Drug‐induced liver injury: Summary of a single topic clinical research conference

Paul B. Watkins, Leonard B. Seeff – 22 February 2006 – Idiosyncratic drug induced liver injury (DILI) remains poorly understood. It is assumed that the affected individuals possess a rare combination of genetic and non genetic factors that, if identified, would greatly improve understanding of the underlying mechanisms. This single topic conference brought together basic scientists, translational investigators, and clinicians with an interest in DILI.

Dendritic cells take up viral antigens but do not support the early steps of hepatitis B virus infection

Andreas Untergasser, Uta Zedler, Anja Langenkamp, Marianna Hösel, Maria Quasdorff, Knud Esser, Hans‐Peter Dienes, Barbara Tappertzhofen, Waldemar Kolanus, Ulrike Protzer – 22 February 2006 – Dendritic cells (DC) of hepatitis B virus (HBV) carriers have been reported to exhibit functional impairment. Possible explanations for this phenomenon are infection of HBV by DC or alteration of DC function by HBV.

Transdifferentiation of bioencapsulated bone marrow cells into hepatocyte‐like cells in the 90% hepatectomized rat model

Zun Chang Liu, Thomas Ming Swi Chang – 22 February 2006 – Under specific conditions, bone marrow cells can transdifferentiate into a variety of cell types including hepatocytes. In this study, bioencapsulated bone marrow cells were transplanted intraperitoneally into 90% hepatectomized rats. We then followed the transdifferentiation of the bone marrow cells and the effect of this on liver regeneration in this liver failure model. Bone marrow cells isolated from Wistar rats were bioencapsulated using alginate‐polylysine‐alginate method.

Long‐term outcome of endoscopic treatment of biliary strictures after liver transplantation

Ivo W. Graziadei, Hubert Schwaighofer, Robert Koch, Karin Nachbaur, Alfred Koenigsrainer, Raimund Margreiter, Wolfgang Vogel – 15 February 2006 – Biliary strictures are one of the most common complications following liver transplantation (LT), with an incidence of 5.8‐34%. Endoscopic techniques have been successfully used to treat biliary complications; however, the long‐term efficacy and safety of this treatment option has not yet been fully elucidated.

Quantitative liver function tests in donors and recipients of living donor liver transplantation

Christoph Jochum, Mechthild Beste, Volker Penndorf, Marjan Sharifi Farahani, Giuliano Testa, Silvio Nadalin, Massimo Malago, Christoph E. Broelsch, Guido Gerken – 15 February 2006 – The unique ability of the liver to regenerate quickly after resection makes living donor liver transplantation (LDLT) possible. This technique uses the unique ability of the liver to regenerate to full size after partial resection. However, the quality and course of this regeneration process in humans are still widely unexplored.

Lack of benefit of pre‐transplant locoregional hepatic therapy for hepatocellular cancer in the current MELD era

Paige M. Porrett, Heather Peterman, Mark Rosen, Seema Sonnad, Michael Soulen, James F. Markmann, Abraham Shaked, Emma Furth, K. Rajender Reddy, Kim Olthoff – 15 February 2006 – The potential for disease progression in patients awaiting liver transplantation for hepatocellular carcinoma (HCC) has encouraged many centers to employ pre‐transplant radiofrequency ablation or chemoembolization in an attempt to control tumor burden while patients are on the wait list.

Use and interpretation of virological tests for hepatitis C

Jean‐Michel Pawlotsky – 10 February 2006 – Four virological markers of hepatitis C virus (HCV) infection are used clinically for management of patients with hepatitis C, namely the HCV genotype, HCV RNA, HCV core antigen, and antibody to HCV (anti‐HCV). The diagnosis of acute and chronic hepatitis C is based on both anti‐HCV detection using enzyme immunoassays (EIA) and HCV RNA detection using a sensitive molecular biology‐based technique.

Understudied populations with hepatitis C

Doris B. Strader – 10 February 2006 – Managing patients with hepatitis C virus (HCV) infection consists primarily of antiviral treatment, currently with peginterferon and ribavirin. Unfortunately, treatment recommendations derive largely from trials that have focused on highly selected patient populations. As a consequence of the strict inclusion and exclusion criteria in these studies, more than half of all HCV‐infected patients would be ineligible for enrollment. Even among the selected patients enrolled into studies, only 50% achieve a sustained virological response (SVR).

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