Telomere Length as a Potential Biomarker for Hepatocellular Carcinoma: A Comparative Analysis of Patients with HCV Treated with Direct Antiviral Agents - Summary - MDSpire

Telomere Length as a Potential Biomarker for Hepatocellular Carcinoma: A Comparative Analysis of Patients with HCV Treated with Direct Antiviral Agents

  • By

  • Marwa Helal

  • Marwa Gamal

  • Ashraf A. Basuni

  • Walaa El Gendy

  • Ashraf Khalil

  • February 23, 2026

  • 0 min

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Objective:

To evaluate telomere length in tumor and adjacent non-tumorous liver tissues of HCC patients with chronic HCV, comparing DAA-treated and DAA-naive groups, as a potential prognostic biomarker for HCC development following DAA therapy, emphasizing its clinical significance.

Key Findings:
  • Telomere shortening is associated with chronic liver injury and inflammation, potentially increasing HCC risk.
  • DAA treatment may influence telomere dynamics and HCC risk, necessitating further exploration.
  • Telomerase reactivation is prevalent in HCC cases, enabling cancer cell immortalization.
Interpretation:

Telomere length may serve as a biomarker for assessing HCC risk in patients with chronic HCV, particularly in the context of DAA treatment.

Limitations:
  • Retrospective design limited availability of pre-DAA viral load data, introducing potential biases.
  • Small sample size may affect generalizability of findings.
Conclusion:

The study highlights the potential of telomere length as a prognostic biomarker for HCC in patients treated with DAAs, warranting further investigation in larger cohorts.

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