The natural history of untreated focal allograft rejection in liver transplant recipients

John P. McVicar, Kris V. Kowdley, Carlos E. Bacchi, Darlene Barr, Christopher L. Marsh, James D. Perkins, Robert L. Carithers – 1 March 1996 – Focal rejection involves less than 20% of portal tracts in liver allograft biopsy results. The clinical significance of “focal” rejection on protocol liver biopsy results is unknown. The purpose of this study was to prospectively determine the incidence of clinically significant rejection in patients with focal rejection after orthotopic liver transplantation. Biopsy specimens from 165 consecutive transplantations in 149 patients were analyzed.

Exaggeration of acute liver damage by hepatic sympathetic nerves and circulating catecholamines in perfused liver of rats treated with D‐galactosamine

M Iwai, T Shimazu – 1 March 1996 – Effects of electrical stimulation of the hepatic nerves on acute liver damage were examined using isolated rat liver perfused in situ, 24 hours after intraperitoneal injection with D‐galactosamine (800 mg/kg). The leakage of lactate dehydrogenase (LDH) and aspartate aminotransferase (AST) from the liver was used as markers of acute liver damage.

Identification of bipotential progenitor cells in human liver development

Y Haruna, K Saito, S Spaulding, M A Nalesnik, M A Gerber – 1 March 1996 – Intermediate filament proteins have been reported to be expressed in a cell lineage‐specific manner during morphogenesis. We studied the expression of cytokeratin (CK)14, CK19, and vimentin and of the hepatocyte‐specific HepPar1 antigen during the development of human liver.

Liver grafts can be preserved overnight

Jean Vix, Philippe Compagnon, Jean‐Paul Beller, Daniel Jaeck, Philippe Wolf, Karim Boudjema – 1 March 1996 – The introduction of University of Wisconsin solution has made liver transplantation a semi‐elective procedure. However, many studies have suggested that cold storage must not exceed 12 hours to avoid ischemic‐type biliary complications, to reduce the incidence of primary nonfunction and to improve graft and patient survival. The aim of this study was to compare the function of livers transplanted as soon as possible after the liver was harvested and those preserved overnight.

Involvement of calcium in macrophage leukotriene release during experimental cirrhosis

L Alric, E Pinelli, G Carrera, J P Vinel, M Beraud, M Duffaut, J P Pascal, B Pipy – 1 March 1996 – The aim of the present study was to assess the mechanism of 5‐lipoxygenase metabolites (LT) secretion by peritoneal macrophages in rats wih CC14 induced cirrhosis. After stimulation with calcium ionophore A23187 or opsonized zymosan, [3H] arachidonic acid labeled macrophages from cirrhotic rats presented a significantly greater secretion of LT than macrophages from healthy controls.

Hepatitis C virus in body fluids after liver transplantation

Stephen H. Caldwell, Michael Sue, James H. Bowden, Rolland C. Dickson, Carolyn J. Driscoll, Paul Yeaton, William C. Stevenson, Michael B. Ishitani, Christopher S. McCullough, Timothy L. Pruett, Mark A. Lovell – 1 March 1996 – Recurrence of hepatitis C virus (HCV) after liver transplantation is common and is associated with high blood levels of HCV RNA. Higher blood levels of HCV may promote body fluid expression of the virus. We tested 152 body fluid specimens from 33 patients with chronic hepatitis C, 21 of whom had undergone prior liver transplantation.

Superselective arterial embolization in the liver transplant recipient: A safe treatment for hemobilia caused by percutaneous transhepatic biliary drainage

Kenneth L. Croutch, Roy L. Gordon, Ernest J. Ring, Robert K. Kerlan, Jeanne M. Laberge, John P. Roberts – 1 March 1996 – Transcatheter arterial embolization is widely used to treat life‐threatening iatrogenic hemobilia, although in the transplanted liver its use has only been reported in two cases. To evaluate more fully whether transcatheter embolization is safe and effective in transplant recipients, we retrospectively reviewed eight cases of severe hemobilia. These occurred after 128 percutaneous transhepatic biliary drainage procedures performed during a 6‐year period.

Changes in liver core temperature during preservation and rewarming in human and porcine liver allografts

Martin Hertl, Todd K. Howard, Jeffrey A. Lowell, Surendra Shenoy, P. Robert C. Harvey, Steven M. Strasberg – 1 March 1996 – Liver core temperature during organ procurement, storage, and rewarming has not been reported in human orthotopic liver transplantations (OLT). We have shown in the rat that optimal temperature for liver storage is not 4°C but 0°C to 1°C. Therefore, a study was undertaken in humans and in pigs to determine the pattern of temperature change during OLT.

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