Phospholipase D activation in hepatocyte growth factor‐stimulated rat hepatocytes mediates the expressions of c‐jun and c‐fos: Involvement of protein tyrosine kinase, protein kinase C, and Ca2+

T Adachi, S Nakashima, S Saji, T Nakamura, Y Nozawa – 1 November 1996 – Hepatocyte growth factor (HGF) activated phospholipase D (PLD) in primary‐cultured rat hepatocytes, as assessed by the formation of phosphatidylbutanol (PBut), a specific and stable product of PLD activity in the presence of 0.3% butanol. PLD hydrolyzes phosphatidylcholine to choline and phosphatidic acid (PA), which is further metabolized to diacylglycerol (DG) by PA phosphohydrolase (PAP). In HGF‐stimulated hepatocytes, butanol prevented the formation of PA and DG.

Transjugular renal biopsy in the treatment of patients with cirrhosis and renal abnormalities

P Jouet, A Meyrier, F Mal, P Callard, C Guettier, D Stordeur, J Trinchet, M Beaugrand – 1 November 1996 – When renal lesions are suspected in patients with cirrhosis, clotting disorders often preclude percutaneous renal biopsy. This study was undertaken to determine whether transjugular renal biopsy is possible, safe, and useful in such patients. From 1987 to 1994, 70 patients with cirrhosis and clotting disorders underwent transjugular renal biopsies, providing renal tissue in 55.

Existence of a platelet‐adhesion defect in patients with cirrhosis independent of hematocrit: Studies under flow conditions

A Ordinas, G Escolar, I Cirera, M Vinas, F Cobo, J Bosch, J Teres, J Rodés – 1 November 1996 – A defect in hemostasis has been repeatedly reported in patients with cirrhosis. However, the nature of this defect has not been fully characterized. We explored adhesive and cohesive functions of platelets from cirrhotic patients at different stages of disease development. The response of platelets to standard activating agents was tested by aggregometric procedures.

Azygos blood flow: Phase contrast quantitation in volunteers and patients with portal hypertension pre‐ and postintrahepatic shunt placement

J F Debatin, B Zahner, C Meyenberger, B Romanowski, W Schopke, B Marincek, W A Fuchs – 1 November 1996 – Flow volume in the azygos venous system was quantitated with Cine‐phase contrast (PC) velocity mapping in volunteers and compared with patients with known portal hypertension, who were referred for transjugular intrahepatic portosystemic shunt (TIPS) placement. Subsequently, the TIPS‐induced hemodynamic effects on portal and azygos flow were analyzed.

Immunohistochemical evidence of disease recurrence after liver transplantation for primary biliary cirrhosis

J Van de Water, L B Gerson, L D Ferrell, J R Lake, R L Coppel, K P Batts, R H Wiesner, M E Gershwin – 1 November 1996 – Whether primary biliary cirrhosis (PBC) recurs after liver transplantation has remained an interesting and controversial issue; rejection, viral hepatitis, and drug effects all may mimic recurrent PBC histologically and biochemically. Furthermore, reliable clinical criteria for PBC recurrence are lacking.

Characterization of apomucin expression in intrahepatic cholangiocarcinomas and their precursor lesions: An immunohistochemical study

M Sasaki, Y Nakanuma, Y S Kim – 1 November 1996 – To date, seven apomucins have been characterized and their expression in malignant and premalignant lesions is under evaluation. In this study, we examined the expression of MUC1, MUC2, MUC3, and MUC5/6 apomucins in cholangiocarcinoma (CC) and biliary epithelial dysplasia.

Performance characteristics and results of a large‐scale screening program for viral hepatitis and risk factors associated with exposure to viral hepatitis B and C: Results of the National Hepatitis Screening Survey

S Kaur, L Rybicki, B R Bacon, J L Gollan, V K Rustgi, W D Carey – 1 November 1996 – Chronic viral hepatitis frequently goes undetected until cirrhosis develops. Although the effect of interferon on the natural history of hepatitis B virus (HBV) or hepatitis C virus (HCV) infection in asymptomatic persons is unknown, treatment may modify the course of the infection, producing cures in some. In September 1992, screening for HBV and HCV was offered in 40 centers throughout the United States. Demographic features, potential risk factors, and symptoms were studied.

Retransplantation for precore mutant‐related chronic hepatitis B infection: Prolonged survival in a patient receiving sequential ganciclovir/famciclovir therapy

Geoffrey McCaughan, Peter Angus, Scott Bowden, Tim Shaw, Allan Breschkin, Ross Sheil, Stephen Locarnini – 1 November 1996 – Retransplantation for hepatitis B—related liver allograft failure is rarely successful. Recurrence of infection is almost universal, and the second allograft is invariably lost more rapidly than the first. In a recent multicenter study, only 1 of 20 hepatitis B virus (HBV)—positive patients who underwent liver retransplantation survived beyond 6 months.

Glucose and potassium metabolic responses to insulin during liver transplantation

Robert E. Shangraw, John G. Hexem – 1 November 1996 – Insulin regulates glucose and potassium metabolism by acting differently upon peripheral tissues (e.g., skeletal muscle) and the splanchnic bed, including the liver. Liver disease is accompanied by “insulin resistance” of glucose metabolism, whereby glucose intolerance occurs despite relatively increased plasma insulin concentration. However, it is unknown whether insulin resistance extends to potassium metabolism.

Long‐term immunosuppression without corticosteroids after orthotopic liver transplantation: A positive therapeutic aim

Gerald M. Fraser, Konstantinos Grammoustianos, Jayendravandan Reddy, Keith Rolles, Brian Davidson, Andrew K. Burroughs – 1 November 1996 – Long‐term treatment with corticosteroids after orthotopic liver transplantation (OLT) may cause adverse effects, particularly hypertension, diabetes, and bone disease. The results of steroid withdrawal from long‐term immunosuppression in 114 patients after OLT was reviewed. Initial treatment was with corticosteroids, azathioprine, and cyclosporine A in 76.3% and with antithymocyte globulin in 17.5%.

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