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Abstract HCV infection is a major cause of chronic liver diseases, with an estimated prevalence of HCV infection worldwide of 3% (>170 million people). Egypt has possibly the highest HCV prevalence worldwide, estimated among the general population to be around 14%. (Anwar et al., 2008) Chronic HCV infection is characterized by inflammatory lesions in the liver, often accompanied by steatohepatitis and progressive fibrosis of variable degrees, and long-term progression to cirrhosis and hepatocellular carcinoma. (Bouchard and Navas-Martin, 2010) Chronic HCV infection is a major risk factor for HCC development. Indeed, each year, 4-5% of patients with chronic hepatitis C develop HCC. Serological markers of HCV infection in patients with HCC range from 27% up to 80%, and HCV infection increases the risk for HCC development by an estimated 17-fold compared to healthy individuals. The molecular mechanisms underlying HCC development remain ill-defined. (Bartosch et ai.,2009.) |