Occult infection with hepatitis B virus PreS variants synergistically promotes hepatocellular carcinoma development in a high-fat diet context by generating abnormal ceramides.
Chang LiuKun ChenFei ZhaoLingling XuanYuting WangChungui XuZhiyuan WuDongmei WangChunfeng QuPublished in: BMC medicine (2022)
HBV PreS mutations which altered amino acid properties of envelope proteins inhibited HBsAg secretion. Hepatocyte infection with PreS variants generated abnormal ceramides which with HBV proteins coactivated NLRP3 inflammasome in liver macrophages to promote autochthonous HCC development.