RT Journal Article T1 Alcohol and Hepatocellular Carcinoma: Adding Fuel to the Flame A1 Ramadori, Pierluigi A1 Cubero Palero, Francisco Javier A1 Liedtke, Christian A1 Trautwein, Christian A1 Nevzorova, Yulia AB Primary tumors of the liver represent the fifth most common type of cancer in the world and the third leading cause of cancer-related death. Case-control studies from different countries report that chronic ethanol consumption is associated with an approximately 2-fold increased odds ratio for hepatocellular carcinoma (HCC). Despite the substantial epidemiologic data in humans demonstrating that chronic alcohol consumption is a major risk factor for HCC development, the pathways causing alcohol-induced liver cancer are poorly understood. In this overview, we summarize the epidemiological evidence for the association between alcohol and liver cancer, review the genetic, oncogenic, and epigenetic factors that drive HCC development synergistically with ethanol intake and discuss the essential molecular and metabolic pathways involved in alcohol-induced liver tumorigenesis. PB MDPI SN 2072-6694 YR 2017 FD 2017-09-25 LK https://hdl.handle.net/20.500.14352/19162 UL https://hdl.handle.net/20.500.14352/19162 LA eng NO Ministerio de Economía y Competitividad (MINECO) NO Ministerio de Ciencia e Innovación (MICCIN) NO German Research Foundation DS Docta Complutense RD 4 abr 2025