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07 March 2020 : Review article  

Research Progress in Liver-Regenerating Microenvironment and DNA Methylation in Hepatocellular Carcinoma: The Role of Traditional Chinese Medicine

Minggang Wang1AF*, Qianling Ye2EF, Dewen Mao3AG, Hanmin Li1AFG

DOI: 10.12659/MSM.920310

Med Sci Monit 2020; 26:e920310

Abstract

The development, progression, recurrence, and metastasis of hepatocellular carcinoma (HCC) are closely associated with an abnormal liver-regenerating microenvironment (LRM). Therefore, preventing and reversing an abnormal LRM is a potential therapeutic strategy against HCC. Studies are increasingly focusing on the impact of regeneration, fibrosis, angiogenesis, inflammation, immunomodulation, and hepatic stem cells on HCC development and progression. As a key epigenetic mechanism, DNA methylation is extensively involved in regulating physiological and pathological pathways. In this review, we summarize recent findings on the role of DNA methylation in the fibrotic, angiogenic, inflammatory/immune, and stem cell microenvironments of HCC, and discuss new advances in Traditional Chinese Medicine (TCM) on influencing the abnormal LRM, so as to gain new insights into alleviating the abnormal LRM via regulating DNA methylation by TCM.

Keywords: Carcinoma, Hepatocellular, Cellular Microenvironment, DNA Methylation, Liver Regeneration, Epigenesis, Genetic, Immunomodulation, Liver Cirrhosis, Neovascularization, Pathologic, tumor microenvironment

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750