Nitration of cardiac proteins is associated with abnormal cardiac chronotropic responses in rats with biliary cirrhosis

Ali R. Mani, Silvia Ippolito, Richard Ollosson, Kevin P. Moore – 23 March 2006 – Acceleration of the heart rate in response to catecholamines is impaired in cirrhosis. In this study, we tested the hypothesis that increased formation of reactive nitrogen species in biliary cirrhosis causes nitration of cardiac proteins and leads to impaired chronotropic function. Bile duct–ligated (rats with cirrhosis) or sham‐operated rats were injected daily with either saline, NG‐L‐nitro‐arginine methyl ester (L‐NAME), or N‐acetylcysteine for 7 days from week 3 to week 4 after surgery.

Demonstration of interstitial cerebral edema with diffusion tensor MR imaging in type C hepatic encephalopathy

Ravindra A. Kale, Rakesh K. Gupta, Vivek A. Saraswat, Khader M. Hasan, Richa Trivedi, Asht M. Mishra, Piyush Ranjan, Chandra M. Pandey, Ponnada A. Narayana – 23 March 2006 – Brain water may increase in hepatic encephalopathy (HE). Diffusion tensor imaging was performed in patients with cirrhosis with or without HE to quantify the changes in brain water diffusivity and to correlate it with neuropsychological (NP) tests. Thirty‐nine patients with cirrhosis, with minimal (MHE) or overt HE, were studied and compared to 18 controls.

Liver‐targeted and peripheral blood alterations of regulatory T cells in primary biliary cirrhosis

Ruth Y. Lan, Chunmei Cheng, Zhe‐Xiong Lian, Koichi Tsuneyama, Guo‐Xiang Yang, Yuki Moritoki, Ya‐Hui Chuang, Takafumi Nakamura, Shigeru Saito, Shinji Shimoda, Atsushi Tanaka, Christopher L. Bowlus, Yasuo Takano, Aftab A. Ansari, Ross L. Coppel, M. Eric Gershwin – 23 March 2006 – CD4+CD25high regulatory T cells (Tregs) play a critical role in self‐tolerance, as seen in murine autoimmunity. Studies on Tregs in human autoimmunity have focused primarily on peripheral blood samples. A study targeting diseased tissue should identify direct relationships between Tregs and autoimmunity.

Mechanisms of alcohol‐induced hepatic fibrosis: A summary of the Ron Thurman Symposium

Vishnudutt Purohit, David A. Brenner – 23 March 2006 – This report is a summary of Ron Thurman Symposium on the Mechanisms of Alcohol‐Induced Hepatic Fibrosis which was organized by The National Institutes of Health in Santa Barbara, California, June 25, 2005. The Symposium and this report highlight the unique aspects by which drinking alcoholic beverages may result in hepatic fibrosis. Acetaldehyde, the first metabolite of ethanol, can upregulate transcription of collagen I directly as well as indirectly by upregulating the synthesis of transforming growth factor‐beta 1 (TGF‐β1).

Adrenal insufficiency in patients with cirrhosis, severe sepsis and septic shock

Ming‐Hung Tsai, Yun‐Shing Peng, Yung‐Chang Chen, Nai‐Jeng Liu, Yu‐Pin Ho, Ji‐Tseng Fang, Jau‐Min Lien, Chun Yang, Pang‐Chi Chen, Cheng‐Shyong Wu – 23 March 2006 – Patients with cirrhosis are susceptible to bacterial infection, which can result in circulatory dysfunction, renal failure, hepatic encephalopathy, and a decreased survival rate. Severe sepsis is frequently associated with adrenal insufficiency, which may lead to hemodynamic instabity and a poor prognosis.

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