Evidence map›Paper›PMID 41201177›Full record

SynthesisCancer medicine2025

Recent Advancements in Known and Emerging Risk Factors of Hepatocellular Carcinoma.

Muhammad Masroor Hussain, Bi Feng, Ju-Mei Wang, Ao-Qiang Zhai, Fu-Yu Li, Hai-Jie Hu

Abstract readSystematic Review
In one paragraph

Synthesis in Cancer medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Observational
  3. Article
  4. Review
  5. Article
  6. Review
  7. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Muhammad Masroor HussainDivision of Biliary Tract Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu, China.ORCID https://orcid.org/0009-0009-9663-4959
Bi FengDivision of Biliary Tract Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu, China.
Ju-Mei WangDivision of Biliary Tract Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu, China.
Ao-Qiang ZhaiDivision of Biliary Tract Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu, China.
Fu-Yu LiDivision of Biliary Tract Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu, China.ORCID https://orcid.org/0000-0003-2755-2887
Hai-Jie HuDivision of Biliary Tract Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu, China.

Funding

1.3.5 project for Artificial Intelligence West China Hospital, Sichuan University ZYAI240301.3.5 project for disciplines of excellence-Clinical Research Incubation Project, West China Hospital, Sichuan University 2021HXFH001Lanzhou science and technology development guiding plan project 2023-ZD-143 Cheng JianrongNational Natural Science Foundation of China for Young Scientists Fund 82203782(Qilu) Clinical Research of Sichuan Anticancer Association XH2023-032(Qilu) Clinical Research of Sichuan Anticancer Association XH2023-502Sichuan Natural Science Foundation 2024NSFSC0742Sichuan Natural Science Foundation 2024NSFSC1949Sichuan Province Science and Technology Support Program 2024YFFK0384Sichuan Province Science and Technology Support Program 2024YFFK0385Sichuan University-Sui Ning School-local Cooperation project 2022CDSN-18the Postdoctor Research Fund of West China Hospital, Sichuan University 2024HXBH134
6 · The paper itself

Abstract

backgroundHepatocellular carcinoma (HCC) is the most common primary liver malignancy and a leading cause of cancer-related deaths worldwide. Despite advancements in antiviral therapies for hepatitis B (HBV) and hepatitis C (HCV), HCC incidence continues to rise due to metabolic dysfunction-associated steatotic liver disease (MASLD), obesity, type 2 diabetes mellitus (T2DM), and emerging environmental and genetic risk factors. Understanding the evolving landscape of HCC pathogenesis is crucial for improved prevention and treatment strategies.

objectiveThis review consolidates recent insights into established and emerging HCC risk factors, highlighting epidemiological trends, molecular mechanisms, and global disparities. It also explores novel therapeutic and preventive strategies aimed at reducing HCC burden and improving patient outcomes.

methodsA systematic literature review was conducted, incorporating epidemiological studies, molecular research, and clinical trials on HCC risk factors. The interplay between viral hepatitis, metabolic syndrome, environmental toxins, and gut-liver axis dysregulation was analyzed to provide a comprehensive understanding of HCC development.

resultsWhile HBV and HCV remain significant drivers of HCC, metabolic risk factors-including MASLD, obesity, insulin resistance, and T2DM-are increasingly prevalent, particularly in Western populations. Environmental exposures such as aflatoxins, alcohol, smoking, and air pollution further exacerbate disease progression. Gut microbiota dysbiosis has also emerged as a key modulator of hepatic carcinogenesis. Advances in precision medicine, including tyrosine kinase inhibitors (sorafenib, lenvatinib), immune checkpoint inhibitors (nivolumab, pembrolizumab), and gut microbiota-targeted therapies, are transforming HCC management. Early detection is improving through biomarker-driven surveillance and AI-enhanced imaging techniques.

conclusionThe shifting epidemiology of HCC necessitates a multidisciplinary approach to prevention, early detection, and treatment. Integrating genomic profiling, biomarker-based risk stratification, and equitable healthcare access will be critical to reducing the global burden of HCC.

Indexed as

Carcinoma, HepatocellularLiver NeoplasmsDiabetes Mellitus, Type 2HumansIncidenceObesityRisk Factorsaflatoxin exposuregut microbiota and liver cancerhepatitis B virus (HBV)hepatocellular carcinoma (HCC)immune checkpoint inhibitorsmetabolic dysfunction‐associated steatotic liver disease (MASLD)precision medicine in HCCtype 2 diabetes mellitus (T2DM)

Identifiers

PMID41201177
PMCPMC12593558

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.