Evidence map›Paper›PMID 39568126›Full record

ReviewClinical and molecular hepatology2025

Mechanisms of hepatocellular carcinoma and cirrhosis development in concurrent steatotic liver disease and chronic hepatitis B.

Saisai Zhang, Lung-Yi Mak, Man-Fung Yuen, Wai-Kay Seto

Abstract readReview
In one paragraph

Review in Clinical and molecular hepatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–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

22 citing papers in PubMed.

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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

4 authors.

Saisai ZhangDepartment of Medicine, School of Clinical Medicine, The University of Hong Kong, Hong Kong.
Lung-Yi MakDepartment of Medicine, School of Clinical Medicine, The University of Hong Kong, Hong Kong.
Man-Fung YuenDepartment of Medicine, School of Clinical Medicine, The University of Hong Kong, Hong Kong.
Wai-Kay SetoDepartment of Medicine, School of Clinical Medicine, The University of Hong Kong, Hong Kong.

Funding

AbbVieArbutus BiopharmaArrowhead PharmaceuticalsAssembly BiosciencesBristol Myer SquibbClear B TherapeuticsDicerna PharmaceuticalsFujirebio IncorporationGilead SciencesGlaxoSmithKlineJanssenMerck Sharp and DohmeSpringbank PharmaceuticalsSysmex Corporation
6 · The paper itself

Abstract

Chronic hepatitis B (CHB) poses a major global public health challenge and is a leading cause of cirrhosis and liver cancer. Hepatic steatosis is common in individuals with CHB compared to the non-CHB population and is particularly prevalent in hepatitis B virus (HBV)-endemic regions, affecting about one-third of CHB patients. The interaction between hepatic steatosis and CHB-related disease progression is complex and still under debate. Evidence demonstrates that co-existing steatosis may worsen liver fibrosis while paradoxically increasing the likelihood of achieving better HBV control. In particular, despite the association of steatotic liver disease (SLD) with lower HBV viral loads and higher rates of HBsAg seroclearance, the coexistence of CHB and SLD can potentially accelerate liver disease progression. Factors such as fat deposition, lipotoxicity, oxidative stress, and chronic inflammation in SLD may foster a pro-fibrotic and pro-carcinogenic environment, accelerating the disease progression. Additionally, loss of global DNA methylation, changes in the immune microenvironment, and genetic susceptibility further contribute to the development of CHB-related cirrhosis and hepatocellular carcinoma (HCC). This review examines the mechanisms driving liver disease progression and the heightened risk of cirrhosis and HCC in patients with concurrent CHB and steatotic liver disease, underscoring the importance of prioritizing antiviral therapy for CHB in addition to addressing SLD.

Indexed as

Carcinoma, HepatocellularFatty LiverHepatitis B, ChronicLiver CirrhosisLiver NeoplasmsDisease ProgressionHepatitis B virusHumansCirrhosisFatty liverHepatitis B virusHepatocellular carcinomaNon-alcoholic fatty liver disease

Identifiers

PMID39568126
PMCPMC11925439

What OpenQuestion holds

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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 OpenQuestion graph.