Pathogenesis from Inflammation to Cancer in NASH-Derived HCC

J Hepatocell Carcinoma. 2022 Aug 26:9:855-867. doi: 10.2147/JHC.S377768. eCollection 2022.

Abstract

Hepatocellular carcinoma (HCC) is the most common type of primary liver cancer and one of the deadliest cancers worldwide. As opposed to the majority of patients with HCC, approximately 20-30% of cases of non-alcoholic steatohepatitis (NASH)-derived HCC develop malignant tumours in the absence of liver cirrhosis. NASH is characterized by metabolic dysregulation, chronic inflammation and cell death in the liver, which provide a favorable setting for the transformation of inflammation into cancer. This review aims to describe the pathogenesis and the underlying mechanism of the transition from inflammation to cancer in NASH.

Keywords: hepatocellular carcinoma; immune microenvironment; inflammation to cancer transition; metabolic dysregulation; non-alcoholic steatohepatitis.

Publication types

  • Review

Grants and funding

National Key Research and Development Project, Ministry of Science and Technology (No.2018YFC1704106); National Natural Science Foundation of China (No.81630080); National Natural Science Foundation Youth Fund (No. 82104651).