2018
DOI: 10.1038/s41598-018-30229-8
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Early-onset liver cancer in South America associates with low hepatitis B virus DNA burden

Abstract: In Peru, hepatocellular carcinoma (HCC) arises in young non-cirrhotic patients. Hepatitis B virus (HBV) is suspected to be the prominent etiological agent. We thus performed a comprehensive molecular study of HBV infection in 65 Peruvian HCC patients. Only 51% were considered as persistently infected at the onset. HBV DNA was found by PCR in the tumor and/or matched non-tumor liver tissues in more than 80% of cases (n = 53/65). HBV DNA was significantly more abundant in livers of younger patients than in those… Show more

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Cited by 31 publications
(29 citation statements)
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References 38 publications
(46 reference statements)
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“…S7, Table S6). This has been observed in independent studies [90–92], suggesting that HBV replication is less active in tumours. Strikingly, tumour samples expressed SP13 at significantly higher proportions of HBV RNAs than other samples except for PVTT ( and S5, Wilcoxon rank sum tests, Bonferroni–Holm adjusted P value <0.05).…”
Section: Resultssupporting
confidence: 68%
“…S7, Table S6). This has been observed in independent studies [90–92], suggesting that HBV replication is less active in tumours. Strikingly, tumour samples expressed SP13 at significantly higher proportions of HBV RNAs than other samples except for PVTT ( and S5, Wilcoxon rank sum tests, Bonferroni–Holm adjusted P value <0.05).…”
Section: Resultssupporting
confidence: 68%
“…AFB1, often present in staple foods of populations living in SSA, is known to induce a specific G>T mutation (in exon 7, nucleotide 747, hg38 position on Chr17: 7674216), changing an arginine for a serine at codon 249 of the p53 protein (TP53 R249S) [6]. This specific mutation is frequently found in tumor DNA from patients living South-Eastern Asia or sub-Saharan Africa but is rare in tumors of patients coming from other regions of the world [7][8][9]. In some occasions, TP53 R249S has even been found in more than half of the tumors investigated.…”
Section: Introductionmentioning
confidence: 99%
“…6 Second, liver parenchyma exhibited a very low level of in ammatory response and an absence of brotic process, and this, despite a strong prevalence of underlying infection with hepatitis B virus. 7,8 However, we observed within the non-tumor liver (NTL) parenchyma the presence of foci of cellular alteration in which cells are smaller compared to regular hepatocytes and exhibit an altered nuclear-cytoplasmic ratio. 7 These foci of cellular alteration showed also some degree of congruence with the co-expression of precancerous marker glutamine synthetase.…”
Section: Read Full Licensementioning
confidence: 89%