Profibrotic Signaling and HCC Risk during Chronic Viral Hepatitis: Biomarker Development

Despite breakthroughs in antiviral therapies, chronic viral hepatitis B and C are still the major causes of liver fibrosis and hepatocellular carcinoma (HCC). Importantly, even in patients with controlled infection or viral cure, the cancer risk cannot be fully eliminated, highlighting a persisting...

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Main Authors: Alessia Virzì, Victor Gonzalez-Motos, Simona Tripon, Thomas F. Baumert, Joachim Lupberger
Format: Article
Language:English
Published: MDPI AG 2021-03-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/10/5/977
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author Alessia Virzì
Victor Gonzalez-Motos
Simona Tripon
Thomas F. Baumert
Joachim Lupberger
author_facet Alessia Virzì
Victor Gonzalez-Motos
Simona Tripon
Thomas F. Baumert
Joachim Lupberger
author_sort Alessia Virzì
collection DOAJ
description Despite breakthroughs in antiviral therapies, chronic viral hepatitis B and C are still the major causes of liver fibrosis and hepatocellular carcinoma (HCC). Importantly, even in patients with controlled infection or viral cure, the cancer risk cannot be fully eliminated, highlighting a persisting oncogenic pressure imposed by epigenetic imprinting and advanced liver disease. Reliable and minimally invasive biomarkers for early fibrosis and for residual HCC risk in HCV-cured patients are urgently needed. Chronic infection with HBV and/or HCV dysregulates oncogenic and profibrogenic signaling within the host, also displayed in the secretion of soluble factors to the blood. The study of virus-dysregulated signaling pathways may, therefore, contribute to the identification of reliable minimally invasive biomarkers for the detection of patients at early-stage liver disease potentially complementing existing noninvasive methods in clinics. With a focus on virus-induced signaling events, this review provides an overview of candidate blood biomarkers for liver disease and HCC risk associated with chronic viral hepatitis and epigenetic viral footprints.
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spelling doaj.art-2c1b725f3f34434788c954531287a8b52023-12-03T12:07:48ZengMDPI AGJournal of Clinical Medicine2077-03832021-03-0110597710.3390/jcm10050977Profibrotic Signaling and HCC Risk during Chronic Viral Hepatitis: Biomarker DevelopmentAlessia Virzì0Victor Gonzalez-Motos1Simona Tripon2Thomas F. Baumert3Joachim Lupberger4Université de Strasbourg, 67000 Strasbourg, FranceUniversité de Strasbourg, 67000 Strasbourg, FranceUniversité de Strasbourg, 67000 Strasbourg, FranceUniversité de Strasbourg, 67000 Strasbourg, FranceUniversité de Strasbourg, 67000 Strasbourg, FranceDespite breakthroughs in antiviral therapies, chronic viral hepatitis B and C are still the major causes of liver fibrosis and hepatocellular carcinoma (HCC). Importantly, even in patients with controlled infection or viral cure, the cancer risk cannot be fully eliminated, highlighting a persisting oncogenic pressure imposed by epigenetic imprinting and advanced liver disease. Reliable and minimally invasive biomarkers for early fibrosis and for residual HCC risk in HCV-cured patients are urgently needed. Chronic infection with HBV and/or HCV dysregulates oncogenic and profibrogenic signaling within the host, also displayed in the secretion of soluble factors to the blood. The study of virus-dysregulated signaling pathways may, therefore, contribute to the identification of reliable minimally invasive biomarkers for the detection of patients at early-stage liver disease potentially complementing existing noninvasive methods in clinics. With a focus on virus-induced signaling events, this review provides an overview of candidate blood biomarkers for liver disease and HCC risk associated with chronic viral hepatitis and epigenetic viral footprints.https://www.mdpi.com/2077-0383/10/5/977HBVHCVbiomarkersliver diseaseHCCcure
spellingShingle Alessia Virzì
Victor Gonzalez-Motos
Simona Tripon
Thomas F. Baumert
Joachim Lupberger
Profibrotic Signaling and HCC Risk during Chronic Viral Hepatitis: Biomarker Development
Journal of Clinical Medicine
HBV
HCV
biomarkers
liver disease
HCC
cure
title Profibrotic Signaling and HCC Risk during Chronic Viral Hepatitis: Biomarker Development
title_full Profibrotic Signaling and HCC Risk during Chronic Viral Hepatitis: Biomarker Development
title_fullStr Profibrotic Signaling and HCC Risk during Chronic Viral Hepatitis: Biomarker Development
title_full_unstemmed Profibrotic Signaling and HCC Risk during Chronic Viral Hepatitis: Biomarker Development
title_short Profibrotic Signaling and HCC Risk during Chronic Viral Hepatitis: Biomarker Development
title_sort profibrotic signaling and hcc risk during chronic viral hepatitis biomarker development
topic HBV
HCV
biomarkers
liver disease
HCC
cure
url https://www.mdpi.com/2077-0383/10/5/977
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AT simonatripon profibroticsignalingandhccriskduringchronicviralhepatitisbiomarkerdevelopment
AT thomasfbaumert profibroticsignalingandhccriskduringchronicviralhepatitisbiomarkerdevelopment
AT joachimlupberger profibroticsignalingandhccriskduringchronicviralhepatitisbiomarkerdevelopment