Albumin dialysis in cirrhosis with superimposed acute liver injury: A prospective, controlled study

Uwe Heemann, Ulrich Treichel, Jan Loock, Thomas Philipp, Guido Gerken, Massimo Malago, Sebastian Klammt, Matthias Loehr, Stephan Liebe, Steffen Mitzner, Reinhardt Schmidt, Jan Stange – 30 December 2003 – Patients with liver cirrhosis and a superimposed acute injury with progressive hyperbilirubinemia have a high mortality. A prospective, controlled study was performed to test whether hyperbilirubinemia, 30‐day survival, and encephalopathy would be improved by extracorporeal albumin dialysis (ECAD).

Insulin‐like growth factor I is a comitogen for hepatocyte growth factor in a rat model of hepatocellular carcinoma

Julie A. Price, Stephen J. Kovach, Timothy Johnson, Leonidas G. Koniaris, Paul A. Cahill, James V. Sitzmann, Iain H. McKillop – 30 December 2003 – Hepatocyte growth factor–scatter factor (HGF‐SF) is a potent hepatic mitogen yet inhibits hepatocellular carcinoma (HCC) cell growth in vitro. Insulin‐like growth factor I (IGF‐I) is a pleiotropic growth factor shown to be important in cell growth and differentiation in other tumors. We hypothesized that IGF‐I may play a role in regulating HGF‐SF activity and HCC progression.

Hypoxia is an inducer of vasodilator agents in peritoneal macrophages of cirrhotic patients

Pilar Cejudo‐Martín, Manuel Morales‐Ruiz, Josefa Ros, Miguel Navasa, Guillermo Fernández‐Varo, Josep Fuster, Francisca Rivera, Vicente Arroyo, Juan Rodés, Wladimiro Jiménez – 30 December 2003 – The aim of the investigation was to assess whether hypoxia induces the production of endogenous vasoactive peptides in macrophages of cirrhotic patients with ascites because low tissue oxygenation is a relatively frequent event in these patients.

Sexual activity as a risk factor for hepatitis C

Norah A. Terrault – 30 December 2003 – The accumulated evidence indicates that hepatitis C virus (HCV) can be transmitted by sexual contact but much less efficiently than other sexually transmitted viruses, including hepatitis B virus and human immunodeficiency virus (HIV). However, because sex is such a common behavior and the reservoir of HCV‐infected individuals is sizable, sexual transmission of HCV likely contributes to the total burden of infection in the United States. Risk of HCV transmission by sexual contact differs by the type of sexual relationship.

Use and interpretation of virological tests for hepatitis C

Jean‐Michel Pawlotsky – 30 December 2003 – 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.

Quantitative evaluation of altered hepatic spaces and membrane transport in fibrotic rat liver

Daniel Y. Hung, Ping Chang, Kee Cheung, Clay Winterford, Michael S. Roberts – 30 December 2003 – Four animal models were used to quantitatively evaluate hepatic alterations in this study: (1) a carbon tetrachloride control group (phenobarbital treatment only), (2) a CCl4‐treated group (phenobarbital with CCl4 treatment), (3) an alcohol‐treated group (liquid diet with alcohol treatment), and (4) a pair‐fed alcohol control group (liquid diet only). At the end of induction, single‐pass perfused livers were used to conduct multiple indicator dilution (MID) studies.

Treatment of chronic hepatitis C: A systematic review

Geetanjali Chander, Mark S. Sulkowski, Mollie W. Jenckes, Michael S. Torbenson, H. Franklin Herlong, Eric B. Bass, Kelly A. Gebo – 30 December 2003 – This systematic review addressed 3 issues regarding current treatments for chronic hepatitis C: (1) efficacy and safety in treatment‐naive patients; (2) efficacy and safety in selected subgroups of patients; and (3) effects on long‐term clinical outcomes. Electronic databases were searched for articles from January 1996 to March 2002.

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