Overview of hepatocarcinogenesis focusing on cellular origins of liver cancer stem cells: a narrative review

Hepatocellular carcinoma (HCC) accounts for 85% to 90% of primary liver cancers and generally has a poor prognosis. The hierarchical model, which posits that HCC originates from liver cancer stem cells (CSCs), is now widely accepted, as it is for other cancer types. As CSCs typically reside in the G...

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Main Author: Jong Ryeol Eun
Format: Article
Language:English
Published: Yeungnam University College of Medicine, Yeungnam University Institute Medical Science 2025-01-01
Series:Journal of Yeungnam Medical Science
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Online Access:http://www.e-jyms.org/upload/pdf/jyms-2024-01088.pdf
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author Jong Ryeol Eun
author_facet Jong Ryeol Eun
author_sort Jong Ryeol Eun
collection DOAJ
description Hepatocellular carcinoma (HCC) accounts for 85% to 90% of primary liver cancers and generally has a poor prognosis. The hierarchical model, which posits that HCC originates from liver cancer stem cells (CSCs), is now widely accepted, as it is for other cancer types. As CSCs typically reside in the G0 phase of the cell cycle, they are resistant to conventional chemotherapy. Therefore, to effectively treat HCC, developing therapeutic strategies that target liver CSCs is essential. Clinically, HCCs exhibit a broad spectrum of pathological and clinical characteristics, ranging from well-differentiated to poorly differentiated forms, and from slow-growing tumors to aggressive ones with significant metastatic potential. Some patients with HCC also show features of cholangiocarcinoma. This HCC heterogeneity may arise from the diverse cellular origins of liver CSCs. This review explores the normal physiology of liver regeneration and provides a comprehensive overview of hepatocarcinogenesis, including cancer initiation, isolation of liver CSCs, molecular signaling pathways, and microRNAs. Additionally, the cellular origins of liver CSCs are reviewed, emphasizing hematopoietic and mesenchymal stem cells, along with the well-known hepatocytes and hepatic progenitor cells.
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spelling doaj-art-73531b297b1d4de4a4677d342f3bd35d2025-02-11T06:26:37ZengYeungnam University College of Medicine, Yeungnam University Institute Medical ScienceJournal of Yeungnam Medical Science2799-80102025-01-014210.12701/jyms.2024.010882865Overview of hepatocarcinogenesis focusing on cellular origins of liver cancer stem cells: a narrative reviewJong Ryeol Eun0 Department of Internal Medicine, Dongguk University Ilsan Hospital, Dongguk University College of Medicine, Ilsan, KoreaHepatocellular carcinoma (HCC) accounts for 85% to 90% of primary liver cancers and generally has a poor prognosis. The hierarchical model, which posits that HCC originates from liver cancer stem cells (CSCs), is now widely accepted, as it is for other cancer types. As CSCs typically reside in the G0 phase of the cell cycle, they are resistant to conventional chemotherapy. Therefore, to effectively treat HCC, developing therapeutic strategies that target liver CSCs is essential. Clinically, HCCs exhibit a broad spectrum of pathological and clinical characteristics, ranging from well-differentiated to poorly differentiated forms, and from slow-growing tumors to aggressive ones with significant metastatic potential. Some patients with HCC also show features of cholangiocarcinoma. This HCC heterogeneity may arise from the diverse cellular origins of liver CSCs. This review explores the normal physiology of liver regeneration and provides a comprehensive overview of hepatocarcinogenesis, including cancer initiation, isolation of liver CSCs, molecular signaling pathways, and microRNAs. Additionally, the cellular origins of liver CSCs are reviewed, emphasizing hematopoietic and mesenchymal stem cells, along with the well-known hepatocytes and hepatic progenitor cells.http://www.e-jyms.org/upload/pdf/jyms-2024-01088.pdfcellular originshepatocarcinogenesishepatocellular carcinomaliver cancer stem cells
spellingShingle Jong Ryeol Eun
Overview of hepatocarcinogenesis focusing on cellular origins of liver cancer stem cells: a narrative review
Journal of Yeungnam Medical Science
cellular origins
hepatocarcinogenesis
hepatocellular carcinoma
liver cancer stem cells
title Overview of hepatocarcinogenesis focusing on cellular origins of liver cancer stem cells: a narrative review
title_full Overview of hepatocarcinogenesis focusing on cellular origins of liver cancer stem cells: a narrative review
title_fullStr Overview of hepatocarcinogenesis focusing on cellular origins of liver cancer stem cells: a narrative review
title_full_unstemmed Overview of hepatocarcinogenesis focusing on cellular origins of liver cancer stem cells: a narrative review
title_short Overview of hepatocarcinogenesis focusing on cellular origins of liver cancer stem cells: a narrative review
title_sort overview of hepatocarcinogenesis focusing on cellular origins of liver cancer stem cells a narrative review
topic cellular origins
hepatocarcinogenesis
hepatocellular carcinoma
liver cancer stem cells
url http://www.e-jyms.org/upload/pdf/jyms-2024-01088.pdf
work_keys_str_mv AT jongryeoleun overviewofhepatocarcinogenesisfocusingoncellularoriginsoflivercancerstemcellsanarrativereview