Mechanisms of HBV-related hepatocarcinogenesis.

Abstract:

:The hepatitis B virus (HBV) is a small enveloped DNA virus, which primarily infects hepatocytes and causes acute and persistent liver disease. Epidemiological studies have provided overwhelming evidence for a causal role of chronic HBV infection in the development of hepatocellular carcinoma, but the molecular mechanisms underlying virally-induced tumourigenesis remain largely debated. In the absence of a dominant oncogene encoded by the HBV genome, indirect roles have been proposed, including insertional activation of cellular cancer-related genes by HBV DNA integration, induction of genetic instability by viral integration or by the regulatory protein HBx, and long-term effects of viral proteins in enhancing immune-mediated liver disease. Recent genetic studies indicate that HBV-related tumours display a distinctive profile with a high rate of chromosomal alterations and low frequency of beta-catenin mutations. This review will discuss the evidence implicating chronic HBV infection as a causal risk factor of primary liver cancer. It will also discuss the molecular mechanisms that are critical for the tumourigenic process due to long lasting infection with HBV.

journal_name

J Hepatol

journal_title

Journal of hepatology

authors

Neuveut C,Wei Y,Buendia MA

doi

10.1016/j.jhep.2009.10.033

subject

Has Abstract

pub_date

2010-04-01 00:00:00

pages

594-604

issue

4

eissn

0168-8278

issn

1600-0641

pii

S0168-8278(09)00818-6

journal_volume

52

pub_type

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