle choices to minimise your risk of getting cancer and the importance of screening and early detection for cancer survival.
    • Healthy diet and exercise
      • Limit alcohol
      • Be a healthy weight
      • Move more, sit less
      • Healthy Made Tasty
      • Our Kids Our Call
    • Quit smoking and vaping
      • Quit smoking
      • Tackling Tobacco
      • Smoke free environments
      • Electronic cigarettes
      • Generation Vape
    • Sun protection
      • Slip on a shirt
      • Slop on sunscreen
      • Slap on a hat
      • Seek shade
      • Slide on sunglasses
      • SunSmart NSW website
      • Improve your long game
      • Outdoor workers
      • Sporting groups
      • Buy sun protection products online
    • Screening and early detection
      • Cervical screening
      • Bowel cancer screening
      • Breast cancer screening
      • Lung cancer screening
      • Testicular cancer
      • Prostate cancer
      • Ovarian cancer
      • Liver cancer and hepatitis B
      • Check for skin cancer
    • CanAct – campaigning for better policies
    • Cancer Council shops
  • Research
    Research programs save lives, improve treatments and quality of life for cancer survivors.
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  • A new approach to fighting drug resistance in liver cancer

A new approach to fighting drug resistance in liver cancer

Westmead Institute for Medical Research 2018-2020

Background

Liver cancer incidence is increasing in Australia and has a high mortality rate. It is one of the top 10 causes of cancer death. Unfortunately liver cancer frequently recurs and spreads. Also, patients quickly develop resistance to the only drug available to treat advanced forms of the disease, sorafenib.  The benefit from sorafenib only lasts on average just 12 weeks.

The research

Cells known as stem cells that exist within a liver cancer are known to play a key role in the progression of liver cancer and the development of resistance to drugs. But attempts to target and kill these stem cells have been disappointing.

This project focuses on using aptamer molecules, also known as chemical antibodies, to target liver cancer stem cells. Prof George and his team have generated aptamers against two important surface markers that identify liver cancer stem cells. They have also shown these aptamers can be combined with a widely used anticancer drug to form a ‘therapeutic complex’.

In proof-of-concept studies, they have shown that these therapeutic complexes can enter and kill liver cancer stem cells in laboratory studies, and that the effects on mice do not seem toxic. The next step is to test the approach further in relevant animal models.

The impact

If the work on animal models shows the aptamer approach is successful, it should help advanced liver cancer drug treatment with sorafenib to be more effective. This would be a very significant advance for liver cancer patients with potential for immediate translation into improved patient care.  Since stem cells are not unique to liver cancer, the work may ultimately also have broader implications for treating other cancer types.

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