Given that T3 could activate the AMPK/Raptor pathway, inhibiting the PI3K/Akt/mTOR-induced HIF-1α nuclear translocation, which has been implicated in lenvatinib resistance [47, 48], this study hypothesized a synergistic effect of T3 and lenvatinib in HCC treatment. This evidence concerns the gene HIF1A and hepatocellular carcinoma.