Epigenetics in hepatocellular carcinoma development and therapy: The tip of the iceberg
Open accessAbstract
Hepatocellular carcinoma (HCC) is a deadly tumour whose causative agents are generally well known, but whose pathogenesis remains poorly understood. Nevertheless, key genetic alterations are emerging from a heterogeneous molecular landscape, providing information on the tumorigenic process from initiation to progression. Among these molecular alterations, those that affect epigenetic processes are increasingly recognised as contributing to carcinogenesis from preneoplastic stages. The epigenetic machinery regulates gene expression through intertwined and partially characterised circuits involving chromatin remodelers, covalent DNA and histone modifications, and dedicated proteins reading these modifications. In this review, we summarise recent findings on HCC epigenetics, focusing mainly on changes in DNA and histone modifications and their carcinogenic implications. We also discuss the potential drugs that target epigenetic mechanisms for HCC treatment, either alone or in combination with current therapies, including immunotherapies.
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Focusing on CGIs, global hypermethylation enrichment was observed in HCC patients versus controls (p-value = 4.31E-28).
“Focusing on CGIs, and consistent with the literature [15], we observed global hypermethylation enrichment in HCC patients versus controls (p-value = 4.31E-28; Supplementary Figure S1D).”
HCC development and progression consists in a multistep and complex process with sequential genetic and epigenetic alterations.
“HCC development and progression consists in a multistep and complex process with sequential genetic and epigenetic alterations [15, 32].”
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Epigenetics of alcohol-related liver diseases
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TGM2-mediated histone serotonylation promotes HCC progression via MYC signalling pathway
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Hepatocellular Carcinoma: Updates in Pathogenesis, Detection and Treatment
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Self-citationHDAC inhibitors enhance the anti-tumor effect of immunotherapies in hepatocellular carcinoma
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The Landscape of lncRNAs in Hepatocellular Carcinoma: A Translational Perspective
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Host Epigenetic Alterations and Hepatitis B Virus-Associated Hepatocellular Carcinoma
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Role of the Epigenetic Modifier JMJD6 in Tumor Development and Regulation of Immune Response
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Epigenetic mechanisms involved in hepatocellular carcinoma development and progression
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DNA Methylation of TGFβ Target Genes: Epigenetic Control of TGFβ Functional Duality in Liver Cancer
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Identification of NAA40 as a Potential Prognostic Marker for Aggressive Liver Cancer Subtypes
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Liver-specific deletion of miR-181ab1 reduces liver tumour progression via upregulation of CBX7
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Self-citationEmerging roles of interactions between ncRNAs and other epigenetic modifications in breast cancer
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Epigenetic mechanisms in HCC immune landscape: Therapeutic implications
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Expression landscape of epigenetic genes in human hepatocellular carcinoma
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Epigenetic Modifications in HBV ‐Related Hepatocellular Carcinoma
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Computer analysis of regulation of hepatocarcinoma marker genes hypermethylated by HCV proteins
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Genetic screening of liver cancer: State of the art
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Epigenetic therapies in hepatocellular carcinoma: emerging clinical tools and applications
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Extrachromosomal Circular DNA: A Mobile Genetic Element Shaping Host Biology
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Self-citationEvaluation of serum ESPL1 as a biomarker for early diagnosis of HBV-related hepatocellular carcinoma
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Histone serotonylation in HCC: Decoding the impact of "happy" histones on liver cancer progression
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Epigenetic biomarkers in diagnosis, prognosis, and treatment of hepatocellular carcinoma
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- Authors
- Fernández-Barrena, M. G., Arechederra, M., Colyn, L., Berasain, C., & Avila, M. A.
- Affiliations
- Navarre Institute of Health Research (ES)
- Centro de Investigación Médica Aplicada (ES)
- Instituto de Salud Carlos III (ES)
- Corresponding author
- Berasain, Carmen
- Avila, Matias A.
- Venue
- JHEP Reports
- Publisher
- Elsevier BV
- Published
- 2020-12
- Volume
- 2
- Issue
- 6
- Pages
- 100167
- ISSN
- 2589-5559 (ISSN-L)
- PMC
- PMC7585149
- OpenAlex
- W3047820870
- Cited by
- 126
- References
- 175
- Citations by year
- 2026: 18 · 2025: 23 · 2024: 25 · 2023: 19 · 2022: 23 · 2021: 17 · 2020: 1
- FWCI
- 1.44
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- JHEP Reports (publishedVersion, cc-by-nc-nd)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Ministerio de Ciencia e Innovación
- “la Caixa” Foundation
- Departamento de Educación, Gobierno de Navarra
- Instituto de Salud Carlos III
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Epigenetics and DNA Methylation
- Health Sciences › Medicine › Hepatology › Hepatocellular Carcinoma Treatment and Prognosis
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer-related molecular mechanisms research
- Keywords
- hepatocellular carcinoma, epigenetics, DNA methylation, histone modifications, chromatin remodeling, carcinogenesis, epigenetic therapy, immunotherapy, histone reader proteins
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