Hepatitis C virus‐related proteins in kidney tissue from hepatitis C virus‐infected patients with cryoglobulinemic membranoproliferative glomerulonephritis

D Sansonno, L Gesualdo, C Manno, F P Schena, F Dammacco – 30 December 2003 – Membranoproliferative glomerulonephritis (MPGN) may be a component of a generalized vasculitis as well as a component of the clinical expression of type‐II mixed cryoglobulinemia (MC). Several studies have established a striking association between hepatitis C virus (HCV) infection and MC.

Resolution of gas exchange abnormalities and intrapulmonary shunting following liver transplantation

S E Battaglia, J J Pretto, L B Irving, R M Jones, P W Angus – 30 December 2003 – This prospective study evaluated pulmonary gas exchange in patients with severe liver disease, its relationship to intrapulmonary shunting, and its response to liver transplantation. Detailed clinical examinations, chest radiographs, and arterial blood gas estimations were performed on 74 consecutive patients before and after liver transplantation. Fifty percent of the 74 patients had a widened alveolar‐arterial (A‐a) oxygen gradient (> 15 mm Hg) and 45% a reduced PaCO2 (< 35 mm Hg).

Hepatic basolateral sodium‐dependent–bile acid transporter expression in two unusual cases of hypercholanemia and in extrahepatic biliary atresia

B L Shneider, V L Fox, K B Schwarz, C L Watson, M Ananthanarayanan, S Thevananther, D M Christie, W Hardikar, K D Setchell, G Mieli‐Vergani, F J Suchy, A P Mowat – 30 December 2003 – The recent cloning of a human sodium‐dependent bile acid transporter (NTCP) permits analysis of its expression in human liver disease and investigation of potential primary defects in its expression. NTCP from normal human liver (NHL) was first characterized in detail. Northern blotting of RNA from NHL revealed a 1.8‐kb NTCP transcript.

Expression of α‐fetoprotein and stem cell factor/c‐kit system in bile duct ligated young rats

M Omori, R P Evarts, N Omori, Z Hu, E R Marsden, S S Thorgeirsson – 30 December 2003 – The existence of a facultative hepatic stem cell compartment in bile ductules that participates in the renewal process of epithelial cell populations in the liver is well documented. The present study was undertaken to determine whether the immature bile epithelium responds differently to growth stimulus induced by bile stasis to that seen in the adult animal.

Histopathologic analysis of transjugular intrahepatic portosystemic shunts

H Ducoin, J El‐Khoury, H Rousseau, K Barange, J Peron, M Pierragi, J Rumeau, J Pascal, J Vinel, F Joffre – 30 December 2003 – This prospective study was undertaken in 17 patients treated with 22 transjugular intrahepatic portosystemic shunt (TIPS) procedures and aimed to evaluate the nature and causes of short‐ and long‐term shunt abnormalities. Specimens were collected after autopsy in 6 patients and after liver transplantation in 11 patients; the time from shunting ranging from 4 to 385 days.

Results of combined and sequential liver‐kidney transplantation

Thomas Becker, Miguel Nyibata, Rainer Lueck, Hueseyin Bektas, Gülçin Demirci, Frank Lehner, Günter Tusch, Christian Strassburg, Anke Schwarz, Juergen Klempnauer, Bjoern Nashan – 30 December 2003 – Experience with combined liver‐kidney transplantation (L‐KTx) has increased, but controversy regarding this procedure continues because the indications are not clearly defined yet. Between 1984 and 2000, 38 patients underwent simultaneous L‐KTx and 9 patients underwent sequential transplantation, receiving either a liver before a kidney or a kidney before a liver.

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