Display options
Share it on

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

  1. 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

  1. Cancer Cell. 2010 May 18;17(5):481-96 - PubMed
  2. Ann Intern Med. 1981 Jun;94(6):744-8 - PubMed
  3. J Exp Med. 1998 Jul 20;188(2):341-50 - PubMed
  4. J Virol. 1998 May;72(5):3691-7 - PubMed
  5. Hepatology. 1996 May;23(5):971-6 - PubMed
  6. Int J Clin Lab Res. 1997;27(4):213-24 - PubMed
  7. N Engl J Med. 1994 Mar 17;330(11):744-50 - PubMed
  8. Hepatology. 1995 Mar;21(3):620-6 - PubMed
  9. J Clin Invest. 1996 Aug 1;98(3):706-14 - PubMed
  10. Annu Rev Immunol. 2005;23:787-819 - PubMed
  11. J Cancer Res Clin Oncol. 1996;122(5):283-8 - PubMed
  12. Hepatology. 2010 Oct;52(4):1497-505 - PubMed
  13. J Genet. 2007 Dec;86(3):195-201 - PubMed
  14. Indian J Med Sci. 2007 May;61(5):263-8 - PubMed
  15. J Infect Dis. 1983 Feb;147(2):185-90 - PubMed
  16. AIDS. 1999 Apr 1;13(5):539-46 - PubMed
  17. J Hepatol. 1987 Feb;4(1):37-44 - PubMed
  18. East Mediterr Health J. 2005 Jan-Mar;11(1-2):62-7 - PubMed
  19. J Res Med Sci. 2009 Jul;14(4):249-58 - PubMed
  20. Hepatol Res. 2007 Feb;37(2):101-3 - PubMed
  21. Liver. 1999 Jun;19(3):242-52 - PubMed
  22. Medscape J Med. 2008 Apr 16;10(4):91 - PubMed
  23. JAMA. 1967 May 1;200(5):365-73 - PubMed
  24. PLoS One. 2010 Feb 19;5(2):e9297 - PubMed
  25. Vox Sang. 1979;37(3):182-6 - PubMed
  26. Saudi Med J. 2007 Oct;28(10):1516-9 - PubMed
  27. Gastroenterology. 1994 Jul;107(1):189-95 - PubMed
  28. Lancet. 1984 Jun 2;1(8388):1210-2 - PubMed
  29. Cancer Lett. 2008 Aug 28;267(2):182-8 - PubMed
  30. Clin Lab Med. 1996 Jun;16(2):451-64 - PubMed
  31. Hepatology. 1997 Sep;26(3 Suppl 1):62S-65S - PubMed
  32. World J Gastroenterol. 2008 Sep 21;14(35):5448-53 - PubMed
  33. Mod Pathol. 1999 Jun;12(6):599-603 - PubMed
  34. J Immunol. 1995 Mar 1;154(5):2504-15 - PubMed
  35. J Pathol. 1999 Mar;187(4):439-45 - PubMed
  36. Transfus Med Rev. 1988 Dec;2(4):204-14 - PubMed
  37. Rheum Dis Clin North Am. 1998 May;24(2):353-74 - PubMed
  38. J Viral Hepat. 2008 Oct;15(10):753-60 - PubMed
  39. Gastroenterology. 1996 Aug;111(2):526-8 - PubMed
  40. Virus Res. 2007 Aug;127(2):164-76 - PubMed
  41. Am J Med. 1996 Jan;100(1):98-109 - PubMed
  42. Cancer Cell. 2009 Oct 6;16(4):295-308 - PubMed
  43. Carcinogenesis. 1997 Jan;18(1):59-81 - PubMed
  44. Int J Infect Dis. 2006 Jul;10(4):272-7 - PubMed
  45. Clin Microbiol Infect. 2008 Sep;14(9):858-66 - PubMed
  46. Hepatology. 1994 Apr;19(4):810-9 - PubMed
  47. Hepatology. 1995 May;21(5):1238-47 - PubMed
  48. MMWR Recomm Rep. 1991 Nov 22;40(RR-13):1-25 - PubMed
  49. Blood. 1997 Aug 1;90(3):1315-20 - PubMed
  50. Mol Pharmacol. 1998 Jan;53(1):14-22 - PubMed
  51. Carcinogenesis. 1995 Aug;16(8):1693-8 - PubMed
  52. Ital J Gastroenterol Hepatol. 1999 Jan-Feb;31(1):28-44 - PubMed

Publication Types