Two important players in poor-prognosis hepatocellular carcinoma: Extrachromosomal circular DNA (eccDNA) and its passenger, the oncogenic miR-17~92 locusThe study by Zou et al [1] provides a comprehensive analysis of extrachromosomal circular DNAs (eccDNA) in human HCC, describing identification of eccDNAs carrying the polycistronic microRNA (miR)-17~92 locus. The authors show that enhanced expression of the encoded miRNAs serves as oncogenic driver in HCC, by downregulating expression of tumor-suppressor proteins. These studies link the polycistronic miR-17~92 locus carried by eccDNA to poor-prognosis and early-onset HCC and opens new research directions toward identifying molecular mechanisms of liver cancer pathogenesis and treatment.With the exception of mitochondrial DNA, extrachromosomal DNA circles are a common feature of cancer cells, found in different sizes and copy numbers. Small eccDNA ranges in size from 100 bps to few megabases (Mb), playing important roles in cancer pathogenesis, evolution of tumor heterogeneity, and drug resistance. [2] EccDNAs are also found in nontumor cells. Interestingly, emerging evidence links eccDNA presence to multiple diseases. [3] How eccDNAs form is not well understood. Models for their mechanism of formation include chromothripsis, DNA damage/double-stand breaks and nonhomologous end-joining, [3] fork stalling and template switching during DNA replication, and R-loop formation during transcription, [4,5] among other mechanisms. EccDNAs likely contribute in forming the larger cancer-specific circular extrachromosomal DNAs (ecDNA) by fusion of noncontiguous chromosomal segments. These cancer-specific ecDNAs are in the megabase-size range, carry oncogenes, and often reinsert into the genome generating the homogeneously staining regions (HSRs) and resulting in gene amplifications. [2,3] EcDNAs have been found to harbor well-known oncogenes including MYC or EGFR, among others. Importantly, MYC is the most amplified gene across all cancers, including HCC. [6] In turn, MYC as a