Chronic rejection after liver transplantation: A study of clinical, histopathological and immunological features

Deborah K. Freese, Dale C. Snover, Harvey L. Sharp, Cynthia R. Gross, S. Kay Savick, William D. Payne – 1 May 1991 – In an effort to better understand chronic liver transplant rejection, we studied 110 children and adults who survived for at least 2 mo after the transplant procedure. Chronic rejection was defined using a combination of clinical and histopathological criteria and was diagnosed in 10 of the 110 patients for an incidence of 9.1%. All 10 patients were children with the mean age 3.4 yr vs. 21.7 yr for patients without chronic rejection (p <.001).

FK 506 ameliorates the hepatic injury associated with ischemia and reperfusion in rats

Mahmoud F. Sakr, Giorgio M. Zetti, Tarek I. Hassanein, Hassan Farghali, Michael A. Nalesnik, Judith S. Gavaler, Thomas E. Starzl, David H. Van Thiel – 1 May 1991 – The effect of FK 506 on regeneration of the liver was studied in rats after a two‐thirds partial hepatectomy after 60 min of ischemia of the unresected liver. The animals were divided into three distinct groups of 10 rats each. Group 1 (controls) received 0.5 ml saline solution intravenously 30 min after the induction of ischemia.

The relationship between hepatic low‐density lipoprotein receptor activity and serum cholesterol level in the human fetus

Hai‐Jiang Cai, Chong‐Lun Xie, Qi Chen, Xiu‐Ying Chen, Yue‐Hua Chen – 1 May 1991 – We found that the binding of 125I‐low‐density lipoprotein to fetal liver low‐density lipoprotein receptor rose progressively with the increase in fetal age. During this period, total cholesterol and low‐density lipoprotein‐cholesterol levels in fetal serum declined significantly. The correlation coefficients between fetal age and concentration of serum total cholesterol and low‐density lipoprotein cholesterol were −0.80 (p < 0.001) and −0.77 (p < 0.001), respectively.

Involvement of cell calcium and transmembrane potential in control of hepatocyte volume

Walid E. Khalbuss, Robert Wondergem – 1 May 1991 – This study examined the role of hepatocyte calcium and cytoskeleton in activation of hyposmotic stress‐induced increases in hepatocyte transmembrane potential and control of cell volume. Hepatocyte transmembrane potential was measured by glass microelectrodes in mouse liver slices before and after exposure to hyposmotic medium. Hepatocytes were loaded with tetramethylammonium by briefly exposing liver slices to nystatin, a cation poreforming antibiotic.

Alterations in influence of granuloma‐derived cytokines on fibrogenesis in the course of murine Schistosoma mansoni infection

Sadhana Prakash, Arnold E. Postlethwaite, David J. Wyler – 1 May 1991 – Schistosomiasis is the main cause of hepatic fibrosis worldwide, yet its pathogenesis remains unknown. We previously reported that conditioned medium from cultures of hepatic egg granulomas (isolated from mice acutely infected with Schistosoma mansoni) can stimulate fibroblast proliferation and matrix production in vitro. We have proposed that initiation of hepatic fibrosis in this infection might be under the control of granuloma‐derived cytokines.

Ascitic fluid pH and lactate: Insensitive and nonspecific tests in detecting ascitic fluid infection

Bruce A. Runyon, Mainor R. Antillon – 1 May 1991 – Ascitic fluid pH and lactate concentration have been proposed as useful tests for the detection of ascitic fluid infection. However, past studies involved small numbers of infected patients, and all did not use optimal culture techniques.

Clonality and clonal evolution of hepatocellular carcinoma with multiple nodules

Hey‐Chi Hsu, Tzyy‐Jen Chiou, Jen‐Yang Chen, Chu‐Shue Lee, Po‐Huang Lee, Shian‐Yang Peng – 1 May 1991 – To determine the clonal evolution of hepatocellular carcinoma, the integrated hepatitis B virus DNA patterns of the main tumor, satellites and/or metastatic lesions were analyzed by Southern‐blot hybridization in 28 hepatocellular carcinomas, including three HBsAg‐seronegative cases. Unicentric or multicentric hepatocellular carcinoma was confirmed by histopathological criteria in 89% of the cases.

Plasma catecholamines in patients with presinusoidal portal hypertension: Comparison with cirrhotic patients and nonportal hypertensive subjects

Christophe Gaudin, Alain Braillon, Jorge Luis Poo, Gerhard Kleber, Richard Moreau, Didier Lebrec – 1 May 1991 – During a hemodynamic study, plasma catecholamine concentrations were measured in the pulmonary artery and in the hepatic vein in 18 presinusoidal portal hypertensive patients. Results were compared with those in 15 nonportal hypertensive subjects and in 24 cirrhotic patients in good condition (grade A, according to Pugh's classification).

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