Hepatocellular carcinoma (HCC, LIHC) is a kind of primary liver cancer with high mortality. 1 Genetic and epigenetic changes, chronic hepatitis B, hepatitis C virus infection, aflatoxin exposure, smoking, obesity, and diabetes are the main risk factors for HCC. 2 In recent years, many studies focused on the molecular pathogenesis of HCC and found a series of genetic and epigenetic events that promote the tumorigenesis and development of HCC. 3 Oxidative stress is usually increased in HCC, resulting in the increase of reactive oxygen species (ROS), then resulting in DNA damage, affecting the regulation of cell proliferation-related pathways, thus promoting the tumorigenesis and development of HCC. 4 The repair methods of DNA damage include mismatch repair, excision repair,