CD8A and hepatocellular carcinoma: On the other hand, the attenuation of CD8+T-cell function and the increase in immunosuppressive myeloid-derived suppressor cells (MDSCs) in metabolic dysfunction-associated steatohepatitis-related hepatocellular carcinoma (MASH-HCC) could be caused by squalene epoxidase (SQLE), which promotes an impaired antitumor response to anti-PD-1 therapy [75].