Bréchot C
Unité d'hépatologie, hôpital Laennec, Paris.
Rev Prat. 1992 Sep 1;42(13):1621-7.
Chronic infection by hepatitis B and C viruses is frequently associated to the development of primary liver cancer. Liver cirrhosis, induced by these viral infection, plays an important role in the liver carcinogenesis. In addition, HBV has a direct role in liver cell transformation by a transactivating effect of some viral proteins as well as insertional mutagenesis. The role of hepatitis C virus is not known. The strong association, even in France, of primary liver cancer to these viral infections underline the importance of their prevention by vaccination.
乙型和丙型肝炎病毒的慢性感染常与原发性肝癌的发生相关。由这些病毒感染引起的肝硬化在肝癌发生过程中起重要作用。此外,乙肝病毒通过某些病毒蛋白的反式激活作用以及插入诱变在肝细胞转化中起直接作用。丙型肝炎病毒的作用尚不清楚。即使在法国,原发性肝癌与这些病毒感染之间的紧密关联也凸显了通过疫苗接种进行预防的重要性。