The Effect of Aspirin to Reduced Incidence of Hepatocellular Carcinoma: A Comprehensive Systematic Review

The Effect of Aspirin to Reduced Incidence of Hepatocellular Carcinoma

A Comprehensive Systematic Review

Authors

  • Chrysman Andreria Hatulely Al Mulk Regional General Hospital
  • Daniel Setiawan Nathan Maranatha Christian University

Keywords:

aspirin, incidence, hepatocellular carcinoma, liver cancer

Abstract

Background: Consistent aspirin usage is linked to a lower incidence of HCC in both the general population and certain populations that are at higher risk for the disease. Aspirin may also lessen the chance of HCC recurrence. Methods: This systematic review focused on full-text English literature published between 2014 and 2024 using the PRISMA 2020 guidelines. Editorials and review pieces published in the same  journal as the submission without a DOI were not accepted. The literature was compiled using PubMed, ScienceDirect, and SagePub, among other online venues. Result: Five publications were found to be directly related to our ongoing systematic examination after a rigorous three-level screening approach. Subsequently, a comprehensive analysis of the complete text was conducted, and additional scrutiny was given to these articles. Conclusion: The use of aspirin has been linked to a significant, duration-dependent reduction in the risk of incident HCC. Therefore, to determine the clinical effectiveness and safety of aspirin usage for HCC chemoprophylaxis, it is imperative to conduct randomised placebo-controlled studies in well-phenotyped groups.

References

Mathers CD, Loncar D. Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med. 2006 Nov;3(11):2011–30.

Heimbach JK, kulik LM, Finn RS, Sirlin CB. AASLD guidelines for the treatment of hepatocellular carcinoma. Hepatology. 2018;67(1):358–80.

Lubel JS, Roberts SK, Strasser SI, Thompson AJ, Philip J. Australian recommendations for the management of hepatocellular carcinoma: a consensus statement. Med J Aust. 2021;

Fitzmaurice C, Akinyemiju TF, Al Lami FH, Alam T, Alizadeh-Navaei R, Allen C, et al. Global, regional, and national cancer incidence, mortality, years of life lost, years lived with disability, and disability-adjusted life-years for 29 cancer groups, 1990 to 2016 a systematic analysis for the global burden of disease study global burden of disease cancer collaboration. JAMA Oncol. 2018 Nov 1;4(11):1553–68.

Ryerson AB, Eheman CR, Altekruse SF, Ward JW, Jemal A, Sherman RL, et al. Annual Report to the Nation on the Status of Cancer, 1975-2012, featuring the increasing incidence of liver cancer. Vol. 122, Cancer. John Wiley and Sons Inc.; 2016. p. 1312–37.

Sitia G, Iannacone M, Guidotti LG. Anti-platelet therapy in the prevention of hepatitis B virus-associated hepatocellular carcinoma. J Hepatol. 2013;59(5):1135–8.

Singal AG, Pillai A, Tiro J. Early Detection, Curative Treatment, and Survival Rates for Hepatocellular Carcinoma Surveillance in Patients with Cirrhosis: A Meta-analysis. PLoS Med. 2014;11–4.

Shin S, Lee SH, Lee M. Aspirin and the risk of hepatocellular carcinoma development in patients with alcoholic cirrhosis. Medicine (Baltim). 2020;

Cao Y, Nishihara R, Wu K. Population-wide impact of long-term use of aspirin and the risk for cancer. JAMA Oncol. 2016;

Hua H, Zhang H, Kong Q, Wang J, Jiang Y. Complex roles of the old drug aspirin in cancer chemoprevention and therapy. Med Res Rev. 2019;39:114–45.

Simon TG, Wilechansky RM, Stoyanova S, Grossman A, ichtel LE, Lauer GM. Aspirin for Metabolic Dysfunction-Associated Steatotic Liver Disease Without Cirrhosis: A Randomized Clinical Trial. JAMA. 2024;331(11):920–9.

Shi T, Fujita K, Gong J. Aspirin inhibits hepatocellular carcinoma cell proliferation in vitro and in vivo via inducing cell cycle arrest and apoptosis. Oncol Rep. 2020;44:457–68.

Liu YX, Feng JY, Sun MM. Aspirin inhibits the proliferation of hepatoma cells through controlling GLUT1-mediated glucose metabolism. Acta Pharmacol Sin. 2019;

Luo X, Yang W, Ma Y, Simoon TG, Meyerhardt JA. Physical Activity and Risk of Hepatocellular Carcinoma Among U.S. Men and Women. Cancer Prev Res (Phila). 2020;13(8):707–14.

Lee TY, Hsu YC, Ho HJ, Lin JT, Chen YJ, Wu CY. Daily aspirin associated with a reduced risk of hepatocellular carcinoma in patients with non-alcoholic fatty liver disease: a population-based cohort study. EClinicalMedicine. 2023;

Lu C De, Jiang YB, Feng JK, Wang L, Wei XB, Zhou B, et al. Postoperative adjuvant aspirin for patients with hepatitis B virus-related hepatocellular carcinoma and portal vein tumor thrombus: An open-label, randomized controlled trial. Heliyon. 2023 Sep 1;9(9).

Lee CH, Hsu CY, Yen TH, Wu TH, Yu MC, Hsieh SY. Daily Aspirin Reduced the Incidence of Hepatocellular Carcinoma and Overall Mortality in Patients with Cirrhosis. Cancers (Basel). 2023;15(11):2946.

Published

2024-05-17

Issue

Section

Articles

How to Cite

Hatulely, Chrysman Andreria, and Daniel Setiawan Nathan. 2024. “The Effect of Aspirin to Reduced Incidence of Hepatocellular Carcinoma: A Comprehensive Systematic Review”. The International Journal of Medical Science and Health Research 1 (2): 179-90. https://internationalmedicaljournal.org/index.php/ijmhsr/article/view/13.