The natural course of chronic hepatitis C: A comparison between patients with genotypes 1 and 2 hepatitis C viruses

M Kobayashi, E Tanaka, T Sodeyama, A Urushihara, A Matsumoto, K Kiyosawa – 1 April 1996 – This study was conducted to clarify if the long‐term histological outcome among patients with chronic hepatitis C differs according to whether they are infected with genotype 1 or 2 hepatitis C virus (HCV). We examined 140 patients with chronic hepatitis C. The HCV genotype was determined by the enzyme‐linked immunosorbent assay (ELISA) based on genotypes 1 and 2 specific recombinant proteins; genotype 1 was found in 100 patients (96 were 1b and 4 were indeterminate) and genotype 2 in 36.

Acetaldehyde and malondialdehyde react together to generate distinct protein adducts in the liver during long‐term ethanol administration

D J Tuma, G M Thiele, D Xu, L W Klassen, M F Sorrell – 1 April 1996 – Acetaldehyde and the lipid peroxidation‐derived aldehyde malondialdehyde (MDA), are reactive compounds that are generated during ethanol metabolism in the liver, and both aldehydes have been shown to be capable of binding to proteins and forming stable adducts. Because similar concentrations of MDA and acetaldehyde can coexist in the liver during ethanol oxidation, protein adduct formation in the presence of both of these aldehydes was studied under both in vitro and in vivo conditions.

Impact of essential fatty acid deficiency on hepatic sterol metabolism in rats

E Levy, C Garofalo, T Rouleau, V Gavino, M Bendayan – 1 April 1996 – The major aim of the current investigation was to define whether essential fatty acid (EFA) deficiency modifies the intrahepatic metabolism and biliary output of sterols in rats. EFA‐deficient diet caused an impoverishment in linoleic, arachidonic, and docosahexaenoic acids, and a marked enrichment in the eicosatrienoic acid of the plasma, liver, and hepatic microsomes.

Admission levels of serum Gc‐globulin: Predictive value in fulminant hepatic failure

F V Schiødt, S Bondesen, I Petersen, K Dalhoff, P Ott, N Tygstrup – 1 April 1996 – Gc‐globulin scavenges actin released from necrotic hepatocytes to the extracellular space. In 77 patients with fulminant hepatic failure (FHF) (excluding patients treated with liver transplantation), admission levels of serum Gc‐globulin and degree of complexing with monomeric actin (complex ratio) were determined to evaluate their predictive values in relation to survival/nonsurvival. Gc‐globulin levels were significantly reduced in 47 nonsurvivors, compared with 30 survivors (96 +/‐ 71 mg/L vs.

Defect of multidrug‐resistance 3 gene expression in a subtype of progressive familial intrahepatic cholestasis

J Deleuze, E Jacquemin, C Dubuisson, D Cresteil, M Dumont, S Erlinger, O Bernard, M Hadchouel – 1 April 1996 – Disruption of the murine mdr2 (multidrug‐resistance) gene, which encodes a phosphatidylcholine flippase, leads to a hepatic disorder because of loss of biliary phospholipid secretion. Among the hereditary human cholestasis, a subtype of progressive familial intrahepatic cholestasis with high gamma‐glutamyltranspeptidase (GGT) serum activity shares histological, biochemical, and genetic features with mice lacking mdr2 gene expression (mdr2 ‐/‐ mice).

Hepatic mucosal mast cell hyperplasia in rats with secondary biliary cirrhosis

K P Rioux, K A Sharkey, J L Wallace, M G Swain – 1 April 1996 – Mast cells have been shown to play a role in many chronic inflammatory and fibrotic disorders. However, their possible contribution to the pathological changes that occur in liver cirrhosis is unknown. To explore this, we examined whether changes in hepatic mast cell number and mediator content were associated with fibrotic changes in experimental biliary cirrhosis. Rats were studied 7, 14, or 21 days after bile duct resection (BDR). Hepatic mast cells were identified by histochemical and immunohistochemical stains.

Etiology, evaluation, and outcome of jaundice in patients with acquired immunodeficiency syndrome

N Chalasani, C M Wilcox – 1 April 1996 – Although liver test abnormalities are frequently identified in patients with acquired immunodeficiency syndrome (AIDS), the causes, evaluation, and outcome of jaundice in these patients have not been systematically evaluated. From August 1, 1990 through September 1, 1994, all human immunodeficiency virus (HIV)‐infected patients with liver test abnormalities seen by the gastroenterology service at a large, inner‐city hospital were prospectively identified. Jaundice was defined as a serum bilirubin concentration ≥ 3 mg/dL.

Alcoholism in hereditary hemochromatosis revisited: Prevalence and clinical consequences among homozygous siblings

P C Adams, S Agnew – 1 April 1996 – The relationship between alcoholism and hereditary hemochromatosis remains controversial. Previous studies have included patients with alcoholic siderosis rather than hereditary hemochromatosis. In this retrospective study, the clinical features, iron status, alcohol history, liver histology, and long‐term survival were reviewed in 105 homozygotes for hemochromatosis using rigid diagnostic criteria including an HLA identical sibling with iron overload. Heavy alcohol consumption (>80 g ethanol/day) was found in 15% of hemochromatosis patients.

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