Follow‐up after liver transplantation for protoporphyric liver disease

Joseph R. Bloomer, Jeffrey M. Rank, William D. Payne, Dale C. Snover, Harvey L. Sharp, R. Jeff Zwiener, Robert L. Carithers – 1 July 1996 – Protoporphyria is a genetic disorder in which patients may develop severe protoporphyrin‐induced liver damage and require transplantation. Because unique problems occur in the perioperative period and because excess production of protoporphyrin by the bone marrow continues after liver transplantation, the efficacy of this procedure for protoporphyric liver disease is uncertain. We present follow‐up of nine patients who underwent liver transplantation.

Use of a designer triple expression hybrid clone for three different lipoyl domain for the detection of antimitochondrial autoantibodies

S Moteki, P S Leung, R L Coppel, E R Dickson, M M Kaplan, S Munoz, M E Gershwin – 1 July 1996 – The detection of antimitochondrial autoantibodies (AMAs) is critical in the diagnosis of primary biliary cirrhosis (PBC). However, conventional laboratory assays to detect AMA are dependent on the time‐consuming method of immunofluorescence microscopy, a method often plagued by problems of nonspecificity.

Expression and immune response to hepatitis C virus core DNA–based vaccine constructs

K Tokushige, T Wakita, C Pachuk, D Moradpour, D B Weiner, V R Zurawski, J R Wands – 1 July 1996 – Hepatitis C virus (HCV) is a major worldwide cause of acute and chronic hepatitis, cirrhosis, and hepatocellular carcinoma. The development of vaccines against HCV have been complicated by the high variability of the envelope region, and it is likely that the cellular immune responses to viral structural proteins may be important for eradicating persistent viral infection.

Hepatitis B virus infection of tupaia hepatocytes in vitro and in vivo

E Walter, R Keist, B Niederöst, I Pult, H E Blum – 1 July 1996 – For the systematic analysis of various clinical and molecular aspects of hepatitis B virus (HBV) infection, an experimental small animal system of HBV infection would be a great advance. The susceptibility to HBV infection, therefore, of hepatocytes from the tree shrew species tupaia belangeri was studied in vitro and in vivo. Primary hepatocytes isolated from livers of tupaias can be reproducibly infected with HBV.

The surgical challenge of papillary neoplasia of the biliary tract

Thomas S. Helling, R. Scott Strobach – 1 July 1996 – This study is a case report and literature review of the surgical approach to papillary lesions of the biliary tract exclusive of the ampulla of Vater. Papillary lesions of the bile ducts, exclusive of the ampulla of Vater, are distinctly uncommon but, because of their unpredictable and aggressive behavior, pose challenging problems for the surgeon.

Famciclovir treatment of hepatitis B virus recurrence after liver transplantation: A pilot study

Martin Krüger, Hans Ludger Tillmann, Christian Trautwein, Ulrike Bode, Karl Oldhafer, Hansjörg Maschek, Klaus H. W. Böker, Christoph E. Broelsch, Rudolf Pichlmayr, Michael P. Manns – 1 July 1996 – Despite hepatitis B immunoprophylaxis hepatitis B virus (HBV) recurrence is a frequent and often fatal complication after orthotopic liver transplantation (OLT). The purine nucleoside analogues penciclovir and its oral form famciclovir (FCV) proved to be well tolerated and effective against herpes simplex and zoster virus infections.

Hepatotoxicity of the herbal medicine germander: Metabolic activation of its furano diterpenoids by cytochrome P450 3A Depletes cytoskeleton‐associated protein thiols and forms plasma membrane blebs in rat hepatocytes

M Lekehal, D Pessayre, J M Lereau, C Moulis, I Fourasté, D Fau – 1 July 1996 – Several herbal remedies have produced hepatitis in humans. The medicinal plant, germander, was recalled after its use as an adjuvant to slimming diets resulted in an epidemic of hepatitis in France. We studied the hepatotoxicity of germander in isolated rat hepatocytes.

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