Susceptibility to hepatitis A in patients with chronic liver disease due to hepatitis C virus infection: Missed opportunities for vaccination

Michael Shim, Inessa Khaykis, James Park, Edmund J. Bini – 15 August 2005 – Hepatitis A virus (HAV) superinfection is associated with a high risk of liver failure and death in patients with underlying chronic liver disease. Although HAV vaccination is recommended for all patients with chronic hepatitis C virus (HCV) infection, little is known about adherence to these recommendations in clinical practice. The aims of this study were to determine the frequency of HAV testing and vaccination among patients with chronic HCV infection.

The potential of angiogenesis soluble markers in chronic hepatitis C

Xamila Salcedo, Jesús Medina, Paloma Sanz‐Cameno, Luisa García‐Buey, Samuel Martín‐Vilchez, María J. Borque, Manuel López‐Cabrera, Ricardo Moreno‐Otero – 15 August 2005 – Angiogenesis, the formation of new vessels, has been reported to play a significant pathogenic role in liver damage–associated hepatitis C virus infection. Most of our current knowledge derives from immunohistochemical studies of hepatic biopsy samples obtained from chronic hepatitis C (CHC) patients.

Alpha‐1‐antitrypsin deficiency: A new paradigm for hepatocellular carcinoma in genetic liver disease

David A. Rudnick, David H. Perlmutter – 25 July 2005 – Liver disease in alpha‐1‐antitrypsin (α1AT) deficiency is caused by a gain‐of‐toxic function mechanism engendered by the accumulation of a mutant glycoprotein in the endoplasmic reticulum (ER). The extraordinary degree of variation in phenotypical expression of this liver disease is believed to be determined by genetic modifiers and/or environmental factors that influence the intracellular disposal of the mutant glycoprotein or the signal transduction pathways that are activated.

LKM1 autoantibodies in chronic hepatitis C infection: A case of molecular mimicry?

Gabriel Marceau, Pascal Lapierre, Kathie Béland, Hugo Soudeyns, Fernando Alvarez – 21 July 2005 – Anti‐liver‐kidney microsome type 1 (LKM1) autoantibodies directed against the cytochrome P450 2D6 (CYP2D6) are considered specific markers of type 2 autoimmune hepatitis, but are also found in 5% of sera from patients chronically infected by hepatitis C virus (HCV). Molecular mimicry between HCV proteins and CYP2D6 has been proposed to explain the emergence of these autoantibodies.

Spectrum of NAFLD and diagnostic implications of the proposed new normal range for serum ALT in obese women

Sachin S. Kunde, Audrey J. Lazenby, Ronald H. Clements, Gary A. Abrams – 21 July 2005 – The upper limit of normal for ALT activity has been recommended to be lowered to ≤30 U/L in men and ≤19 U/L in women. These changes have been suggested to be diagnostically useful in subjects with nonalcoholic fatty liver disease (NAFLD). Our aim was to investigate the prevalence and spectrum of NAFLD with regard to the new ALT guidelines in 233 women with class II/III obesity. We compared our prior reference range for ALT (ULN ≤ 30 U/L in women) with the new standard.

VPAC1 expression is regulated by FXR agonists in the human gallbladder epithelium

Nicolas Chignard, Martine Mergey, Véronique Barbu, Laetitia Finzi, Emmanuel Tiret, Annick Paul, Chantal Housset – 21 July 2005 – Vasoactive intestinal peptide receptor‐1 (VPAC1) is the high‐affinity receptor of vasoactive intestinal peptide (VIP), a major regulator of bile secretion. To better define the level at which VPAC1 stimulates bile secretion, we examined its expression in the different cell types participating in bile formation (i.e., hepatocytes, bile duct, and gallbladder epithelial cells).

Proteasome inhibition sensitizes hepatocellular carcinoma cells, but not human hepatocytes, to TRAIL

Tom M. Ganten, Ronald Koschny, Tobias L. Haas, Jaromir Sykora, Min Li‐Weber, Kerstin Herzer, Henning Walczak – 21 July 2005 – TRAIL exhibits potent anti‐tumor activity on systemic administration in mice. Because of its proven in vivo efficacy, TRAIL may serve as a novel anti‐neoplastic drug. However, approximately half of the tumor cell lines tested so far are TRAIL resistant, and potential toxic side effects of certain recombinant forms of TRAIL on human hepatocytes have been described.

Safety and efficacy of a single bolus administration of recombinant factor VIIa in liver transplantation due to chronic liver disease

Raymond M. Planinsic, Jan van der Meer, Giuliano Testa, Luis Grande, Angel Candela, Robert J. Porte, R. Mark Ghobrial, Helena Isoniemi, Peter Billeskov Schelde, Elisabeth Erhardtsen, Goran Klintmalm, Sukru Emre – 20 July 2005 – Orthotopic liver transplantation (OLT) can be associated with excessive blood loss. As a result, there may be increased risk of adverse outcomes. Activated recombinant factor VII (rFVIIa) has demonstrated the ability to improve hemostasis in a variety of disorders; however, there has been a limited amount of research into its use in OLT.

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