Biology Reference
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Fig. 6. An overview of the survival and death pathways and their modula-
tion by hepatitis viruses.
EGFR promoter, up-regulating its expression and creating a positive
feedback loop that promotes cell growth and survival. 101 The trun-
cated middle surface antigen of HBV (mHBs) also activates this path-
way, but in a PKC-dependent manner. The HBx protein has also been
shown to stabilize the Ras-GTP complex, again promoting down-
stream signaling through Raf and MAPKs. 102
The HCV core protein binds to a Raf inhibitory protein 14-3-3
to relieve its repression of the Raf/MEK/ERK pathway. 103 Cell lines
expressing the HCV core protein also show higher activities of Raf,
MEK and Elk1, and a higher degree of phosphorylation and activation
of ERK. 104 The HCV NS5A protein has conserved PXXP motifs that
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