Hepat Mon. 2012 Oct;12(10):e7879. doi: 10.5812/hepatmon.7879. Epub 2012 Oct 30.
Viral hepatitis induces hepatocellular cancer: what can we learn from epidemiology comparing iran and worldwide findings?.
Hepatitis monthly
Elisabeth Smolle, Evelyn Zöhrer, Kira Bettermann, Johannes Haybaeck
Affiliations
Affiliations
- Institute of Pathology, Medical University Graz, Graz, Austria.
PMID: 23233866
PMCID: PMC3517808 DOI: 10.5812/hepatmon.7879
Abstract
CONTEXT: Several risk factors play the role in the development of hepatocellular carcinoma (HCC) from which chronic hepatitis B and C infections are the most important ones. DNA integration of hepatitis viruses alters the function of critical genes promoting malignant transformation of virus-infected liver cells.
EVIDENCE ACQUISITION: There are remarkable geographic differences in prevalence of chronic viral hepatitis and incidence of HCC. Middle Eastern countries are characterized by a moderate to high prevalence rate of chronic viral hepatitis in the population. This review discusses about epidemiologic findings of hepatitis B and C infections, and HCC, as well as focuses on Middle East countries, particularly Iran. We provide an overview about risk factors, prevention and treatment, and bring up the role of HCC induced by chronic viral hepatitis.
RESULTS: Vaccination against hepatitis B virus (HBV) in the early childhood is highly effective to lower infection rates, substantially. For hepatitis C, adequate hygiene when dealing with human blood and screening programs for blood donors can mainly reduce infection rates. As HCC is strongly associated with chronic viral hepatitis, prevention against the infection is crucial for preventing against HCC too.
CONCLUSIONS: Although prevention and treatment of chronic hepatitis B and C have improved within the last decades even in high-risk countries, effective and sustainable reduction of these infections still needs more actions.
Keywords: Carcinoma, Hepatocellular; Iran; Viral Hepatitis
References
- Cancer Cell. 2010 May 18;17(5):481-96 - PubMed
- Ann Intern Med. 1981 Jun;94(6):744-8 - PubMed
- J Exp Med. 1998 Jul 20;188(2):341-50 - PubMed
- J Virol. 1998 May;72(5):3691-7 - PubMed
- Hepatology. 1996 May;23(5):971-6 - PubMed
- Int J Clin Lab Res. 1997;27(4):213-24 - PubMed
- N Engl J Med. 1994 Mar 17;330(11):744-50 - PubMed
- Hepatology. 1995 Mar;21(3):620-6 - PubMed
- J Clin Invest. 1996 Aug 1;98(3):706-14 - PubMed
- Annu Rev Immunol. 2005;23:787-819 - PubMed
- J Cancer Res Clin Oncol. 1996;122(5):283-8 - PubMed
- Hepatology. 2010 Oct;52(4):1497-505 - PubMed
- J Genet. 2007 Dec;86(3):195-201 - PubMed
- Indian J Med Sci. 2007 May;61(5):263-8 - PubMed
- J Infect Dis. 1983 Feb;147(2):185-90 - PubMed
- AIDS. 1999 Apr 1;13(5):539-46 - PubMed
- J Hepatol. 1987 Feb;4(1):37-44 - PubMed
- East Mediterr Health J. 2005 Jan-Mar;11(1-2):62-7 - PubMed
- J Res Med Sci. 2009 Jul;14(4):249-58 - PubMed
- Hepatol Res. 2007 Feb;37(2):101-3 - PubMed
- Liver. 1999 Jun;19(3):242-52 - PubMed
- Medscape J Med. 2008 Apr 16;10(4):91 - PubMed
- JAMA. 1967 May 1;200(5):365-73 - PubMed
- PLoS One. 2010 Feb 19;5(2):e9297 - PubMed
- Vox Sang. 1979;37(3):182-6 - PubMed
- Saudi Med J. 2007 Oct;28(10):1516-9 - PubMed
- Gastroenterology. 1994 Jul;107(1):189-95 - PubMed
- Lancet. 1984 Jun 2;1(8388):1210-2 - PubMed
- Cancer Lett. 2008 Aug 28;267(2):182-8 - PubMed
- Clin Lab Med. 1996 Jun;16(2):451-64 - PubMed
- Hepatology. 1997 Sep;26(3 Suppl 1):62S-65S - PubMed
- World J Gastroenterol. 2008 Sep 21;14(35):5448-53 - PubMed
- Mod Pathol. 1999 Jun;12(6):599-603 - PubMed
- J Immunol. 1995 Mar 1;154(5):2504-15 - PubMed
- J Pathol. 1999 Mar;187(4):439-45 - PubMed
- Transfus Med Rev. 1988 Dec;2(4):204-14 - PubMed
- Rheum Dis Clin North Am. 1998 May;24(2):353-74 - PubMed
- J Viral Hepat. 2008 Oct;15(10):753-60 - PubMed
- Gastroenterology. 1996 Aug;111(2):526-8 - PubMed
- Virus Res. 2007 Aug;127(2):164-76 - PubMed
- Am J Med. 1996 Jan;100(1):98-109 - PubMed
- Cancer Cell. 2009 Oct 6;16(4):295-308 - PubMed
- Carcinogenesis. 1997 Jan;18(1):59-81 - PubMed
- Int J Infect Dis. 2006 Jul;10(4):272-7 - PubMed
- Clin Microbiol Infect. 2008 Sep;14(9):858-66 - PubMed
- Hepatology. 1994 Apr;19(4):810-9 - PubMed
- Hepatology. 1995 May;21(5):1238-47 - PubMed
- MMWR Recomm Rep. 1991 Nov 22;40(RR-13):1-25 - PubMed
- Blood. 1997 Aug 1;90(3):1315-20 - PubMed
- Mol Pharmacol. 1998 Jan;53(1):14-22 - PubMed
- Carcinogenesis. 1995 Aug;16(8):1693-8 - PubMed
- Ital J Gastroenterol Hepatol. 1999 Jan-Feb;31(1):28-44 - PubMed
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