2023
DOI: 10.1016/j.canlet.2022.216037
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Sex steroid axes in determining male predominance in hepatocellular carcinoma

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Cited by 10 publications
(7 citation statements)
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“…Its occurrence is a long‐term, dynamic, multistage, multigene change process, and the incidence of HCC is increasing yearly (Hartke et al, 2017), but the current pathogenesis is still unclear. In recent years, the relationship between steroid hormone imbalance and HCC has been studied deeply (Hassan et al, 2021; Patil et al, 2022; Zhang et al, 2023). Cortisol, the most important glucocorticoid secreted by the cortical band of the adrenal cortex, can enhance the body’s stress function (Oswald et al, 2006).…”
Section: Resultsmentioning
confidence: 99%
“…Its occurrence is a long‐term, dynamic, multistage, multigene change process, and the incidence of HCC is increasing yearly (Hartke et al, 2017), but the current pathogenesis is still unclear. In recent years, the relationship between steroid hormone imbalance and HCC has been studied deeply (Hassan et al, 2021; Patil et al, 2022; Zhang et al, 2023). Cortisol, the most important glucocorticoid secreted by the cortical band of the adrenal cortex, can enhance the body’s stress function (Oswald et al, 2006).…”
Section: Resultsmentioning
confidence: 99%
“…Much research over the last 20 years provides the concept that androgen is pro-carcinogenic by accelerating cell proliferation via androgen receptor signaling, whereas estrogen is tumor suppressive by inducing cell apoptosis and immune responses. 43 Of note, a novel estrogen-related gene prognostic signature was recently discovered to predict patient survival and immunotherapy response of HCC patients. 44 Overall, these markers have provided diagnostic and prognosis potential and suggest that genetic and/or hormonal mechanisms could explain male predominance in HCC.…”
Section: Discussionmentioning
confidence: 99%
“…Therefore, there is a huge space for research in the future. Studies have summarized that the estrogen-ERα axis plays a tumor-suppressing role in the malignant -transformation stage of HCC, which induces apoptosis of hepatocytes and inhibiting proliferation of carcinogenic cells, 110,189 but opposite effects of ERα in the metastasis stage has been noticed, one possible explanation is that largely expression of vERα in development process of HCC may promote tumor development. 114,115 ERα36/EGFR maintains HCC steam cell characteristics has been reported, but other mechanism of vERα in HCC development and related signal transduction still needs further research.…”
Section: Discussionmentioning
confidence: 99%