Role of Sex Hormones in the Development and Progression of Hepatitis B Virus-Associated Hepatocellular Carcinoma

Infection with hepatitis B virus (HBV) is a major risk factor for hepatocellular carcinoma (HCC) in developed countries. Epidemiological reports indicate that the incidence of HBV-related HCC is higher in males and postmenopausal females than other females. Increasing evidence suggests that sex horm...

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Main Authors: Maurizio Montella, Giovanni D’Arena, Anna Crispo, Mario Capunzo, Flavia Nocerino, Maria Grimaldi, Antonio Barbieri, Anna Maria D’Ursi, Mario Felice Tecce, Alfonso Amore, Massimiliano Galdiero, Gennaro Ciliberto, Aldo Giudice
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:International Journal of Endocrinology
Online Access:http://dx.doi.org/10.1155/2015/854530
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author Maurizio Montella
Giovanni D’Arena
Anna Crispo
Mario Capunzo
Flavia Nocerino
Maria Grimaldi
Antonio Barbieri
Anna Maria D’Ursi
Mario Felice Tecce
Alfonso Amore
Massimiliano Galdiero
Gennaro Ciliberto
Aldo Giudice
author_facet Maurizio Montella
Giovanni D’Arena
Anna Crispo
Mario Capunzo
Flavia Nocerino
Maria Grimaldi
Antonio Barbieri
Anna Maria D’Ursi
Mario Felice Tecce
Alfonso Amore
Massimiliano Galdiero
Gennaro Ciliberto
Aldo Giudice
author_sort Maurizio Montella
collection DOAJ
description Infection with hepatitis B virus (HBV) is a major risk factor for hepatocellular carcinoma (HCC) in developed countries. Epidemiological reports indicate that the incidence of HBV-related HCC is higher in males and postmenopausal females than other females. Increasing evidence suggests that sex hormones such as androgens and estrogens play an important role in the progression of an HBV infection and in the development of HBV-related HCC. While androgen is supposed to stimulate the androgen signaling pathway and cooperate to the increased transcription and replication of HBV genes, estrogen may play a protecting role against the progression of HBV infections and in the development of HBV-related HCC through decreasing HBV RNA transcription and inflammatory cytokines levels. Additionally, sex hormones can also affect HBV-related hepatocarcinogenesis by inducing epigenetic changes such as the regulation of mRNA levels by microRNAs (miRNAs), DNA methylation, and histone modification in liver tissue. This review describes the molecular mechanisms underlying the gender disparity in HBV-related HCC with the aim of improving the understanding of key factors underneath the sex disparity often observed in HBV infections. Furthermore, the review will propose more effective prevention strategies and treatments of HBV-derived diseases.
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issn 1687-8337
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spelling doaj-art-4d1c418e705149c2a47d6ba2d159c18c2025-02-03T01:26:31ZengWileyInternational Journal of Endocrinology1687-83371687-83452015-01-01201510.1155/2015/854530854530Role of Sex Hormones in the Development and Progression of Hepatitis B Virus-Associated Hepatocellular CarcinomaMaurizio Montella0Giovanni D’Arena1Anna Crispo2Mario Capunzo3Flavia Nocerino4Maria Grimaldi5Antonio Barbieri6Anna Maria D’Ursi7Mario Felice Tecce8Alfonso Amore9Massimiliano Galdiero10Gennaro Ciliberto11Aldo Giudice12Epidemiology Unit, National Cancer Institute of Naples “G. Pascale Foundation”, IRCCS, 80131 Naples, ItalyDepartment of Onco-Hematology, IRCCS, Cancer Referral Center of Basilicata, 85028 Rionero in Vulture, ItalyEpidemiology Unit, National Cancer Institute of Naples “G. Pascale Foundation”, IRCCS, 80131 Naples, ItalyDepartment of Medicine and Surgery, University of Salerno, 84081 Fisciano, ItalyEpidemiology Unit, National Cancer Institute of Naples “G. Pascale Foundation”, IRCCS, 80131 Naples, ItalyEpidemiology Unit, National Cancer Institute of Naples “G. Pascale Foundation”, IRCCS, 80131 Naples, ItalyAnimal Facility, National Cancer Institute of Naples “G. Pascale Foundation”, IRCCS, 80131 Naples, ItalyDepartment of Pharmacy, University of Salerno, 84084 Fisciano, Salerno, ItalyDepartment of Pharmacy, University of Salerno, 84084 Fisciano, Salerno, ItalyDepartment of Surgery, National Cancer Institute of Naples “G. Pascale Foundation”, IRCCS, 80131 Naples, ItalyDepartment of Experimental Medicine, II University of Naples, 81055 Naples, ItalyNational Cancer Institute “G. Pascale Foundation”, IRCCS, 80131 Naples, ItalyEpidemiology Unit, National Cancer Institute of Naples “G. Pascale Foundation”, IRCCS, 80131 Naples, ItalyInfection with hepatitis B virus (HBV) is a major risk factor for hepatocellular carcinoma (HCC) in developed countries. Epidemiological reports indicate that the incidence of HBV-related HCC is higher in males and postmenopausal females than other females. Increasing evidence suggests that sex hormones such as androgens and estrogens play an important role in the progression of an HBV infection and in the development of HBV-related HCC. While androgen is supposed to stimulate the androgen signaling pathway and cooperate to the increased transcription and replication of HBV genes, estrogen may play a protecting role against the progression of HBV infections and in the development of HBV-related HCC through decreasing HBV RNA transcription and inflammatory cytokines levels. Additionally, sex hormones can also affect HBV-related hepatocarcinogenesis by inducing epigenetic changes such as the regulation of mRNA levels by microRNAs (miRNAs), DNA methylation, and histone modification in liver tissue. This review describes the molecular mechanisms underlying the gender disparity in HBV-related HCC with the aim of improving the understanding of key factors underneath the sex disparity often observed in HBV infections. Furthermore, the review will propose more effective prevention strategies and treatments of HBV-derived diseases.http://dx.doi.org/10.1155/2015/854530
spellingShingle Maurizio Montella
Giovanni D’Arena
Anna Crispo
Mario Capunzo
Flavia Nocerino
Maria Grimaldi
Antonio Barbieri
Anna Maria D’Ursi
Mario Felice Tecce
Alfonso Amore
Massimiliano Galdiero
Gennaro Ciliberto
Aldo Giudice
Role of Sex Hormones in the Development and Progression of Hepatitis B Virus-Associated Hepatocellular Carcinoma
International Journal of Endocrinology
title Role of Sex Hormones in the Development and Progression of Hepatitis B Virus-Associated Hepatocellular Carcinoma
title_full Role of Sex Hormones in the Development and Progression of Hepatitis B Virus-Associated Hepatocellular Carcinoma
title_fullStr Role of Sex Hormones in the Development and Progression of Hepatitis B Virus-Associated Hepatocellular Carcinoma
title_full_unstemmed Role of Sex Hormones in the Development and Progression of Hepatitis B Virus-Associated Hepatocellular Carcinoma
title_short Role of Sex Hormones in the Development and Progression of Hepatitis B Virus-Associated Hepatocellular Carcinoma
title_sort role of sex hormones in the development and progression of hepatitis b virus associated hepatocellular carcinoma
url http://dx.doi.org/10.1155/2015/854530
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