
Obesity significantly influences liver health by promoting the onset and progression of metabolic dysfunction-associated steatotic liver disease (MASLD). Hepatocellular carcinoma (HCC), the most prevalent form of liver cancer, is increasingly associated with MASLD through intricate genetic and molecular mechanisms. Obesity-induced MASLD entails alterations in hepatocytes resulting from lipid accumulation, oxidative stress, inflammation, and dysregulated signaling pathways such as mTOR, AMPK, and NF-κB. These factors impact cellular processes including growth, apoptosis, autophagy, migration, immune response, angiogenesis, and differentiation. Optimal management of MASLD-HCC depends on comprehensive risk evaluation, timely diagnosis, and the implementation of advanced therapeutic approaches. The cover image was created, in part, with AI-generated content via Copilot which was further modified using copyrighted elements by Servier Medical Art (SMART), licensed under the Creative Commons Attribution 4.0 International License (CC BY 4.0).
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