An outbreak of hepatitis A among south african patients with hemophilia: Evidence implicating contaminated factor VIII concentrate as the source

Mary‐Anne Kedda, Michael C. Kew, Richard J. Cohn, Stephen P. Field, Rosemary Schwyzer, Ernest Song, F. Fernandes‐Costa – 1 November 1995 – We report an outbreak of hepatitis A in nine South African hemophiliacs treated exclusively with infusions of factor VIII concentrate. The solvent/detergent (S/D) method (which does not inactivate nonenveloped viruses) was used for virus eradication.

Quantitation of cytomegalovirus in the blood of liver transplant recipients

David Mutimer, Anna Matyi‐Toth, Elwyn Elias, Jean Shaw, Katharina O'Donnell, Helena Kilgariff, James Neuberger, Bridget Gunson, Paul McMaster, Per Stalhandske – 1 November 1995 – An assay for quantitation of cytomegalovirus (CMV) has been developed. The assay combines DNA amplification and enzyme‐linked immunosorbent assay (ELISA) detection. In this study, the assay has been used to examine sequential buffycoats from 32 consecutive liver transplant recipients.

Feedback‐inhibition of glucagon‐stimulated glycogenolysis in hepatocyte/kupffer cell cocultures by glucagon‐elicited prostaglandin production in kupffer cells

Ursula Hespeling, Kurt Jungermann, Gerhard P. Püschel – 1 November 1995 – Prostaglandins, released from Kupffer cells, have been shown to mediate the increase in hepatic glycogenolysis by various stimuli such as zymosan, endotoxin, immune complexes, and anaphylotoxin C3a involving prostaglandin (PG) receptors coupled to phospholipase C via a G0 protein. PGs also decreased glucagon‐stimulated glycogenolysis in hepatocytes by a different signal chain involving PGE2 receptors coupled to adenylate cyclase via a Gi protein (EP3 receptors).

Dynamic measurements of the acute and chronic effects of lysosomotropic agents on hepatocyte lysosomal pH using flow cytometry

Brent M. Myers, Pamela S. Tietz, James E. Tarara, Nicholas F. Larusso – 1 November 1995 – Previous investigators measuring the pH of lysosomes have used digitized video microscopy (DVM) in freshly isolated or cultured cells. Although useful, this technique is time consuming, requires the use of an image analysis system, and is limited by the fact that measurements can be made in only a relatively small number of cells.

Vitamin E therapy of acute CCl4‐induced hepatic injury in mice is associated with inhibition of nuclear factor kappa B binding

Shu‐Ling Liu, Silvia Degli Esposti, Tony Yao, Anna Mae Diehl, Mark A. Zern – 1 November 1995 – Oxidative stress, with reactive oxygen intermediate formation, may represent a common mechanism by which liver injury is induced by diverse etiologies. Oxidative stress enhances nuclear factor kappa B (NF‐κB) activity, and NF‐κB activity has been shown to enhance the expression of cytotoxic cytokines. Acute hepatic injury caused by reactive oxygen intermediate production was induced by an intraperitoneal injection of CCl4 in mice.

Impaired biliary excretion and whole body elimination of methylmercury in rats with a congenital defect in biliary glutathione excretion

Nazzareno Ballatori, Zenaida Gatmaitan, Anh T. Truong – 1 November 1995 – Biliary excretion of methylmercury, a major route of elimination of this toxic compound, was less than 2% of control in Eisai hyperbilirubinemic (EHBR) rats, a mutant Sprague‐Dawley strain with a defect in biliary excretion of a variety of organic anions, including glutathione S‐conjugates and reduced glutathione (GSH). Biliary GSH excretion in EHBR rats was also <2% of controls, confirming previous findings.

Primary sclerosing cholangitis and ulcerative colitis: Evidence for increased neoplastic potential

Ulrika Broomé, Robert Löfberg, Béla Veress, Ljusk Siw Eriksson – 1 November 1995 – Primary sclerosing cholangitis (PSC) is a biliary destructive disease mostly affecting patients with ulcerative colitis (UC). PSC has been suggested to be an independent risk factor for the development of colorectal malignancy in UC. Patients with PSC also have an increased risk of developing cholangiocarcinoma. This study aimed at assessing the cumulative risk of colorectal neoplasia in PSC and UC, and also to determine risk factors for the development of cholangiocarcinoma.

Expanding the donor pool

Nancy L. Ascher – 1 November 1995 – The shortage of liver grafts results in the fact that 8% of potential recipients die before receiving a graft. Liver graft division has therefore been proposed to maximize the current available liver graft pool. However, the question of benefit or additional risk for the recipients that this technique might carry remains unanswered.

Low incidence of intraspousal transmission of hepatitis C virus after liver transplantation

Timothy M. McCashland, Teresa L. Wright, Jeremiah P. Donovan, Daniel F. Schafer, Michael F. Sorrell, Thomas G. Heffron, Alan N. Langnas, Ira J. Fox, Byers W. Shaw, Rowen K. Zetterman – 1 November 1995 – Although the incidence of spousal transmission of hepatitis C virus (HCV) in chronic carriers is extremely low (1.4% to 8%), hepatitis C recurrence after liver transplantation is common with markedly increased serum HCV RNA levels. Thus, partners of these patients may be at higher risk of acquiring infection.

Hepatitis C genotypes in liver transplant recipients: Distribution and 1‐year follow‐up

Nizar N. Zein, Jorge Rakela, John J. Poterucha, Jeffery L. Steers, Russell H. Wiesner, David H. Persing – 1 November 1995 – Chronic hepatitis C infection (CH‐C) accounts for a significant number of patients undergoing orthotopic liver transplantation (OLT). Recently, hepatitis C virus (HCV) genotype‐dependent differences in disease outcome and therapeutic responses have been suggested.

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