2020
DOI: 10.3390/v12070746
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The Multiple Roles of Hepatitis B Virus X Protein (HBx) Dysregulated MicroRNA in Hepatitis B Virus-Associated Hepatocellular Carcinoma (HBV-HCC) and Immune Pathways

Abstract: Currently, the treatment of hepatitis B virus (HBV)-associated hepatocellular carcinoma (HCC) [HBV-HCC] relies on blunt tools that are unable to offer effective therapy for later stage pathogenesis. The potential of miRNA to treat HBV-HCC offer a more targeted approach to managing this lethal carcinoma; however, the complexity of miRNA as an ancillary regulator of the immune system remains poorly understood. This review examines the overlapping roles of HBx-dysregulated miRNA in HBV-HCC and immune pathways and… Show more

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Cited by 30 publications
(24 citation statements)
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“…Furthermore, Singh et al identified a deregulated network of miRNAs-mRNAs in DCs that seems responsible for an impaired immune response during HBV pathogenesis [ 50 ]. Regarding adaptive immunity, several miRNAs such as miR-155, -17–92, -181a, and -21 have been linked to B and T cell activation and differentiation as well as Treg activity [ 51 ]. miR-155 expression positively correlates with T-cell activation in CHB patients and is a potential biomarker for immune activation and disease progression in HBV infection [ 52 ].…”
Section: Mirnas and The Immune System During Viral Hepatitismentioning
confidence: 99%
“…Furthermore, Singh et al identified a deregulated network of miRNAs-mRNAs in DCs that seems responsible for an impaired immune response during HBV pathogenesis [ 50 ]. Regarding adaptive immunity, several miRNAs such as miR-155, -17–92, -181a, and -21 have been linked to B and T cell activation and differentiation as well as Treg activity [ 51 ]. miR-155 expression positively correlates with T-cell activation in CHB patients and is a potential biomarker for immune activation and disease progression in HBV infection [ 52 ].…”
Section: Mirnas and The Immune System During Viral Hepatitismentioning
confidence: 99%
“…In the HBV-HCC continuum, from asymptomatic HBV infection leading to HCC, an increasing number of miRNA are dysregulated due to the need to respond to viral infection, epigenetic changes ( 35 ), inflammation ( 128 ), fibrosis ( 129 ), cirrhosis ( 123 ) and finally, the onset of HCC. One of the most documented HBV tools to modulate both its own, as well as host genome expression is the HBx protein which has been shown to dysregulate multiple miRNA species in key HCC cancer and immune pathways ( 7 ).…”
Section: Hbv-hcc Pathogenesis: Role Of Mirnamentioning
confidence: 99%
“…HBx dysregulation of miR-155 can occur due to histone modifications like histone deacetylase inhibitors (HDAC-I) or the repression of polycomb proteins (EZH2) can contribute to upregulated miR-155 expression in HBV-HCC pathways ( 43 , 66 , 67 ). This well researched miRNA is cited as an epigenetic modulator in many cancers including those of the breast, lung and colon ( 195 197 ), as well as playing multiple different roles in both the innate and adaptive immune system response ( 7 ). In HBV-HCC pathogenesis, upregulated miR-155 typically represses PTEN modulation of AKT/MTOR signaling in the P13K/MAPK pathway that promotes epithelial to mesenchymal transition (EMT) ( 68 , 198 ).…”
Section: Hbx-dysregulated Mirna In Hbv-hcc Pathwaysmentioning
confidence: 99%
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“…It has been found that heparin influences cell growth, differentiation, invasion, and migration and promotes the transcription of TXNIP in hepatoma cells by binding to the ChoRE-b site (70). Studies have also shown that chronic hepatitis B virus (HBV) infection is related to the occurrence and development of hepatocellular carcinoma (HCC) (77). It is well-known that HBV-related HCC is a global health problem (78).…”
Section: Cancers Of the Digestive Systemmentioning
confidence: 99%