Abstract
Primary liver cancer (PLC) is the third most deadly and fifth most common cancer in the world (Parkin et al. 1999), with an estimated 626,000 or 5.7% of new cancer cases and almost as many deaths in 2002 (Parkin et al. 2005). Liver cancer is an ancient disease and its description can be found in Huangdi Neijing, an ancient Chinese medical textbook also known as Yellow Emperor’s Inner Canon dated back over 2000 years ago. However, the first mentioned PLC case could be dated as early as 1849 by Carl Rokitansky and the definition of PLC, as referenced to metastatic liver cancer, was only formally established in 1888 by Victor Hanot and Augustin Gilbert, and in 1889 independently by Moriharu Miura (Hanot and Gilbert 1888; Rokitansky 1849; Yamagiwa 1911). Traditionally, PLC was considered as an incurable disease due to an extremely poor outcome. Patients with PLC have been an underserved population since the beginning of its discovery and the disease is becoming a major health burden worldwide. Clearly, there is a strong need in expanding basic and translational research on PLC with an ultimate goal to reduce its severity. Recent studies on HCC genetic and genomic analyses feature important advances in the understanding of the complex biological processes underlying tumorigenesis and metastasis of PLC, and demonstrate how these insights might translate into clinical applications. As we approach a golden era in PLC research, we anticipate a significant advance in our understanding of this disease in near future. We are confident that the knowledge gain from continuing research efforts on PLC undoubtedly facilitates the understanding of molecular mechanism and tumor biology to provide the best therapy for each cancer patient and to improve patient management.
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Altekruse SF, McGlynn KA, Reichman ME (2009) Hepatocellular carcinoma incidence, mortality, and survival trends in the United States from 1975 to 2005. J Clin Oncol 27:1485–1491
Bando K, Nagai H, Matsumoto S et al (1999) Identification of a 1-cM region of common deletion on 4q35 associated with progression of hepatocellular carcinoma. Genes Chromosomes Cancer 25:284–289
Berman JJ (1988) Cell proliferation and the aetiology of hepatocellular carcinoma. J Hepatol 7:305–309
Bernards R, Weinberg RA (2002) A progression puzzle. Nature 418:823
Blumberg BS, London WT (1981) Hepatitis B virus and the prevention of primary hepatocellular carcinoma. N Engl J Med 304:782–784
Boige V, Laurent-Puig P, Fouchet P et al (1997) Concerted nonsyntenic allelic losses in hyperploid hepatocellular carcinoma as determined by a high-resolution allelotype. Cancer Res 57:1986–1990
Budhu A, Forgues M, Ye QH et al (2006) Prediction of venous metastases, recurrence and prognosis in hepatocellular carcinoma based on a unique immune response signature of the liver microenvironment. Cancer Cell 10:99–111
Budhu A, Wang XW (2006) The role of cytokines in hepatocellular carcinoma. J Leukoc Biol 80:1197–1213
Carr BI, Flickinger JC, Lotze MT (1997) Hepatobiliary cancers: cancer of the liver, 5th edn. Lippincott-Raven, Philadelphia, PA, pp 1087–1114
Chambers AF, Groom AC, MacDonald IC (2002) Dissemination and growth of cancer cells in metastatic sites. Nat Rev Cancer 2:563–572
Chami M, Gozuacik D, Saigo K et al (2000) Hepatitis B virus-related insertional mutagenesis implicates SERCA1 gene in the control of apoptosis. Oncogene 19:2877–2886
Chang MH, Chen CJ, Lai MS et al (1997) Universal hepatitis B vaccination in Taiwan and the incidence of hepatocellular carcinoma in children. Taiwan childhood hepatoma study group. N Engl J Med 336:1855–1859
Chen CJ, Yang HI, Su J et al (2006) Risk of hepatocellular carcinoma across a biological gradient of serum hepatitis B virus DNA level. JAMA 295:65–73
Choo QL, Kuo G, Weiner AJ et al (1989) Isolation of a cDNA clone derived from a blood-borne non-A, non-B viral hepatitis genome. Science 244:359–362
Cillo U, Bassanello M, Vitale A et al (2004) The critical issue of hepatocellular carcinoma prognostic classification: which is the best tool available? J Hepatol 40:124–131
Clavien PA (2007) Interferon: the magic bullet to prevent hepatocellular carcinoma recurrence after resection? Ann Surg 245:843–845
Curley SA, Izzo F, Gallipoli A et al (1995) Identification and screening of 416 patients with chronic hepatitis at high risk to develop hepatocellular cancer. Ann Surg 222:375–380
Deuffic S, Poynard T, Buffat L et al (1998) Trends in primary liver cancer. Lancet 351:214–215
Dong F, Budhu AS, Wang XW (2009) Translating the metastasis paradigm from scientific theory to clinical oncology. Clin Cancer Res 15:2588–2596
El-Serag HB, Mason AC (1999) Rising incidence of hepatocellular carcinoma in the United States. N Engl J Med 340:745–750
Elzouki AN, Eriksson S (1996) Risk of hepatobiliary disease in adults with severe alpha 1-antitrypsin deficiency (PiZZ): is chronic viral hepatitis B or C an additional risk factor for cirrhosis and hepatocellular carcinoma? Eur J Gastroenterol Hepatol 8:989–994
Farazi PA, DePinho RA (2006) Hepatocellular carcinoma pathogenesis: from genes to environment. Nat Rev Cancer 6:674–687
Feitelson MA, Lee J (2007) Hepatitis B virus integration, fragile sites, and hepatocarcinogenesis. Cancer Lett 252:157–170
Feitelson MA, Sun B, Satiroglu Tufan NL et al (2002) Genetic mechanisms of hepatocarcinogenesis. Oncogene 21:2593–2604
Forgues M, Difilippantonio MJ, Linke SP et al (2003) Involvement of Crm1 in hepatitis B virus X protein-induced aberrant centriole replication and abnormal mitotic spindles. Mol Cell Biol 23:5282–5292
Hanahan D, Weinberg RA (2000) The hallmarks of cancer. Cell 100:57–70
Hanot VC, Gilbert A (1888) Etudes sur les Maladies du Foie [Studies on liver diseases].
Herath NI, Leggett BA, MacDonald GA (2006) Review of genetic and epigenetic alterations in hepatocarcinogenesis. J Gastroenterol Hepatol 21:15–21
Horikawa I, Barrett JC (2001) Cis-Activation of the human telomerase gene (hTERT) by the hepatitis B virus genome. J Natl Cancer Inst 93:1171–1173
Huang WS, Liao LY, Wang CS et al (1999) Hepatocellular carcinoma presenting with acquired porphyria: a case report and review of the literature. Chang Keng I Hsueh Tsa Chih 22:111–116
Hunter K, Welch DR, Liu ET (2003) Genetic background is an important determinant of metastatic potential. Nat Genet 34:23–24
Husemann Y, Geigl JB, Schubert F et al (2008) Systemic spread is an early step in breast cancer. Cancer Cell 13:58–68
Hussain SP, Schwank J, Staib F et al (2007) TP53 mutations and hepatocellular carcinoma: insights into the etiology and pathogenesis of liver cancer. Oncogene 26:2166–2176
Hytiroglou P, Theise ND (2006) Telomerase activation in human hepatocarcinogenesis. Am J Gastroenterol 101:839–841
Jones S, Chen WD, Parmigiani G et al (2008) Comparative lesion sequencing provides insights into tumor evolution. Proc Natl Acad Sci USA 105:4283–4288
Kanai Y, Ushijima S, Tsuda H et al (2000) Aberrant DNA methylation precedes loss of heterozygosity on chromosome 16 in chronic hepatitis and liver cirrhosis. Cancer Lett 148:73–80
Kensler TW, Qian GS, Chen JG et al (2003) Translational strategies for cancer prevention in liver. Nat Rev Cancer 3:321–329
Kim CM, Koike K, Saito I et al (1991) HBx gene of hepatitis B virus induces liver cancer in transgenic mice. Nature 351:317–320
Kim JW, Wang XW (2003) Gene expression profiling of preneoplastic liver disease and liver cancer: a new era for improved early detection and treatment of these deadly diseases? Carcinogenesis 24:363–369
Kim YJ, Lee HS (2005) Single nucleotide polymorphisms associated with hepatocellular carcinoma in patients with chronic hepatitis B virus infection. Intervirology 48:10–15
Koike K, Tsutsumi T, Fujie H et al (2002) Molecular mechanism of viral hepatocarcinogenesis. Oncology 62 (Suppl 1):29–37
Kondo Y, Kanai Y, Sakamoto M et al (2000) Genetic instability and aberrant DNA methylation in chronic hepatitis and cirrhosis – A comprehensive study of loss of heterozygosity and microsatellite instability at 39 loci and DNA hypermethylation on 8 CpG islands in microdissected specimens from patients with hepatocellular carcinoma. Hepatology 32:970–979
Kops GJ, Weaver BA, Cleveland DW (2005) On the road to cancer: aneuploidy and the mitotic checkpoint. Nat Rev Cancer 5:773–785
Kuo G, Choo QL, Alter HJ et al (1989) An assay for circulating antibodies to a major etiologic virus of human non-A, non-B hepatitis. Science 244:362–364
Levy L, Renard CA, Wei Y et al (2002) Genetic alterations and oncogenic pathways in hepatocellular carcinoma. Ann NY Acad Sci 963:21–36
Li D, Mallory T, Satomura S (2001) AFP-L3: a new generation of tumor marker for hepatocellular carcinoma. Clin Chim Acta 313:15–19
Liotta LA (1985) Mechanisms of cancer invasion and metastasis. Important Adv Oncol 28–41
Llovet JM, Bruix J (2003) Systematic review of randomized trials for unresectable hepatocellular carcinoma: chemoembolization improves survival. Hepatology 37:429–442
Llovet JM, Burroughs A, Bruix J (2003) Hepatocellular carcinoma. Lancet 362:1907–1917
Llovet JM, Ricci S, Mazzaferro V et al (2008) Sorafenib in advanced hepatocellular carcinoma. N Engl J Med 359:378–390
Llovet JM, Schwartz M, Mazzaferro V (2005) Resection and liver transplantation for hepatocellular carcinoma. Semin Liver Dis 25:181–200
Lo CM, Liu CL, Chan SC et al (2007) A randomized, controlled trial of postoperative adjuvant interferon therapy after resection of hepatocellular carcinoma. Ann Surg 245:831–842
Midorikawa Y, Tsutsumi S, Nishimura K et al (2004) Distinct chromosomal bias of gene expression signatures in the progression of hepatocellular carcinoma. Cancer Res 64:7263–7270
Mitelman F, Johansson B, Mertens F (2007) The impact of translocations and gene fusions on cancer causation. Nat Rev Cancer 7:233–245
Mueller MM, Fusenig NE (2004) Friends or foes – bipolar effects of the tumour stroma in cancer. Nat Rev Cancer 4:839–849
Murakami Y, Saigo K, Takashima H et al (2005) Large scaled analysis of hepatitis B virus (HBV) DNA integration in HBV related hepatocellular carcinomas. Gut 54:1162–1168
Nagai H, Pineau P, Tiollais P et al (1997) Comprehensive allelotyping of human hepatocellular carcinoma. Oncogene 14:2927–2933
Nakakura EK, Choti MA (2000) Management of hepatocellular carcinoma. Oncology (Huntingt) 14:1085–1098
Nishida N, Fukuda Y, Kokuryu H et al (1992) Accumulation of allelic loss on arms of chromosomes 13q, 16q and 17p in the advanced stages of human hepatocellular carcinoma. Int J Cancer 51:862–868
Ohsawa N, Sakamoto M, Saito T et al (1996) Numerical chromosome aberrations in hepatocellular carcinoma detected by fluorescence in situ hybridization. J Hepatol 25:655–662
Okuda H, Nakanishi T, Takatsu K et al (1999) Measurement of serum levels of des-gamma-carboxy prothrombin in patients with hepatocellular carcinoma by a revised enzyme immunoassay kit with increased sensitivity. Cancer 85:812–818
Paget S (1989) The distribution of secondary growths in cancer of the breast. 1889. Cancer Metastasis Rev 8:98–101
Parkin DM, Bray F, Ferlay J et al (2005) Global cancer statistics, 2002. CA Cancer J Clin 55:74–108
Parkin DM, Pisani P, Ferlay J (1999) Global cancer statistics. CA Cancer J Clin 49:33–64
Poon RT, Fan ST, Lo CM et al (2002) Long-term survival and pattern of recurrence after resection of small hepatocellular carcinoma in patients with preserved liver function: implications for a strategy of salvage transplantation. Ann Surg 235:373–382
Powell LW, Burt MJ, Halliday JW et al (1996) Hemochromatosis: genetics and pathogenesis. Semin Liver Dis 16:55–63
Ramaswamy S, Ross KN, Lander ES et al (2003) A molecular signature of metastasis in primary solid tumors. Nat Genet 33:49–54
Rokitansky C (1849) A manual of pathological anatomy, Vol. 2. Roncalli M, Bianchi P, Grimaldi GC et al (2000) Fractional allelic loss in non-end-stage cirrhosis: correlations with hepatocellular carcinoma development during follow-up. Hepatology 31:846–850
Schena M, Shalon D, Davis RW et al (1995) Quantitative monitoring of gene expression patterns with a complementary DNA microarray. Science 270:467–470
Shiraki K, Takase K, Tameda Y et al (1995) A clinical study of lectin-reactive alpha-fetoprotein as an early indicator of hepatocellular carcinoma in the follow-up of cirrhotic patients. Hepatology 22:802–807
Staib F, Hussain SP, Hofseth LJ et al (2003) TP53 and liver carcinogenesis. Hum Mutat 21:201–216
Steeg PS (2003) Metastasis suppressors alter the signal transduction of cancer cells. Nat Rev Cancer 3:55–63
Sun HC, Tang ZY, Wang L et al (2006) Postoperative interferon alpha treatment postponed recurrence and improved overall survival in patients after curative resection of HBV-related hepatocellular carcinoma: a randomized clinical trial. J Cancer Res Clin Oncol 132:458–465
Taketa K (1990) Alpha-fetoprotein: reevaluation in hepatology. Hepatology 12:1420–1432
Tamura S, Nakamori S, Kuroki T et al (1997) Association of cumulative allelic losses with tumor aggressiveness in hepatocellular carcinoma. J Hepatol 27:669–676
Taylor-Robinson SD, Foster GR, Arora S et al (1997) Increase in primary liver cancer in the UK, 1979–1994. Lancet 350:1142–1143
Thorgeirsson SS, Grisham JW (2002) Molecular pathogenesis of human hepatocellular carcinoma. Nat Genet 31:339–346
Tsopanomichalou M, Kouroumalis E, Ergazaki M et al (1999) Loss of heterozygosity and microsatellite instability in human non-neoplastic hepatic lesions. Liver 19:305–311
Ueno S, Tanabe G, Nuruki K et al (2002) Prognostic performance of the new classification of primary liver cancer of Japan (4th edn.) for patients with hepatocellular carcinoma: a validation analysis. Hepatol Res 24:395–403
Van de Vijver MJ, He YD, Van’t Veer LJ et al (2002) A gene-expression signature as a predictor of survival in breast cancer. N Engl J Med 347:1999–2009
van de Wouw AJ, Janssen-Heijnen ML, Coebergh JW et al (2002) Epidemiology of unknown primary tumours; incidence and population-based survival of 1285 patients in Southeast Netherlands, 1984–1992. Eur J Cancer 38:409–413
Vogelstein B, Kinzler KW (2004) Cancer genes and the pathways they control. Nat Med 10:789–799
Wang W, Budhu A, Forgues M et al (2005) Temporal and spatial control of nucleophosmin by the Ran-Crm1 complex in centrosome duplication. Nat Cell Biol 7:823–830
Wang XW, Hussain SP, Huo TI et al (2002) Molecular pathogenesis of human hepatocellular carcinoma. Toxicology 181–182:43–47
Wildi S, Pestalozzi BC, McCormack L et al (2004) Critical evaluation of the different staging systems for hepatocellular carcinoma. Br J Surg 91:400–408
Woo HG, Park ES, Lee JS et al (2009) Identification of potential driver genes in human liver carcinoma by genomewide screening. Cancer Res 69:4059–4066
Yamada T, De Souza AT, Finkelstein S et al (1997) Loss of the gene encoding mannose 6-phosphate/insulin-like growth factor II receptor is an early event in liver carcinogenesis. Proc Natl Acad Sci USA94:10351–10355
Yamagiwa K (1911) Zur kenntnis der primären parenchymatosen Leberkarzinome [To the knowledge of the primary parenchymal liver carcinoma]. Virchows Arch 206:437–467
Yamamoto J, Okada S, Shimada K et al (2001) Treatment strategy for small hepatocellular carcinoma: comparison of long-term results after percutaneous ethanol injection therapy and surgical resection. Hepatology 34:707–713
Ye QH, Qin LX, Forgues M et al (2003) Predicting hepatitis B virus-positive metastatic hepatocellular carcinomas using gene expression profiling and supervised machine learning. Nat Med 9:416–423
Yeh SH, Chen PJ, Shau WY et al (2001) Chromosomal allelic imbalance evolving from liver cirrhosis to hepatocellular carcinoma. Gastroenterology 121:699–709
Yuen MF, Cheng CC, Lauder IJ et al (2000) Early detection of hepatocellular carcinoma increases the chance of treatment: hong kong experience. Hepatology 31:330–335
Zender L, Spector MS, Xue W et al (2006) Identification and validation of oncogenes in liver cancer using an integrative oncogenomic approach. Cell 125:1253–1267
Zender L, Xue W, Zuber J et al (2008) An oncogenomics-based in vivo RNAi screen identifies tumor suppressors in liver cancer. Cell 135:852–864
Zheng Y, Chen WL, Louie SG et al (2007) Hepatitis B virus promotes hepatocarcinogenesis in transgenic mice. Hepatology 45:16–21
Zhou XD, Tang ZY, Yang BH et al (2001) Experience of 1000 patients who underwent hepatectomy for small hepatocellular carcinoma. Cancer 91:1479–1486
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Wang, X.W., Grisham, J.W., Thorgeirsson, S.S. (2010). Biology of Hepatocellular Carcinoma: Past, Present and Beyond. In: Wang, X., Grisham, J., Thorgeirsson, S. (eds) Molecular Genetics of Liver Neoplasia. Cancer Genetics. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-6082-5_1
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