Treatment for Viral Hepatitis as Secondary Prevention for Hepatocellular Carcinoma

Chronic infections with either hepatitis B or C virus (HBV or HCV) are among the most common risk factors for developing hepatocellular carcinoma (HCC). The hepatocarcinogenic potential of these viruses is mediated through a wide range of mechanisms, including the induction of chronic inflammation a...

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Autores principales: Saleh A. Alqahtani, Massimo Colombo
Formato: article
Lenguaje:EN
Publicado: MDPI AG 2021
Materias:
HCC
HBC
HCV
Acceso en línea:https://doaj.org/article/8429602c2ddf40bd9c18d7d316a6e1ac
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spelling oai:doaj.org-article:8429602c2ddf40bd9c18d7d316a6e1ac2021-11-25T17:11:23ZTreatment for Viral Hepatitis as Secondary Prevention for Hepatocellular Carcinoma10.3390/cells101130912073-4409https://doaj.org/article/8429602c2ddf40bd9c18d7d316a6e1ac2021-11-01T00:00:00Zhttps://www.mdpi.com/2073-4409/10/11/3091https://doaj.org/toc/2073-4409Chronic infections with either hepatitis B or C virus (HBV or HCV) are among the most common risk factors for developing hepatocellular carcinoma (HCC). The hepatocarcinogenic potential of these viruses is mediated through a wide range of mechanisms, including the induction of chronic inflammation and oxidative stress and the deregulation of cellular pathways by viral proteins. Over the last decade, effective anti-viral agents have made sustained viral suppression or cure a feasible treatment objective for most chronic HBV/HCV patients. Given the tumorigenic potential of HBV/HCV, it is no surprise that obtaining sustained viral suppression or eradication proves to be effective in preventing HCC. This review summarizes the mechanisms by which HCV and HBV exert their hepatocarcinogenic activity and describes in detail the efficacy of anti-HBV and anti-HCV therapies in terms of HCC prevention. Although these treatments significantly reduce the risk for HCC in patients with chronic viral hepatitis, this risk is not eliminated. Therefore, we evaluate potential strategies to improve these outcomes further and address some of the remaining controversies.Saleh A. AlqahtaniMassimo ColomboMDPI AGarticleHCCHBCHCVhepatocellular carcinomapreventionBiology (General)QH301-705.5ENCells, Vol 10, Iss 3091, p 3091 (2021)
institution DOAJ
collection DOAJ
language EN
topic HCC
HBC
HCV
hepatocellular carcinoma
prevention
Biology (General)
QH301-705.5
spellingShingle HCC
HBC
HCV
hepatocellular carcinoma
prevention
Biology (General)
QH301-705.5
Saleh A. Alqahtani
Massimo Colombo
Treatment for Viral Hepatitis as Secondary Prevention for Hepatocellular Carcinoma
description Chronic infections with either hepatitis B or C virus (HBV or HCV) are among the most common risk factors for developing hepatocellular carcinoma (HCC). The hepatocarcinogenic potential of these viruses is mediated through a wide range of mechanisms, including the induction of chronic inflammation and oxidative stress and the deregulation of cellular pathways by viral proteins. Over the last decade, effective anti-viral agents have made sustained viral suppression or cure a feasible treatment objective for most chronic HBV/HCV patients. Given the tumorigenic potential of HBV/HCV, it is no surprise that obtaining sustained viral suppression or eradication proves to be effective in preventing HCC. This review summarizes the mechanisms by which HCV and HBV exert their hepatocarcinogenic activity and describes in detail the efficacy of anti-HBV and anti-HCV therapies in terms of HCC prevention. Although these treatments significantly reduce the risk for HCC in patients with chronic viral hepatitis, this risk is not eliminated. Therefore, we evaluate potential strategies to improve these outcomes further and address some of the remaining controversies.
format article
author Saleh A. Alqahtani
Massimo Colombo
author_facet Saleh A. Alqahtani
Massimo Colombo
author_sort Saleh A. Alqahtani
title Treatment for Viral Hepatitis as Secondary Prevention for Hepatocellular Carcinoma
title_short Treatment for Viral Hepatitis as Secondary Prevention for Hepatocellular Carcinoma
title_full Treatment for Viral Hepatitis as Secondary Prevention for Hepatocellular Carcinoma
title_fullStr Treatment for Viral Hepatitis as Secondary Prevention for Hepatocellular Carcinoma
title_full_unstemmed Treatment for Viral Hepatitis as Secondary Prevention for Hepatocellular Carcinoma
title_sort treatment for viral hepatitis as secondary prevention for hepatocellular carcinoma
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/8429602c2ddf40bd9c18d7d316a6e1ac
work_keys_str_mv AT salehaalqahtani treatmentforviralhepatitisassecondarypreventionforhepatocellularcarcinoma
AT massimocolombo treatmentforviralhepatitisassecondarypreventionforhepatocellularcarcinoma
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