Hepatocellular carcinoma in the context of non-alcoholic steatohepatitis (NASH): recent advances in the pathogenic mechanisms.

Autor: Lequoy M; Service d'Hépato-Gastro-Entérologie, AP-HP, F-75012 Paris, France.; Centre de Recherche Saint-Antoine, INSERM, Sorbonne Université, F-75012 Paris, France., Gigante E; Service d'Hépato-Gastro-Entérologie, AP-HP, F-75012 Paris, France., Couty JP; Centre de Recherche des Cordeliers, INSERM, Sorbonne Université, USPC, Université Paris Descartes, Université Paris Diderot, F-75006 Paris, France., Desbois-Mouthon C; Centre de Recherche des Cordeliers, INSERM UMR_S1138, 15 rue de l'école de médecine, Sorbonne Université, USPC, Université Paris Descartes, Université Paris Diderot, F-75006 Paris, France.
Jazyk: angličtina
Zdroj: Hormone molecular biology and clinical investigation [Horm Mol Biol Clin Investig] 2020 Feb 29; Vol. 41 (1). Date of Electronic Publication: 2020 Feb 29.
DOI: 10.1515/hmbci-2019-0044
Abstrakt: Hepatocellular carcinoma (HCC) is the most common type of liver cancer. HCC is particularly aggressive and is one of the leading causes of cancer mortality. In recent decades, the epidemiological landscape of HCC has undergone significant changes. While chronic viral hepatitis and excessive alcohol consumption have long been identified as the main risk factors for HCC, non-alcoholic steatohepatitis (NASH), paralleling the worldwide epidemic of obesity and type 2 diabetes, has become a growing cause of HCC in the US and Europe. Here, we review the recent advances in epidemiological, genetic, epigenetic and pathogenic mechanisms as well as experimental mouse models that have improved the understanding of NASH progression toward HCC. We also discuss the clinical management of patients with NASH-related HCC and possible therapeutic approaches.
Databáze: MEDLINE