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4430-A PI3K/AKT SIGNALING ON IMMUNE ESCAPE AND IMMUNE INFILTRATION IN HCC RECURRENCE Chong Wa To 1 , Soumita Ghosh 1 , Xun Zhao 1 , Elisa Pasini 2 , Sandra Elisabeth Fischer 3 , Elmar Jckel 2 , Anand Ghanekar 4 , Gonzalo Sapisochin 1 and Mamatha Bhat 1 , (1)University Health Network, (2)Ajmera Transplant Center, University of Toronto, Toronto, ON, Canada, (3)University of Toronto, (4)The Hospital for Sick Children Background: Hepatocellular carcinoma (HCC) is a highly heterogeneous disease with complex mechanistic pathogenesis, which contributes to aggressive HCC recurrence

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It experimentally induced inflammatory reactions in the rat with the interference of eicosanoid formation in the arachidonic acid cascade (124) and could modulate the immune system as an anti-inflammatory factor ( Habashi and co-authors have also reported that bromelain potentially exerted anti-inflammatory effects by reducing nitric oxide synthesis in vitro without cytotoxicity (137)