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
中科院分区:
文献类型:
--
作者:
Yang P;Markowitz GJ;Wang XF
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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