Cryptogenic cirrhosis and posttransplantation nonalcoholic fatty liver disease

Janus Ong, Zobair M. Younossi, Vishnu Reddy, Lori Lyn Price, Terry Gramlich, James Mayes, Navdeep Boparai – 30 December 2003 – Some patients diagnosed with cryptogenic cirrhosis may have “burned‐out” nonalcoholic fatty liver disease (NAFL). To test this hypothesis, we used our liver transplant database (November 1984 to November 1998) to assess the incidence of NAFL in patients with cryptogenic cirrhosis after orthotopic liver transplantation (OLT). We also examined the clinicodemographic features associated with post‐OLT NAFL, obtained by chart review and telephone interviews.

Role of mitochondrial permeability transition in diclofenac‐induced hepatocyte injury in rats

Yasuhiro Masubuchi, Shintaro Nakayama, Toshiharu Horie – 30 December 2003 – Hepatotoxicity of diclofenac has been known in experimental animals and humans but its mechanism has not been fully understood. The present study examined the role of mitochondrial permeability transition (MPT) in the pathogenesis of diclofenac‐induced hepatocyte injury by using isolated mitochondria and primary culture hepatocytes from rats.

Modeling the hepatitis C virus epidemic in France using the temporal pattern of hepatocellular carcinoma deaths

Jenny Griffiths, Barry Nix – 30 December 2003 – Deuffic et al. developed a compartmentalized model that characterized the evolution and spread of the hepatitis C virus (HCV) within France. There were various parameters defining the age‐ and sex‐dependent transition probabilities between chronic hepatitis and cirrhosis in need of determination to completely specify their model. These were estimated by means of a weighted least‐squares procedure that was executed numerically.

Phosphorylation of retinoid X receptor suppresses its ubiquitination in human hepatocellular carcinoma

Seiji Adachi, Masataka Okuno, Rie Matsushima‐Nishiwaki, Yukihiko Takano, Soichi Kojima, Scott L. Friedman, Hisataka Moriwaki, Yukio Okano – 30 December 2003 – Retinoid X receptor α (RXRα) has emerged as an important nuclear receptor involved in hepatocarcinogenesis, because its ligand suppresses the development of hepatocellular carcinoma (HCC) in both experimental and clinical studies. We have demonstrated that phosphorylation of RXRα at serine 260 interferes with its function and delays its degradation in cultured human HCC, leading to enhanced cellular proliferation.

Decreases in portal flow trigger a hepatorenal reflex to inhibit renal sodium and water excretion in rats: Role of adenosine

Zhi Ming, Donald D. Smyth, W. Wayne Lautt – 30 December 2003 – The regulation of renal sodium and water excretion through a hepatorenal reflex activated by the changes in hemodynamics of the portal circulation has been suggested. We hypothesize that the changes in intrahepatic blood flow and flow‐related intrahepatic adenosine are involved in the control of renal water and sodium excretion by triggering a hepatorenal reflex. Anesthetized rats were instrumented to monitor the systemic, hepatic, and renal circulation.

Correction of CFTR malfunction and stimulation of Ca2+‐activated Cl− channels restore HCO secretion in cystic fibrosis bile ductular cells

Ákos Zsembery, Wolfgang Jessner, Gerlinde Sitter, Carlo Spirlí, Mario Strazzabosco, Jürg Graf – 30 December 2003 – In view of the occurrence of hepatobiliary disorders in cystic fibrosis (CF) this study addresses the role of the cystic fibrosis transmembrane conductance regulator (CFTR) and of Ca2+‐activated Cl− channels in promoting HCO secretion in bile ductular cells. Human cholangiocytes were isolated from control livers and from 1 patient with CF (ΔF508/G542X mutations).

S‐adenosylmethionine and methylthioadenosine are antiapoptotic in cultured rat hepatocytes but proapoptotic in human hepatoma cells

Eduardo Ansorena, Elena R. García‐Trevijano, Maria L. Martínez‐Chantar, Zong‐Zhi Huang, Lixin Chen, José M. Mato, Maria Iraburu, Shelly C. Lu, Matías A. Avila – 30 December 2003 – S‐adenosylmethionine (AdoMet) is an essential compound in cellular transmethylation reactions and a precursor of polyamine and glutathione synthesis in the liver. In liver injury, the synthesis of AdoMet is impaired and its availability limited. AdoMet administration attenuates experimental liver damage, improves survival of alcoholic patients with cirrhosis, and prevents experimental hepatocarcinogenesis.

TIPS is a useful long‐term derivative therapy for patients with Budd‐Chiari syndrome uncontrolled by medical therapy

Antonia Perelló, Juan Carlos García‐Pagán, Rosa Gilabert, Yanette Suárez, Eduardo Moitinho, Francisco Cervantes, Juan Carlos Reverter, Angels Escorsell, Jaume Bosch, Juan Rodés – 30 December 2003 – Patients with Budd‐Chiari syndrome (BCS) may require treatment with portal decompressive surgery or liver transplantation. Transjugular intrahepatic portosystemic shunt (TIPS) represents a new treatment alternative, but its long‐term effect on BCS outcome has not been evaluated. Twenty‐one patients with BCS consecutively admitted to our unit were evaluated. The mean follow‐up was 4 ± 3 years.

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