The role of reactive oxygen species (ROS) and cytochrome P-450 2E1 in the generation of carcinogenic etheno-DNA adducts

HBV-related chronic liver disease and insulin resistance

The liver is the major organ regulating glucose metabolism. When liver injury occurs, glucose metabolism disturbance and insulin resistance (IR) may develop, which can even cause the development of hepatogenic diabetes. The correlation between viral hepatitis, liver cirrhosis and diabetes has become a hot research topic in recent years. This paper reviews the progress in research of hepatitis B virus (HBV) infection and early predictors of diabetes. We give a brief introduction to the concept of IR and its causes, and discuss the relationship of HBV infection, HBV and HCV coinfection, and hepatitis associated cirrhosis with IR. We also describe the possible mechanisms for IR in HBV infected people. Besides, we discuss the impact of IR on prognosis of HBV related chronic liver diseases, mainly fatty, liver fibrosis, and liver cancer. The clinical treatment of patients with HBV infection and IR is also discussed.