2021
DOI: 10.2147/jhc.s307962
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The Mechanisms of HBV-Induced Hepatocellular Carcinoma

Abstract: Hepatocellular carcinoma (HCC) is a common malignancy, and the hepatitis B virus (HBV) is its major pathogenic factor. Over the past decades, it has been confirmed that HBV infection could promote disease progression through a variety of mechanisms, ultimately leading to the malignant transformation of liver cells. Many factors have been identified in the pathogenesis of HBV-associated HCC (HBV-HCC), including HBV gene integration, genomic instability caused by mutation, and activation of cancer-promoting sign… Show more

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Cited by 136 publications
(92 citation statements)
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“…Mutations of the viral genome causing biological behavior changes may have crucial effects on HBV pathogenicity and are closely associated with the malignant transition of liver cancer ( 21 ). The occurrence of HBV-associated HCC is a complex process.…”
Section: Epidemiologymentioning
confidence: 99%
“…Mutations of the viral genome causing biological behavior changes may have crucial effects on HBV pathogenicity and are closely associated with the malignant transition of liver cancer ( 21 ). The occurrence of HBV-associated HCC is a complex process.…”
Section: Epidemiologymentioning
confidence: 99%
“…Upon loss of this balance, abnormally regulated genes promote aberrant signal transmission in the cell, in turn triggering dysregulation of metabolism, uncontrolled growth, immune imbalance, inflammation, and other malignant tumor-like changes that lead to the development of tumors over time. Various mechanisms, including epigenetics, exosomes, autophagy, metabolic regulation, and immune suppression, are under investigation in association with HCC, resulting in the gradual functional characterization of several uncontrolled genes [5].…”
Section: Pathological Characteristics and Clinical Development Of Hccmentioning
confidence: 99%
“…HBV-induced hepatocarcinogenesis is a multistep process associated with changes in host gene expression, some of which have transforming and oncogenic potential. The HBV regulatory X protein (HBx) has been demonstrated to be involved in numerous mechanisms of oncogenesis by its interaction with a variety of host proteins [158].…”
Section: Regulation Of Mta1 Expression In Hbv-hccmentioning
confidence: 99%