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Jayachandran et al. Hepatoma Res 2020;6:8  I  http://dx.doi.org/10.20517/2394-5079.2019.35                                 Page 5 of 14  Table 1. Association of liver cirrhosis as a risk factors for development of HCC in HH





                                                 Author
                                                                                                     Author
                               Shi et al.  [56]
                                   Allen et al.  [23]
                                      Willis et al.  [71]
                                                                                           Allen et al.  [23]
                                                               Hiatt et al.  [69]
                                                                           Lauret et al.  [52]
                                                                                               Cauza et al.  [48]
                                                                       Nahon et al.  [53]
                                                                   Blanc et al.  [68]
                                                                                   Nowak et al.  [73]
                       Nowak et al.  [73]
                                                                                       Asberg et al.  [62]
                                                                               Fargion et al.  [40]
                   Elmberg et al.  [42]
                                                                                                   Elmberg et al.  [42]
                                           Haddow et al.  [44]
                                         Ezzikouri et al.  [49]
                                               Elmberg et al.  [42]
                           Fracanzani et al.  [72]
                             B
                       Age
                   Age
                                   Gender
                                           Gender
                                               Gender
                                         Gender
                                      Gender
                                                              livers
                                                                  livers
                                                                               Cirrhosis
                                                                                       Cirrhosis
                                                                           Cirrhosis
                                                                                           Cirrhosis
                                                                       Cirrhosis
                                                                                   Cirrhosis
                                                                                                   Cirrhosis
                                                                                               Cirrhosis
                         B and Gender
                                                                                                     Risk factor
                                                 Risk factor
                                                                   Non-cirrhotic
                                                               Non-cirrhotic
                           Chronic hepatitis
                               Chronic hepatitis
                                                               USA
                                      Population study, UK
                                           Population study, USA
                                                                               Case-control study, Italy
                           Case-control study, Italy
                                                                                                   Population study, Sweden
                                                                                   Case-control study, Swiss
                                                                           Case-control study, Spain
                                                                                       Population study, Norway
                                               Population study, Sweden
                       Case-control study, Swiss
                   Population study, Sweden
                               Case-control study, China
                                                                       Case-control study, France
                                                                   Case-control study, France
                                                                                           Population study, Australia
                                   Population study, Australia
                                                                                                     Study population/country
                                                                                               Case-control study, Austria
                                                 Study population/country
                                         Case-control study, Morocco
                                                               1
                                                                   35
                                                                       301
                                                                                               162
                       147
                                                                                   147
                           303
                                      144
                                   31,192
                                                                                           31,192
                                                                                       65,238
                                                                          (control)
                                           1,000,000
                                                    Table 2. Association of HFE mutations with other risk factors of HCC
                 degree relatives)
                                                                                                 degree relatives)
                                             degree relatives)
                                                                           554(cirrhosis), 159
                                                 No. of cases
                                                                                                     No. of cases
                                                                                                   1847 (HH) 5973 (first-
                                               1847 (HH), 5973 (first-
                               56 (HCC), 60 (control)
                   1847 (HH), 5973 (first-
                                                                               81 (HCC), 128 (control)
                                         222 (control), 96 (HCC)
                                                               C282Y (+/+)
                                           C282Y (+/+)
                                      C282Y (+/+)
                                                                                             (C282Y/H63D)
                                                                                 (C282Y/H63D)
                                                                                         (C282Y/H63D)
                                                                  (C282Y/H63D)
                     (C282Y/H63D)
                           H63D (+/−), C282Y (+/−)
                               C282Y (+/+), H63D (+/+)
                                                                           C282Y (+/−) and H63D (+/−)
                                                                               C282Y (+/−) and H63D (+/−)
                                         H63D (+/+), H63D (+/−), C282Y (+/−)
                                                 HFE mutation analysis
                                                                                                     HFE mutation analysis
                                                                                                 (C282Y/H63D), H63D (+/+), H63D (+/−)
                                             (C282Y/H63D), H63D (+/+), H63D (+/−)
                 (C282Y/H63D), H63D (+/+), H63D (+/−)
                                                                                   C282Y (+/+), H63D (+/−), compound heterozygotes
                       C282Y (+/+), H63D (+/−), compound heterozygotes
                                                                                               C282Y (+/+), H63D (+/+), compound heterozygotes
                                                                                           C282Y (+/+), C282Y (+/−) compound heterozygotes
                                                                   C282Y (+/+), H63D (+/+), compound heterozygotes
                                                                                                   C282Y (+/+), C282Y (+/−), compound heterozygotes
                                               C282Y (+/+), C282Y (+/−), compound heterozygotes
                   C282Y (+/+), C282Y (+/−), compound heterozygotes
                                                                       C282Y (+/−), compound heterozygotes (C282Y/H63D)
                                                                                       C282Y (+/+), compound heterozygotes (C282Y/H63D)
                                   C282Y (+/+), compound heterozygotes (C282Y/H63D)
             Genotypes: +/+ indicates homozygotes, +/− indicates heterozygotes. HCC: hepatocellular carcinoma; HH: hereditary hemochromatosis; HBV: hepatitis B virus
                                                          Genotypes: +/+ indicates homozygotes, +/− indicates heterozygotes. HCC: hepatocellular carcinoma; HH: hereditary hemochromatosis; HCV: hepatitis C virus
                                                                              high risk of HCC
                                                              in HH without cirrhosis
                             after chronic hepatitis B
                     with the occurrence of HCC
                         be HBV positive in HCC patients
                                                                                 the individuals had liver cirrhosis
                                                 Comments
                                                                                                     Comments
                                                                          heterozygous for the C282Y mutation
                                                                                             develop HCC in patients with cirrhosis
                                             among men and 7-fold among women
                                                                                     women homozygous for the C282Y mutation
                                                                                               C282Y homozygotes had a 20-fold increased risk to
                                                                                                 cancer risk in first-degree relatives was not increased
                                                                                       Low prevalence of cirrhosis, 3.7% in men and none in
                                                                                                   HH were at a 20-fold risk of developing HCC. Overall
                                 proportion of men but in a small proportion of women
                                                                               C282Y and H63D heterozygotes with cirrhosis have a
                                                                           20.9% patients with alcoholic cirrhosis and HCC were
                                                                                           Homozygotes for the C282Y mutation developed HCC
                                               The risk of developing HCC in HH patients was 30-fold
                   The risk of developing HCC was not associated with age
                                      The penetrance of C282Y homozygous genotype in HH
                           C282Y heterozygous males were 3.8-fold more likely to
                                     with HCC was 1.31%-2.1% for males and zero for females
                                   In C282Y homozygotes, HCC developed in a substantial
                                                               C282Y mutation increased the risk of HCC development
                                           The relative risk for this cancer in C282Y homozygotes is 23
                               C282Y mutation is associated with susceptibility to HCC
                                                                                   9% of C282Y homozygotes develop HCC and majority of
                                                                      patients with alcoholic but not with HCV-related cirrhosis
                                                                   50% of HH patients developed HCC in non-cirrhotic livers
                       Higher age at diagnosis showed the strongest association
                                         Men carrying the H63D mutation had a greater risk of HCC
                                                                       C282Y heterozygotes increased risk of developing HCC in
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