Renal dysfunction in liver transplant recipients: Evaluation of the critical issues

Marc L. Weber, Hassan N. Ibrahim, John R. Lake – 30 July 2012 – Major progress has been made in the field of liver transplantation since the first procedure was performed nearly 50 years ago. Despite these improvements, renal dysfunction before and after liver transplantation remains a major complicating factor associated with increased health care costs, morbidity, and mortality. Creatinine‐based estimates of renal function are inaccurate in the setting of end‐stage liver disease and often lead to underdiagnosis and late intervention.

Recipient outcomes of salvage liver transplantation versus primary liver transplantation: A systematic review and meta‐analysis

Zhenhua Hu, Wei Wang, Zhiwei Li, Sunyi Ye, Shu‐Sen Zheng – 30 July 2012 – Salvage liver transplantation (SLT), or liver transplantation after liver resection (LR), has been performed after primary LR for many years. However, the true outcomes and risks of SLT versus primary liver transplantation (PLT) remain unclear. We performed a systematic review and meta‐analysis to evaluate the survival rate of SLT recipients and the incidence of postoperative complications. Among 2799 screened references, 7 eligible studies were identified.

Rho‐kinase–dependent pathway mediates the hepatoprotective effects of sorafenib against ischemia/reperfusion liver injury in rats with nonalcoholic steatohepatitis

Ying‐Ying Yang, Yi‐Tsau Huang, Tzung‐Yan Lee, Che‐Chang Chan, Yi‐Chen Yeh, Kuei‐Chuan Lee, Han‐Chieh Lin – 30 July 2012 – During liver transplantation, nonalcoholic steatohepatitis (NASH) aggravates ischemia/reperfusion (IR) injury by activating various kinases and subsequently releasing cytokines and chemokines. Nonetheless, the effect of the multikinase inhibitor sorafenib on IR liver injury in rats with NASH has never been explored. Our study was designed to determine this effect and associated mechanisms in NASH rats.

Dual cytoprotective effects of splenectomy for small‐for‐size liver transplantation in rats

Naohisa Kuriyama, Shuji Isaji, Masashi Kishiwada, Ichiro Ohsawa, Takashi Hamada, Shugo Mizuno, Masanobu Usui, Hiroyuki Sakurai, Masami Tabata, Tomomi Yamada – 28 July 2012 – The problems associated with small‐for‐size liver grafts (ie, high mortality rates, postoperative complications, and acute rejection) remain critical issues in partial orthotopic liver transplantation (OLT). In association with partial OLT, splenectomy (SP) is a procedure used to reduce the portal pressure. However, the precise effects of SP on partial OLT have been unclear.

Intercurrent infection predicts mortality in patients with late hepatic artery thrombosis listed for liver retransplantation

Joanna Agnes Leithead, Matthew R. Smith, Luke B. Materacki, Vandana M. Sagar, Bridget K. Gunson, Simon R. Bramhall, David J. Mutimer, Tahir Shah – 28 July 2012 – Liver retransplantation for late hepatic artery thrombosis (HAT) is considered the treatment of choice for select patients. Nevertheless, there is a paucity of data to aid decision making in this setting.

Exploring beyond cirrhosis

Massimo Pinzani – 25 July 2012 – “Cirrhosis” is a morphologic term that has been used for almost 200 years to denote the end stage of a variety of chronic liver diseases. The term implies a condition with adverse prognosis due to the well‐known complications of portal hypertension, hepatocellular carcinoma, and liver failure. However, recent advances in the diagnosis and treatment of chronic liver diseases have changed the natural history of cirrhosis significantly.

Closing the gap on drug‐induced liver injury

Marion Maurel, Jean Rosenbaum – 25 July 2012 – Drug‐induced liver injury (DILI) limits the development and application of many therapeutic compounds and presents major challenges to the pharmaceutical industry and clinical medicine. Acetaminophen‐containing compounds are among the most frequently prescribed drugs and are also the most common cause of DILI. Here we describe a pharmacological strategy that targets gap junction communication to prevent amplification of fulminant hepatic failure and acetaminophen‐induced hepatotoxicity.

Liver grafts from CD39‐overexpressing rodents are protected from ischemia reperfusion injury due to reduced numbers of resident CD4+ T cells

Sandra Pommey, Bo Lu, Jennifer McRae, John Stagg, Prue Hill, Evelyn Salvaris, Simon C. Robson, Anthony J.F. d'Apice, Peter J. Cowan, Karen M. Dwyer – 24 July 2012 – Ischemia‐reperfusion injury (IRI) is a major limiting event for successful liver transplantation, and CD4+ T cells and invariant natural killer T (iNKT) cells have been implicated in promoting IRI. We hypothesized that hepatic overexpression of CD39, an ectonucleotidase with antiinflammatory functions, will protect liver grafts after prolonged cold ischemia.

Subscribe to