Severe radiation‐induced liver disease following localized radiation therapy for biliopancreatic carcinoma: Activation of hepatic stellate cells as an early event

C Sempoux, Y Horsmans, A Geubel, J Fraikin, B E Van Beers, J Gigot, J Lerut, J Rahier – 30 December 2003 – Radiation‐induced liver disease is recorded as a form of veno‐occlusive disease. Its pathogenesis remains unclear even if the initial injury likely occurs in the endothelial cells of central veins. The aim of our study was to investigate liver morphological features in relation to α‐isoform of smooth muscle actin expression in hepatic stellate cells in six patients treated by localized radiotherapy on the biliopancreatic area.

Genetic and morphological findings in progressive familial intrahepatic cholestasis (Byler disease [PFIC‐1] and Byler syndrome): Evidence for heterogeneity

L N Bull, V E Carlton, N L Stricker, S Baharloo, J A DeYoung, N B Freimer, M S Magid, E Kahn, J Markowitz, F J DiCarlo, L McLoughlin, J T Boyle, B B Dahms, P R Faught, J F Fitzgerald, D A Piccoli, C L Witzleben, N C O'Connell, K D Setchell, R M Agostini, S A Kocoshis, J Reyes, A S Knisely – 30 December 2003 – Byler disease (ByD) is an autosomal recessive disorder in which cholestasis of onset in infancy leads to hepatic fibrosis and death.

Extramedullary hematopoiesis in the adult mouse liver is associated with specific hepatic sinusoidal endothelial cells

J E Cardier, E Barberá‐Guillem – 30 December 2003 – In previous work, two anatomically distinct‐liver sinusoid endothelial cells (LEC): LEC‐1 and LEC‐2, have been described. We also reported that extramedullary hepatic hematopoiesis occurs only in close contact with LEC‐1, suggesting that these cells may provide the microenvironment necessary for the maintenance and growth of hematopoietic cells. In the present work, we studied the capacity of LEC‐1 and LEC‐2 to maintain in vitro hematopoiesis. LEC‐1 and LEC‐2 were isolated and cloned from livers of adult mice.

Cerebral benzodiazepine receptor binding in vivo in patients with recurrent hepatic encephalopathy

G A Macdonald, K A Frey, B W Agranoff, S Minoshima, R A Koeppe, D E Kuhl, B L Shulkin, M R Lucey – 30 December 2003 – Increased activation of the central benzodiazepine receptor (BZR) appears to play an important role in hepatic encephalopathy (HE). However, there is controversy regarding whether the density or affinity of BZRs is altered.

Different intrahepatic distribution of phosphatidylglycerol and phosphatidylserine liposomes in the rat

T Daemen, M Velinova, J Regts, M de Jager, R Kalicharan, J Donga, J J L van der Want, G L Scherphof – 30 December 2003 – Liposomes with diameters of 200 to 400 nm containing phosphatidylserine (PS) or phosphatidylglycerol (PG) were injected intravenously into rats. Two hours after injection, 75% of the injected dose of PS liposomes was found in the liver and only 10% found in the spleen, while 35% of the PG liposomes was found in the liver and as much as 40% was found in the spleen.

Hepatitis G virus co‐infection does not alter the course of recurrent hepatitis C virus infection in liver transplantation recipients

S J Cotler, D R Gretch, M P Bronner, H Tateyama, M J Emond, C dela Rosa, J D Perkins, R L Carithers – 30 December 2003 – Although hepatitis G virus infection (HGV) is usually asymptomatic, it has been associated with mild hepatic injury. Whether hepatitis G co‐infection alters the natural history of other viral hepatitis infections remains to be determined. In the present study, we investigated whether hepatitis G impacts on the time to recurrent hepatitis or on the time to progression to fibrosis in hepatitis C‐infected patients who undergo liver transplantation.

Hepatic expression of inducible nitric oxide synthase transcripts in chronic hepatitis C virus infection: Relation to hepatic viral load and liver injury

S Mihm, A Fayyazi, G Ramadori – 30 December 2003 – Hepatitis C virus (HCV) causes acute and often also chronic liver disease. Hepatocellular injury might result from both a host response directed to inhibit viral spread and from processes initiated by the virus itself. To study mechanisms involved in hepatocellular injury, liver tissue from chronically HCV‐infected patients was analyzed for the expression of the inducible isoform of nitric oxide synthase (iNOS) and for interferon γ (IFN‐γ) by a quantitative, competitive reverse‐transcription‐polymerase chain reaction (RT‐PCR) technique.

Pre‐S2 defective hepatitis B virus infection in patients with fulminant hepatitis

T Pollicino, A R Zanetti, I Cacciola, M A Petit, A Smedile, S Campo, L Sagliocca, M Pasquali, E Tanzi, G Longo, G Raimondo – 30 December 2003 – Controversial data were recently published concerning the association of hepatitis B virus (HBV) variants with fulminant hepatitis (FH). In this study, we first analyzed the complete nucleotide sequences of HBV genomes isolated from serum samples from a surgeon and his mother, who was accidentally infected by the son; both died of FH.

Multivesicular stellate cells in primary biliary cirrhosis

R G Cameron, M G Neuman, L M Blendis – 30 December 2003 – Stellate cells have only recently received attention in patients with primary biliary cirrhosis (PBC). We used electron microscopy and morphometry to perform a qualitative and quantitative examination of lipid‐storing activity of stellate cells in liver biopsies of 26 patients with noncirrhotic and cirrhotic PBC. Parallel with this study, a comparative analysis of the morphology of stellate cells in 51 patients with livers of normal histology was performed.

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