“…During chronic infection, HBV integrates into host DNA and expresses two transcriptional activators, both of which trigger activation of the RAF/MEK/ERK pathway (Stockl et al, 2003). The first activator, HBX protein, interacts with PIN1 (also overexpressed in HCC) (Pang et al, 2007), which may enhance activation of the MAPK pathway through dephosphorylation of CRAF, promoting its activation by RAS (Dougherty et al, 2005), whereas the second activator, PreS2-activator large surface protein, activates the pathway through a protein kinase C-dependent mechanism (Stockl et al, 2003). Note that we have previously shown that when CRAF is activated downstream of protein kinase C, it occurs in a RAS-dependent manner (Marais et al, 1998) and hence it seems likely that CRAF activation downstream of protein kinase C in HCC cells is also RAS dependent.…”