AKT (v‐akt murine thymoma viral oncogene homolog 1) and N‐Ras (neuroblastoma ras viral oncogene homolog) coactivation in the mouse liver promotes rapid carcinogenesis by way of mTOR (mammalian target of rapamycin complex 1), FOXM1 (forkhead box M1)/SKP2,

Coral Ho, Chunmei Wang, Sandra Mattu, Giulia Destefanis, Sara Ladu, Salvatore Delogu, Julia Armbruster, Lingling Fan, Susie A. Lee, Lijie Jiang, Frank Dombrowski, Matthias Evert, Xin Chen, Diego F. Calvisi – 12 October 2011 – Activation of v‐akt murine thymoma viral oncogene homolog (AKT) and Ras pathways is often implicated in carcinogenesis. However, the oncogenic cooperation between these two cascades in relationship to hepatocellular carcinoma (HCC) development remains undetermined.

Vitamin D deficiency in obese rats exacerbates nonalcoholic fatty liver disease and increases hepatic resistin and toll‐like receptor activation

Christian L. Roth, Clinton T. Elfers, Dianne P. Figlewicz, Susan J. Melhorn, Gregory J. Morton, Andrew Hoofnagle, Matthew M. Yeh, James E. Nelson, Kris V. Kowdley – 12 October 2011 – Childhood obesity is associated with type 2 diabetes mellitus and nonalcoholic fatty liver disease (NAFLD). Recent studies have found associations between vitamin D deficiency (VDD), insulin resistance (IR), and NAFLD among overweight children.

Dickkopf 4 positively regulated by the thyroid hormone receptor suppresses cell invasion in human hepatoma cells

Chen‐Hsin Liao, Chau‐Ting Yeh, Ya‐Hui Huang, Sheng‐Ming Wu, Hsiang‐Cheng Chi, Ming‐Ming Tsai, Chung‐Ying Tsai, Chia‐Jung Liao, Yi‐Hsin Tseng, Yang‐Hsiang Lin, Cheng‐Yi Chen, I‐Hsiao Chung, Wan‐Li Cheng, Wei‐Jan Chen, Kwang‐Huei Lin – 12 October 2011 – Thyroid hormone (T3) mediates cellular growth, development, and differentiation by binding to the nuclear thyroid hormone receptor (TR). Recent studies suggest that long‐term hypothyroidism is associated with human hepatocellular carcinoma (HCC) independent from other major HCC risk factors.

Validation of the donor risk index in orthotopic liver transplantation within the Eurotransplant region

Joris J. Blok, Andries E. Braat, Rene Adam, Andrew K. Burroughs, Hein Putter, Nigel G. Kooreman, Axel O. Rahmel, Robert J. Porte, Xavier Rogiers, Jan Ringers, for the European Liver Intestine Transplant Association and the Eurotransplant Liver Intestine Advisory Committee – 10 October 2011 – In Eurotransplant, more than 50% of liver allografts come from extended criteria donors (ECDs). However, not every ECD is the same. The limits of their use are being explored.

Upper limits of normal for alanine aminotransferase activity in the United States population

Constance E. Ruhl, James E. Everhart – 10 October 2011 – Alanine aminotransferase (ALT) is an important test for liver disease, yet there is no generally accepted upper limit of normal (ULN) in the United States. Furthermore, the ability of ALT to differentiate persons with and without liver disease is uncertain. We examined cut‐offs for ALT for their ability to discriminate between persons with positive hepatitis C virus (HCV) RNA and those at low risk for liver injury in the U.S. population. Among adult participants in the 1999‐2008 U.S.

Domino liver transplantation: How far can we push the paradigm?

Irinel Popescu, Simona O. Dima – 10 October 2011 – Domino liver transplantation (DLT) has emerged as a strategy for increasing the number of liver grafts available: morphologically normal livers from donors with metabolic diseases can be used for select recipients with hepatocellular carcinoma (usually outside the Milan criteria). Familial amyloidotic polyneuropathy (FAP) is the most common indication for DLT.

Parenteral nutrition supplementation in biliary atresia patients listed for liver transplantation

Jillian S. Sullivan, Shikha S. Sundaram, Zhaoxing Pan, Ronald J. Sokol – 10 October 2011 – The objective of this study was to determine the impact of parenteral nutrition (PN) on the outcomes of biliary atresia (BA) patients listed for liver transplantation (LT). We retrospectively reviewed the charts of all BA patients at our institution who underwent hepatoportoenterostomy and were listed for LT before the age of 36 months between 1990 and 2010. The initiation of PN was based on clinical indications. Twenty‐five PN subjects and 22 non‐PN subjects (74% female) were studied.

Early use of mammalian target of rapamycin inhibitors is an independent risk factor for incisional hernia development after liver transplantation

Roberto Montalti, Antonio Mimmo, Gianluca Rompianesi, Valentina Serra, Nicola Cautero, Roberto Ballarin, Nicola De Ruvo, Robert Cunningham Gerring, Giorgio Enrico Gerunda, Fabrizio Di Benedetto – 10 October 2011 – Incisional hernias (IHs) are common complications after liver transplantation (LT) with a reported incidence of 1.7% to 34.3%. The purpose of this retrospective study was to evaluate the risk factors for IH development after LT with a focus on the role of immunosuppressive therapy during the first month after LT.

Association of coffee and caffeine consumption with fatty liver disease, nonalcoholic steatohepatitis, and degree of hepatic fibrosis

Jeffrey W. Molloy, Christopher J. Calcagno, Christopher D. Williams, Frances J. Jones, Dawn M. Torres, Stephen A. Harrison – 10 October 2011 – Coffee caffeine consumption (CC) is associated with reduced hepatic fibrosis in patients with chronic liver diseases, such as hepatitis C. The association of CC with nonalcoholic fatty liver disease (NAFLD) has not been established. The aim of this study was to correlate CC with the prevalence and severity of NAFLD.

Improving the function of liver grafts exposed to warm ischemia by the leuven drug protocol: Exploring the molecular basis by microarray

Katrien Vekemans, Diethard Monbaliu, Erika Balligand, Veerle Heedfeld, Ina Jochmans, Jacques Pirenne, Jos van Pelt – 10 October 2011 – Livers exposed to warm ischemia (WI) before transplantation are at risk for primary nonfunction (PNF), graft dysfunction, and ischemic biliary strictures, all associated with ischemia/reperfusion injury (IRI). Our multifactorial approach, Leuven drug protocol (LDP), has been shown to reduce these effects and increase recipient survival in WI/IRI‐damaged porcine liver transplantation.

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