Acute cellular rejection after liver transplantation: Variability, morbidity, and mortality

Laurel R. Fisher, Keith S. Henley, Michael R. Lucey – 1 January 1995 – Acute cellular rejection of the allograft is a potentially serious complication after liver transplantation, yet its true incidence is unknown. We therefore investigated the frequency of acute cellular rejection reported by transplant centers and its impact on morbidity and mortality. Morbidity was defined as duration of hospitalization. Of 200 articles screened, 18 were selected for inclusion in the study database, in which there was a total of 1,437 patients who received transplants.

Transforming growth factor‐β1 regulates platelet‐derived growth factor receptor β subunit in human liver fat‐storing cells

Massimo Pinzani, Alessandra Gentilini, Alessandra Caligiuri, Raffaella De Franco, Giulia Pellegrini, Stefano Milani, Fabio Marra, Paolo Gentilini – 1 January 1995 – Activated liver fat‐storing cells (FSC) are known to play a key role in the development of liver fibrosis. An important element in FSC activation process is the increased expression of receptors for platelet‐derived growth factor (PDGF), a potent mitogen for FSC.

Bone marrow augmentation in solid organ transplantation–any conclusions?

John J. Fung – 1 January 1995 – Donor‐specific bone marrow infusion after organ grafting can induce tolerance in animals. In this randomized, controlled study we show it has no benefit in patients undergoing liver transplantation. Of 25 patients, 9 received bone marrow 5 days after a 10 day course of antithymocyte globulin. Immunosuppression was maintained with cyclosporin only. An average of 3·0 rejection episodes per patient was seen in the bone marrow group compared to 3·1 in the controls.

Cytokine patterns and cytotoxic mediators in primary biliary cirrhosis

Olivia M. Martinez, Janeth C. Villanueva, M. Eric Gershwin, Sheri M. Krams – 1 January 1995 – Primary biliary cirrhosis (PBC) is an autoimmune disease of the liver with unknown etiology. Autoreactive T lymphocytes that infiltrate the liver may play a major role in the bile duct damage that accompanies the disease. We hypothesized that cytokines produced by T lymphocytes and other cells are central to the disease process.

Hemodynamic characteristics of the intrahepatic portal vascular bed over an extended flow range: A study in the isolated perfused rat liver

Howard J. Grossman, Virginia L. Grossman, Prithi S. Bhathal – 1 January 1995 – The relationship between the perfusion pressure (P) and resistance (R) of the intrahepatic portal vascular bed was determined in isolated rat liver preparations perfused with fresh, heparinized rat blood (hematocrit 30%), with rat blood containing a vasodilator agent (sodium nitroprusside, 1 × 10–3 mol/L), or with 2.5% bovine serum albumin in Krebs‐Henseleit buffer (BSA‐KH).

Differential alterations of cytochrome P450 proteins in livers from patients with severe chronic liver disease

Jacob George, Michael Murray, Karen Byth, Geoffrey C. Farrell – 1 January 1995 – To determine whether cytochrome P450 proteins were differentially altered in severe chronic liver diseases, we examined 50 livers removed at liver transplantation from patients with end‐stage cirrhosis, including 18 with and 32 without cholestasis, and compared the results with 21 histologically normal livers. NADPH‐cytochrome c reductase activities were unaltered in microsomes from cirrhotic livers. Total cytochrome P450 content was significantly reduced.

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