“…It remains unclear why surveillance occasionally fails, e.g., against hepatitis B virus-associated (HBV-associated) or hepatitis C virus-associated (HCV-associated) hepatocellular carcinoma (HCC). Possible reasons could be an initial failure to induce effective T cells (3)(4)(5), T cell exhaustion due to chronic antigen stimulation (6,7), tumor-induced tolerance (8), immune escape by loss of immunogenicity (9), or tumor development in tolerogenic organs, e.g., the liver (10). In humans, T cell responses appear to be more efficient in those individuals who completely cleared the virus (11,12); however, it is difficult to identify individuals in the acute infection phase (4,12).…”