Evidence map›Paper›PMID 41007803›Full record

ReviewBiomedicines2025

MicroRNA Landscape in Hepatocellular Carcinoma: Metabolic Re-Wiring, Predictive and Diagnostic Biomarkers, and Emerging Therapeutic Targets.

Dimitris Liapopoulos, Panagiotis Sarantis, Theodora Biniari, Thaleia-Eleftheria Bousou, Eleni-Myrto Trifylli, Ioanna A Anastasiou, Stefania Kokkali, Dimitra Korakaki, Spyridon Pantzios, Evangelos Koustas and 2 more

Abstract readReview
In one paragraph

Review in Biomedicines, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Review
  2. Review
  3. From Theory to Practice: Which Biomarkers Are Ready for Predicting Response in Advanced HCC?Liver international : official journal of the International Association for the Study of the Liver · 2026
    Review
  4. Article
  5. Review
  6. Review
  7. Review
  8. Review
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Dimitris LiapopoulosBiopathological Laboratory, General and Oncology Hospital "Agioi Anargyroi", National and Kapodistrian University of Athens, Timiou Stavrou 14, 145 64 Kifisia, Greece.
Panagiotis SarantisUniversity Pathology Clinic, General and Oncology Hospital "Agioi Anargyroi", National and Kapodistrian University of Athens, Timiou Stavrou 14, 145 64 Kifisia, Greece.ORCID 0000-0001-5848-7905
Theodora BiniariBiopathological Laboratory, General and Oncology Hospital "Agioi Anargyroi", National and Kapodistrian University of Athens, Timiou Stavrou 14, 145 64 Kifisia, Greece.
Thaleia-Eleftheria BousouUniversity Pathology Clinic, General and Oncology Hospital "Agioi Anargyroi", National and Kapodistrian University of Athens, Timiou Stavrou 14, 145 64 Kifisia, Greece.
Eleni-Myrto TrifylliInstitute of Molecular Medicine and Biomedical Research, 115 27 Athens, Greece.ORCID 0000-0002-0080-9032
Ioanna A AnastasiouDiabetes Center, First Department of Propaedeutic Internal Medicine, Medical School, National and Kapodistrian University of Athens, Laiko General Hospital, 115 27 Athens, Greece.ORCID 0000-0002-7560-0575
Stefania KokkaliOncology Unit, Second Department of Medicine, University of Athens, Hippocratio General Hospital of Athens, 115 27 Athens, Greece.ORCID 0000-0001-6531-3866
Dimitra KorakakiInstitute of Molecular Medicine and Biomedical Research, 115 27 Athens, Greece.
Spyridon PantziosHepatogastroenterology Unit, Academic Department of Internal Medicine, General and Oncology Hospital "Agioi Anargyroi", National and Kapodistrian University of Athens, 145 64 Kifisia, Greece.
Evangelos KoustasOncology Department, General Hospital Evangelismos, Ipsilantou 45-47, 106 76 Athens, Greece.
Ioannis ElefsiniotisUniversity Pathology Clinic, General and Oncology Hospital "Agioi Anargyroi", National and Kapodistrian University of Athens, Timiou Stavrou 14, 145 64 Kifisia, Greece.
Michalis V KaramouzisUniversity Pathology Clinic, General and Oncology Hospital "Agioi Anargyroi", National and Kapodistrian University of Athens, Timiou Stavrou 14, 145 64 Kifisia, Greece.ORCID 0000-0003-1369-8201

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hepatocellular carcinoma (HCC) remains a leading cause of cancer-related mortality, in part due to late diagnosis and limited prognostic tools. In recent years, microRNAs, small, non-coding regulators of gene expression, have emerged as key modulators of tumor metabolism, microenvironmental crosstalk, and therapeutic response in HCC. This narrative review synthesizes evidence published from January 2000 through April 2025, focusing on four interrelated themes: (1) miRNA-driven metabolic rewiring; (2) circulating and exosomal miRNAs as diagnostic and (3) predictive biomarkers; (4) miRNA-based therapeutic strategies. We conducted a targeted PubMed search using terms related to HCC, miRNA biology, biomarkers, metabolism, and therapy, supplemented by manual reference mining. Preclinical and clinical studies reveal that loss of tumor-suppressor miRNAs and gain of oncomiRs orchestrate glycolysis, lipid and glutamine metabolism, and stromal-immune remodeling. Circulating miRNA signatures, including single- and multimarker panels, demonstrate diagnostic AUCs up to 0.99 for early-stage HCC and distinguish HCC from cirrhosis more accurately than alpha-fetoprotein. Predictively, miRNAs such as miR-21 and miR-486-3p correlate with sorafenib resistance, while tissue and exosomal miRNAs forecast recurrence and survival after curative therapy. Therapeutic manipulation, restoring tumor-suppressor miRNAs via mimics or AAV vectors and inhibiting oncomiRs with antagomirs or LNA oligonucleotides, yields potent anti-tumor effects in models, affecting cell cycle, apoptosis, angiogenesis, and immune activation. Despite technical and delivery challenges, early-phase trials validate target engagement and inform safety optimization. In this review, we highlight opportunities to integrate miRNA biomarkers into surveillance algorithms and combine miRNA therapeutics with existing modalities, charting a roadmap toward precision-guided management of HCC.

Indexed as

diagnostic biomarkershepatocellular carcinomametabolic rewiringmicroRNAmiRNA-based therapeuticspredictive biomarkers

Identifiers

PMID41007803
PMCPMC12467513

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.