Chronic hepatitis C virus infection and pathogenesis of hepatocellular carcinoma.

Chronic hepatitis C virus infection and pathogenesis of hepatocellular carcinoma.
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DOI:
10.1016/j.coviro.2016.09.010
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发表时间:
2016-10
影响因子:
5.9
通讯作者:
Zeisel, Mirjam B.
Zeisel, Mirjam B.
中科院分区:
医学2区
文献类型:
--
作者:
Bandiera, Simonetta;Bian, C. Billie;Hoshida, Yujin;Baumert, Thomas F.;Zeisel, Mirjam B.

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丙型肝炎病毒(HCV)感染是世界范围内晚期肝病和肝细胞癌(HCC)的主要原因之一。虽然有关HCV感染的分子病毒学知识已经取得了显着进展,但导致纤维化、肝硬化和HCC的疾病进展的分子机制仍不清楚。越来越多的实验和临床研究表明,HCV可能通过其蛋白质或转录本直接驱动肝癌发生,和/或通过诱导慢性肝脏炎症间接驱动肝癌发生。尽管有可能通过直接作用的抗病毒治疗根除HCV感染,但HCC的风险仍然存在,尽管仍然缺少估计这种风险的特定生物标志物。因此,需要更好地了解HCV诱导的HCC和更多的生理性肝病模型,以预防癌症的发展。
Hepatitis C virus (HCV) infection is one of the major causes of advanced liver disease and hepatocellular carcinoma (HCC) worldwide. While the knowledge about the molecular virology of HCV infection has markedly advanced, the molecular mechanisms of disease progression leading to fibrosis, cirrhosis and HCC are still unclear. Accumulating experimental and clinical studies indicate that HCV may drive hepatocarcinogenesis directly via its proteins or transcripts, and/or indirectly through induction of chronic liver inflammation. Despite the possibility to eradicate HCV infection through direct-acting antiviral treatment, the risk of HCC persists although specific biomarkers to estimate this risk are still missing. Thus, a better understanding of HCV-induced HCC and more physiological liver disease models are required to prevent cancer development.
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