Usefulness of corticosteroids for the treatment of severe and fulminant forms of autoimmune hepatitis

Philippe Ichai, Jean‐Charles Duclos‐Vallée, Catherine Guettier, Sonia Ben Hamida, Theresa Antonini, Valérie Delvart, Faouzi Saliba, Daniel Azoulay, Denis Castaing, Didier Samuel – 16 March 2007 – Immunosuppressive therapy, and particularly corticosteroids with or without azathioprine, can achieve a remission in more than 80% of patients with autoimmune hepatitis (AIH). By contrast, the usefulness of corticosteroid therapy in severe forms of AIH remains a subject of debate.

Early indicators of prognosis in fulminant hepatic failure: An assessment of the Model for End‐Stage Liver Disease (MELD) and King's College Hospital Criteria

Radha K. Dhiman, Sanjay Jain, Uma Maheshwari, Ashish Bhalla, Navneet Sharma, Jasmina Ahluwalia, Ajay Duseja, Yogesh Chawla – 16 March 2007 – While King's Hospital Criteria (KCH) criteria are used worldwide, the Model for End‐Stage Liver Disease (MELD) is a more recently developed scoring system that has been validated as an independent predictor of patient survival in conditions for liver transplantation (LT). The aim of the present study was to compare MELD and KCH criteria with other early clinical prognostic indicators (CPI) in a cohort of patients with fulminant hepatic failure (FHF).

A randomized study comparing ligation with propranolol for primary prophylaxis of variceal bleeding in candidates for liver transplantation

Lorenzo Norberto, Lino Polese, Umberto Cillo, Francesco Grigoletto, Andrew K. Burroughs, Daniele Neri, Giacomo Zanus, Patrizia Boccagni, Patrizia Burra, Davide F. D'Amico – 16 March 2007 – Whether beta‐blockers (BB) or banding is the best therapy for primary prophylaxis of variceal bleeding is subject to debate. A randomized comparison between the 2 treatments was performed in candidates for liver transplantation (LT). A total of 62 patients with Child‐Turcotte‐Pugh B‐C cirrhosis and high risk varices received propranolol (31) or variceal banding (31).

Cirrhosis after orthotopic liver transplantation in the absence of primary disease recurrence

Moataz Seyam, James M. Neuberger, Bridget K. Gunson, Stefan G. Hübscher – 16 March 2007 – Liver allograft cirrhosis is a relatively uncommon complication of liver transplantation. Most cases can be attributed to disease recurrence, particularly recurrent hepatitis C. Little is known about the frequency, etiology, and natural history of liver allograft cirrhosis occurring without evidence of recurrent disease. The aim of the present study was to review the clinicopathological features in this group of patients.

Bile acids induce mitochondrial ROS, which promote activation of receptor tyrosine kinases and signaling pathways in rat hepatocytes

Youwen Fang, Song Iy Han, Clint Mitchell, Seema Gupta, Elaine Studer, Steven Grant, Phillip B. Hylemon, Paul Dent – 7 March 2007 – Previous studies have demonstrated in hepatocytes that deoxycholic acid (DCA) promotes inactivation of protein tyrosine phosphatases (PTPases) and activation of ERBB1 and the extracellular‐regulated kinase (ERK) 1/2 pathway. The present studies have determined the biochemical mechanism(s) through which these events occur.

Heme oxygenase‐1 and its reaction product, carbon monoxide, prevent inflammation‐related apoptotic liver damage in mice

Gabriele Sass, Miguel Che Parreira Soares, Kenichiro Yamashita, Stefan Seyfried, Wolfram‐Hubertus Zimmermann, Thomas Eschenhagen, Elzbieta Kaczmarek, Thomas Ritter, Hans‐Dieter Volk, Gisa Tiegs – 7 March 2007 – Heme oxygenase‐1 (HO‐1), a stress‐responsive enzyme that catabolizes heme into carbon monoxide (CO), biliverdin, and iron, has previously been shown to protect grafts from ischemia/reperfusion injury and rejection. Here we investigated the protective potential of HO‐1 in 5 models of immune‐mediated liver injury.

Interferon alfa down‐regulates collagen gene transcription and suppresses experimental hepatic fibrosis in mice

Yutaka Inagaki, Tomoyuki Nemoto, Miwa Kushida, Yin Sheng, Kiyoshi Higashi, Kazuo Ikeda, Norifumi Kawada, Fumiaki Shirasaki, Kazuhiko Takehara, Kota Sugiyama, Mitsukiyo Fujii, Hiroshi Yamauchi, Atsuhito Nakao, Benoit de Crombrugghe, Tetsu Watanabe, Isao Okazaki – 7 March 2007 – The equilibrium between the production and degradation of collagen is rigorously controlled by a number of growth factors and cytokines.

p38 MAPK mediates fibrogenic signal through smad3 phosphorylation in rat myofibroblasts

Fukiko Furukawa, Koichi Matsuzaki, Shigeo Mori, Yoshiya Tahashi, Katsunori Yoshida, Yasushi Sugano, Hideo Yamagata, Masanori Matsushita, Toshihito Seki, Yutaka Inagaki, Mikio Nishizawa, Junichi Fujisawa, Kyoichi Inoue – 7 March 2007 – Hepatic stellate cells (HSCs) spontaneously transdifferentiate into myofibroblast (MFB)‐phenotype on plastic dishes. This response recapitulates the features of activation in vivo. Transforming growth factor β (TGF‐β) plays a prominent role in stimulating liver fibrogenesis by MFBs.

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