The hepatitis B virus-associated tumor microenvironment in hepatocellular carcinoma.

The hepatitis B virus-associated tumor microenvironment in hepatocellular carcinoma.
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DOI:
10.1093/nsr/nwu038
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发表时间:
2014-07-14
影响因子:
20.6
通讯作者:
Wang XF
Wang XF
中科院分区:
综合性期刊1区
文献类型:
--
作者:
Yang P;Markowitz GJ;Wang XF

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与大多数癌症类型相反,肝细胞癌(HCC)的发生与慢性病变的肝组织密切相关,其中最普遍的病因学因素之一是肝炎B病毒(HBV)。HBV相关性HCC中的肝脏转化通常伴随或伴随慢性肝炎、炎症和肝硬化的长期症状,病毒载量是HCC发病率和进展的强有力预测因素。除了帮助转化外,HBV在调节微环境的细胞组分(如免疫细胞和成纤维细胞)和微环境的非细胞组分(如细胞因子和生长因子)的积累和活化方面起着至关重要的作用,显著影响疾病进展和预后。本综述将探讨其中的一些组成部分和机制,以证明这两个潜在的主题和固有的复杂性,这些相互作用的系统在HBV阳性肝癌的启动,进展和转移。
In contrast to a majority of cancer types, the initiation of hepatocellular carcinoma (HCC) is intimately associated with a chronically diseased liver tissue, with one of the most prevalent etiological factors being hepatitis B virus (HBV). Transformation of the liver in HBV-associated HCC often follows from or accompanies long-term symptoms of chronic hepatitis, inflammation and cirrhosis, and viral load is a strong predictor for both incidence and progression of HCC. Besides aiding in transformation, HBV plays a crucial role in modulating the accumulation and activation of both cellular components of the microenvironment, such as immune cells and fibroblasts, and non-cellular components of the microenvironment, such as cytokines and growth factors, markedly influencing disease progression and prognosis. This review will explore some of these components and mechanisms to demonstrate both underlying themes and the inherent complexity of these interacting systems in the initiation, progression, and metastasis of HBV-positive HCC.
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