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Review Article | Open Access

Current progress and role of lncRNAs in HBV infection and progression of hepatocellular carcinoma

Faisal Mahmooda,fMaher Un Nisa Awana,b,fMeng-Ting LuoaXiao LiaXiao-bin PengcJun Xub,d,e( )Jia Weia( )Tai-Cheng Zhoua( )
Central Laboratory, The Affiliated Hospital of Yunnan University, Kunming, Yunnan 650021, China
Department of Neurology, The Affiliated Hospital of Yunnan University, Kunming, Yunnan 650021, China
School of Medicine, Yunnan University, Kunming, Yunnan 650091, China
Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, China National Clinical Research Center for Neurological Diseases, Beijing 100070, China
Department of Neurology, The Second People’s Hospital of Guiyang (Jinyang Hospital), The Affiliated Jinyang Hospital of Guizhou Medical University, Guiyang, Guizhou 550081, China

Peer review under the responsibility of Chongqing Medical University.

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Abstract

Infection with hepatitis B virus (HBV) remains a severe concern to public health, with roughly 292 million people worldwide suffering from the chronic form of the disease, for which there is no cure. Chronic HBV infections frequently lead to hepatocellular carcinoma (HCC), one of the world’s leading causes of cancer-related deaths. Although the process of hepatocarcinogenesis is complex and not fully understood, various studies have identified numerous long non-coding RNAs (lncRNAs) as contributing to the formation of HCC. These host-derived lncRNAs are frequently dysregulated as a result of viral infection. Numerous lncRNAs have been linked to HBV carcinogenesis and replication, particularly those that are dysregulated in HBV-associated HCC. HBV X protein regulates the majority of these dysregulated lncRNAs. Certain lncRNAs have been found to exert regulatory functions in HBV replication and carcinogenesis. The prognosis for HCC remains poor, and early detection of novel tumor markers is critical for effective HCC therapy. Understanding the biological activities and regulatory mechanisms of HCC-associated lncRNAs will aid in disease diagnosis and therapy and help elucidate the disease etiology. In HBV-related HCC, certain dysregulated lncRNAs may develop into biomarkers for early detection or potential targets for HCC treatment. This review provides a brief overview of the recent findings on lncRNAs in HBV with a focus on current developments. We also investigated the possible relevance of dysregulated lncRNAs in HCC as biomarkers for diagnosis and treatment and assessed their carcinogenic and tumor-suppressive effects.

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Cite this article:
Mahmood F, Awan MUN, Luo M-T, et al. Current progress and role of lncRNAs in HBV infection and progression of hepatocellular carcinoma. Genes & Diseases, 2026, 13(5). https://doi.org/10.1016/j.gendis.2025.101878

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Received: 26 April 2025
Revised: 12 August 2025
Accepted: 27 August 2025
Published: 13 October 2025
© 2025 The Authors.

This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).