This invention belongs to the field of
liver disease research and
biomedicine, specifically relating to the application of reagents targeting and inhibiting OXCT1 in combination with BHB or pharmaceutically acceptable salts thereof in the preparation of anti-HCC drugs. The reagents inhibiting OXCT1 include: siRNA, shRNA,
antisense nucleic acid, and
gene editing reagents that reduce OXCT1 expression; and
small molecule inhibitors, peptides, antibodies, or fusion proteins that inhibit OXCT1
enzyme activity. This invention proposes a novel
therapeutic strategy of targeting and inhibiting OXCT1 in combination with BHB. Studies have shown that targeting and inhibiting OXCT1 can block the pro-
cancer metabolic pathway of BHB, reducing the effective concentration of BHB for its anti-
cancer effect, enabling it to achieve significant anti-
cancer effects at clinically tolerable concentrations and exert a synergistic anti-tumor effect. This invention solves the problem of limited clinical application of high-concentration BHB and provides a new
combination therapy regimen with clinical translational potential for
hepatocellular carcinoma.