For example, OCI has been associated with increased mean alanine aminotransferase (ALT) levels and mortality among patients who underwent hemodialysis (9) and with susceptibility to hepatic decompensation and post-therapy HCC among CHC patients who developed sustained virological response (SVR) following direct-acting antiviral (DAA) therapy (10). This evidence concerns the gene GPT and hepatocellular carcinoma.