Beyond the Usual Suspects: Hepatitis E Virus and Its Implications in Hepatocellular Carcinoma

Hepatitis E virus infections are the leading cause of viral hepatitis in humans, contributing to an estimated 3.3 million symptomatic cases and almost 44,000 deaths annually. Recently, HEV infections have been found to result in chronic liver infection and cirrhosis in severely immunocompromised pat...

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Autores principales: Mara Klöhn, Jil Alexandra Schrader, Yannick Brüggemann, Daniel Todt, Eike Steinmann
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Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/6cdd1289c40c4d24905a962dac34477f
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spelling oai:doaj.org-article:6cdd1289c40c4d24905a962dac34477f2021-11-25T17:04:55ZBeyond the Usual Suspects: Hepatitis E Virus and Its Implications in Hepatocellular Carcinoma10.3390/cancers132258672072-6694https://doaj.org/article/6cdd1289c40c4d24905a962dac34477f2021-11-01T00:00:00Zhttps://www.mdpi.com/2072-6694/13/22/5867https://doaj.org/toc/2072-6694Hepatitis E virus infections are the leading cause of viral hepatitis in humans, contributing to an estimated 3.3 million symptomatic cases and almost 44,000 deaths annually. Recently, HEV infections have been found to result in chronic liver infection and cirrhosis in severely immunocompromised patients, suggesting the possibility of HEV-induced hepatocarcinogenesis. While HEV-associated formation of HCC has rarely been reported, the expansion of HEV’s clinical spectrum and the increasing evidence of chronic HEV infections raise questions about the connection between HEV and HCC. The present review summarizes current clinical evidence of the relationship between HEV and HCC and discusses mechanisms of virus-induced HCC development with regard to HEV pathogenesis. We further elucidate why the development of HEV-induced hepatocellular carcinoma has so rarely been observed and provide an outlook on possible experimental set-ups to study the relationship between HEV and HCC formation.Mara KlöhnJil Alexandra SchraderYannick BrüggemannDaniel TodtEike SteinmannMDPI AGarticlehepatitis E virushepatocellular carcinomachronic infectioncarcinogenesisoncovirusNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENCancers, Vol 13, Iss 5867, p 5867 (2021)
institution DOAJ
collection DOAJ
language EN
topic hepatitis E virus
hepatocellular carcinoma
chronic infection
carcinogenesis
oncovirus
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle hepatitis E virus
hepatocellular carcinoma
chronic infection
carcinogenesis
oncovirus
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Mara Klöhn
Jil Alexandra Schrader
Yannick Brüggemann
Daniel Todt
Eike Steinmann
Beyond the Usual Suspects: Hepatitis E Virus and Its Implications in Hepatocellular Carcinoma
description Hepatitis E virus infections are the leading cause of viral hepatitis in humans, contributing to an estimated 3.3 million symptomatic cases and almost 44,000 deaths annually. Recently, HEV infections have been found to result in chronic liver infection and cirrhosis in severely immunocompromised patients, suggesting the possibility of HEV-induced hepatocarcinogenesis. While HEV-associated formation of HCC has rarely been reported, the expansion of HEV’s clinical spectrum and the increasing evidence of chronic HEV infections raise questions about the connection between HEV and HCC. The present review summarizes current clinical evidence of the relationship between HEV and HCC and discusses mechanisms of virus-induced HCC development with regard to HEV pathogenesis. We further elucidate why the development of HEV-induced hepatocellular carcinoma has so rarely been observed and provide an outlook on possible experimental set-ups to study the relationship between HEV and HCC formation.
format article
author Mara Klöhn
Jil Alexandra Schrader
Yannick Brüggemann
Daniel Todt
Eike Steinmann
author_facet Mara Klöhn
Jil Alexandra Schrader
Yannick Brüggemann
Daniel Todt
Eike Steinmann
author_sort Mara Klöhn
title Beyond the Usual Suspects: Hepatitis E Virus and Its Implications in Hepatocellular Carcinoma
title_short Beyond the Usual Suspects: Hepatitis E Virus and Its Implications in Hepatocellular Carcinoma
title_full Beyond the Usual Suspects: Hepatitis E Virus and Its Implications in Hepatocellular Carcinoma
title_fullStr Beyond the Usual Suspects: Hepatitis E Virus and Its Implications in Hepatocellular Carcinoma
title_full_unstemmed Beyond the Usual Suspects: Hepatitis E Virus and Its Implications in Hepatocellular Carcinoma
title_sort beyond the usual suspects: hepatitis e virus and its implications in hepatocellular carcinoma
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/6cdd1289c40c4d24905a962dac34477f
work_keys_str_mv AT maraklohn beyondtheusualsuspectshepatitisevirusanditsimplicationsinhepatocellularcarcinoma
AT jilalexandraschrader beyondtheusualsuspectshepatitisevirusanditsimplicationsinhepatocellularcarcinoma
AT yannickbruggemann beyondtheusualsuspectshepatitisevirusanditsimplicationsinhepatocellularcarcinoma
AT danieltodt beyondtheusualsuspectshepatitisevirusanditsimplicationsinhepatocellularcarcinoma
AT eikesteinmann beyondtheusualsuspectshepatitisevirusanditsimplicationsinhepatocellularcarcinoma
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