2002
DOI: 10.1073/pnas.242608099
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A comparison of the molecular clock of hepatitis C virus in the United States and Japan predicts that hepatocellular carcinoma incidence in the United States will increase over the next two decades

Abstract: The prevalence of hepatitis C virus (HCV)-related hepatocellular carcinoma (HCC) is considerably lower in the U.S. than in Japan. To elucidate this difference, we determined the time origin of the HCV epidemic in each country by using molecularly clocked long-term serial samples obtained from HCV carriers of genotypes 1a and 1b. The molecular clock estimated that HCV genotype 1 first appeared in Japan in around 1882, whereas emergence in the U.S. was delayed until around 1910. In addition, by statistical analy… Show more

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Cited by 306 publications
(205 citation statements)
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“…Similarly, the origin of the genotype 4 epidemic in Africa has been traced back to the 17th century [33]. However, evolutionary analysis of the more common subtypes with a global distribution (1a, 1b, and 3a), which are frequently referred to as "epidemic" subtypes, have consistently traced the ancestor to within the last century in many locations around the world [34,35]. The original endemic viral population sources for these emergent subtypes have not been identified.…”
Section: Discussionmentioning
confidence: 99%
“…Similarly, the origin of the genotype 4 epidemic in Africa has been traced back to the 17th century [33]. However, evolutionary analysis of the more common subtypes with a global distribution (1a, 1b, and 3a), which are frequently referred to as "epidemic" subtypes, have consistently traced the ancestor to within the last century in many locations around the world [34,35]. The original endemic viral population sources for these emergent subtypes have not been identified.…”
Section: Discussionmentioning
confidence: 99%
“…Percutaneous treatments provide good results (5-year survival 40%-50%) [11,18] , but have not been able to achieve response rates and outcomes comparable to surgical treatments [11,12] . Liver transplantation has been suggested as the best treatment for patients with one tumor and decompensated cirrhosis or multicentric small tumors [19] . HCC prognosis remains dismal despite many treatment options.…”
Section: Introductionmentioning
confidence: 99%
“…3 It is projected that the increase in incidence of HCC will continue over the next 20 years in the United States. 4 Therefore, it is important to understand the factors that predict survival of patients with HCC. …”
mentioning
confidence: 99%