Effect of albendazole on recurrent and residual alveolar echinococcosis of the liver after surgery

H Ishizu, J Uchino, N Sato, S Aoki, K Suzuki, H Kuribayashi – 30 December 2003 – Patients with alveolar echinococcosis of the liver (AEL) can be cured by complete excision of the lesions; however, it is not always completely resectable in advanced cases. Recently, benzimidazole‐type drugs have been reported to be effective in nonresectable AEL. One hundred fifty‐two patients with AEL have been surgically treated in our institution since 1937.

Reduced p21WAF1/CIP1 expression and p53 mutation in hepatocellular carcinomas

A M Hui, Y Kanai, M Sakamoto, H Tsuda, S Hirohashi – 30 December 2003 – p21WAF1/CIP1 is a universal cyclin‐dependent kinase (cdk) inhibitor, the expression of which is regulated by p53‐dependent and p53‐independent pathways. We examined p21WAF1/CIP1 expression in and p53 status of 21 primary hepatocellular carcinomas (HCCs) by reverse‐transcriptase polymerase chain reaction (RT‐PCR) and by PCR single‐strand conformation polymorphism (PCR‐SSCP) analysis. p21WAF1/CIP1 messenger RNA expression was reduced markedly in 8 of 21 HCCs (38.1%) and 5 of these 8 HCCs bore p53 mutations.

Angiotensin‐converting enzyme inhibition by enalapril: A novel approach to reduce ischemia/reperfusion damage after experimental liver transplantation

M Anthuber, S Farkas, M Rihl, M D Menger, F W Schildberg, K W Jauch, K Messmer – 30 December 2003 – Angiotensin‐converting enzyme (ACE) inhibitors have proven to be effective in the reduction of ischemia/reperfusion damage after myocardial ischemia. Whether this favorable effect can be related to other models of ischemia and reperfusion has not yet been investigated. Therefore, we studied in a model of syngeneic liver transplantation in the rat the effect of recipient enalapril treatment on postischemic liver injury. Untreated animals served as the control group.

The incidence and risk factors of community‐acquired hepatitis C in a cohort of Italian blood donors

D Prati, C Capelli, C Silvani, C De Mattei, P Bosoni, M Pappalettera, F Mozzi, M Colombo, A Zanella, G Sirchia – 30 December 2003 – To assess the incidence and source of community‐acquired hepatitis C virus (HCV) infection among subjects at low risk for blood‐borne diseases, we prospectively studied a cohort of 16,515 repeat blood donors over a mean follow‐up time of 36 months. Second‐ and third‐ generation methods were used for hepatitis C virus antibody (anti‐HCV) testing. HCV RNA was determined in the serum of anti‐HCV‐positive donors by reverse‐transcription polymerase chain reaction.

Cytotoxic T lymphocyte response and viral load in hepatitis C virus infection

K Hiroishi, H Kita, M Kojima, H Okamoto, T Moriyama, T Kaneko, T Ishikawa, S Ohnishi, T Aikawa, N Tanaka, Y Yazaki, K Mitamura, M Imawari – 30 December 2003 – A cytotoxic T lymphocyte (CTL) response to the hepatitis C virus (HCV) nucleoprotein residues 88‐96 that are the minimal and optimal epitope for human leukocyte antigen (HLA) B44‐restricted CTLs was assessed in 27 HLA B44‐positive patients with chronic HCV infection. Serum HCV RNA concentration and the amino acid sequence of the residues 81‐100 were also determined.

Analysis of histopathological manifestations of chronic hepatitis C virus infection with respect to virus genotype

S Mihm, A Fayyazi, H Hartmann, G Ramadori – 30 December 2003 – Hepatitis C virus (HCV) causes acute and often chronic hepatitis. On the basis of variations in nucleotide sequence, at least six genotypes and several subtypes have been identified. Histopathologically, chronic HCV infection is characterized by relatively mild hepatic inflammatory activity and a low degree of fibrosis, but hepatic lesions might be accompanied by bile duct damage, intraportal lymphoid aggregates, steatosis, or a combination of these manifestations. The histopathological lesions thus appear quite heterogeneous.

Gap junctions and growth control in liver regeneration and in isolated rat hepatocytes

K E Fladmark, B T Gjertsen, A Molven, G Mellgren, O K Vintermyr, S O Døskeland – 30 December 2003 – The hepatocytes in the mature normal liver are tightly coupled through gap junctions, except during compensatory hyperplasia (regeneration) after partial hepatectomy when the gap junctions become down‐regulated. The significance of this down‐regulation has been a long‐standing enigma. The present study of hepatocytes in primary culture and in the regenerating liver aimed at defining the relationship, if any, between hepatocyte gap junctional communication and proliferation.

Expression of urokinase‐type plasminogen activator receptor in hepatocellular carcinoma

Y Morita, Y Hayashi, Y Wang, T Kanamaru, S Suzuki, K Kawasaki, K Ohta, M Yamamoto, Y Saitoh, H Itoh, W F Doe – 30 December 2003 – It is well known that a urokinase‐type plasminogen activator receptor (uPAR) is a key protein in the plasminogen activation system, which plays a proteolytically important role in the invasion and metastasis of various cancer cells. To assess the expression of uPAR in hepatocellular carcinoma (HCC), we analyzed the expression of uPAR messenger RNA (mRNA) and the protein in 31 pair‐samples of solitary HCC and nontumorous liver tissues from the same patients.

Kupffer cell depletion abolishes induction of interleukin‐10 and permits sustained overexpression of tumor necrosis factor alpha messenger RNA in the regenerating rat liver

R M Rai, S Loffreda, C L Karp, S Yang, H Lin, A M Diehl – 30 December 2003 – Tumor necrosis factor α (TNF), initiates a cytokine cascade that promotes hepatocyte proliferation after 70% partial hepatectomy (PH) but the mechanisms regulating TNF production after PH are unknown. We previously reported that gadolinium chloride (GdCl), an agent that depletes the liver of phagocytically active Kupffer cells, enhances hepatic expression of TNF messenger RNA (mRNA) and promotes liver regeneration after subsequent PH.

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