The development of hepatocellular carcinoma (HCC) is associated with which hepatitis/hepadnavirus agents? (Consider established human and animal models that demonstrate oncogenic association.)

Difficulty: Easy

Correct Answer: all of the above

Explanation:


Introduction:
Hepatocellular carcinoma (HCC) is a primary liver cancer strongly linked to chronic hepatitis B virus (HBV) infection in humans. Closely related hepadnaviruses in animal models—including woodchuck hepatitis virus (WHV) and ground squirrel hepatitis virus (GSHV)—provide experimental evidence for the oncogenic potential of this virus family.


Given Data / Assumptions:

  • HBV is a hepadnavirus with partially double-stranded DNA.
  • Chronic infection and integration events are implicated in oncogenesis.
  • Animal hepadnaviruses (WHV, GSHV) cause HCC in their respective hosts.


Concept / Approach:
Persistent hepadnavirus infection promotes carcinogenesis through chronic inflammation, regenerative hyperplasia, and viral DNA integration near host oncogenes or tumor suppressor loci. HBx protein–mediated transcriptional dysregulation also contributes to malignant transformation.


Step-by-Step Solution:
Identify human association: HBV infection elevates lifetime HCC risk. Corroborate with animal models: WHV in woodchucks and GSHV in ground squirrels reproducibly lead to HCC. Synthesize: All listed agents (human and animal hepadnaviruses) are associated with HCC development in their hosts. Select the comprehensive option that captures all true associations.


Verification / Alternative check:
Longitudinal cohort data in endemic regions link chronic HBV to HCC; laboratory colonies of woodchucks chronically infected with WHV develop HCC at high frequency, reinforcing causality.


Why Other Options Are Wrong:

  • Ground squirrel / Woodchuck virus alone: Each is associated, but not the complete answer.
  • HBV alone: True but incomplete given the question's scope.


Common Pitfalls:
Assuming only human evidence matters; animal hepadnavirus models are foundational to understanding HBV oncogenesis.


Final Answer:
all of the above are associated with hepatocellular carcinoma in their respective hosts.

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