A prospective, randomized trial of sclerotherapy versus ligation in the management of bleeding esophageal varices

Gin‐Ho Lo, Kwok‐Hung Lai, Jing‐Shiung Cheng, Jia‐Huey Hwu, Chia‐Fu Chang, Sam‐Ming Chen, Hung‐Ting Chiang – 1 August 1995 – We conducted a prospective, randomized trial comparing sclerotherapy and ligation in 120 patients with acute bleeding of esophageal varices. All the patients were cirrhotic, 59 received sclerotherapy, and 61 received ligation. Treatment was repeated regularly until the varices were obliterated. The mean follow‐up period was 295 ± 120 days and 310 ± 105 days for the sclerotherapy and ligation groups, respectively.

Synthesis of interleukin‐1β in primary biliary cirrhosis: Relationship to treatment with methotrexate or colchicine and disease progression

Laurie C. Miller, Archna Sharma, Augusta F. McKusick, Joseph P. Tassoni, Charles A. Dinarello, Marshall M. Kaplan – 1 August 1995 – Primary biliary cirrhosis (PBC) is a chronic, progressive, cholestatic liver disease. Interleukin‐1β (IL‐1β) may play a role in the pathogenesis of PBC by contributing to altered immune function and fibrosis. Colchicine or methotrexate has some beneficial effects in the treatment of PBC, and also affects interleukin‐1 (IL‐1).

Regulation of the α2(I) collagen gene transcription in fat‐storing cells derived from a cirrhotic liver

Yutaka Inagaki, Sharada Truter, Patricia Greenwel, Marcos Rojkind, Masashi Unoura, Kenichi Kobayashi, Francesco Ramirez – 1 August 1995 – Fat‐storing cells (FSC) are the main producers of type I collagen in both normal and fibrotic livers. In order to elucidate the molecular mechanisms controlling collagen expression in FSC, we examined the transcription of the α2(I) collagen gene (COL1A2) in two distinct FSC clones, CFSC‐2G and CFSC‐5H, derived from a single CCl4‐induced cirrhotic liver.

Hemodynamics after orthotopic liver transplantation: Study of associated factors and long‐term effects

Adrian Gadano, Antoine Hadengue, Jean Jacques Widmann, Florence Vachiery, Richard Moreau, Song Yang, Thierry Soupison, Philippe Sogni, Claude Degott, François Durand, Jacques Bernuau, Jacques Belghiti, Serge Erlinger, Jean Pierre Benhamou, Didier Lebrec – 1 August 1995 – Among 68 liver transplant recipients, 190 hemodynamic studies were performed to evaluate the role of sepsis, anemia, acute graft rejection, and persistent portosystemic shunts. The hemodynamic outcome after orthotopic liver transplantation (OLT) in stable patients was also determined.

Clonality in hepatocellular carcinoma: Analysis of methylation pattern of polymorphic X–chromosome‐linked phosphoglycerate kinase gene in females

Shigenobu Kawai, Fumio Imazeki, Osamu Yokosuka, Masao Ohto, Shuichiro Shina, Naoya Kato, Masao Omata – 1 July 1995 – Analysis of X‐chromosome inactivation patterns in women has been used to assess the clonality of various tumors. In this report, we analyzed 27 liver tumors in women, including 18 samples obtained by the performance of ultrasonically guided thin‐needle biopsies. By analysis of the heterogeneity of phosphoglycerate kinase gene, 11 of 27 (41%) cases were found to be heterozygous at the gene.

Brefeldin a inhibits the transcytotic vesicular transport of horseradish peroxidase in intrahepatic bile ductules isolated from rat liver

Antonio Benedetti, Luca Marucci, Cristina Bassotti, Carlo Guidarelli, Anne Marie Jezequel – 1 July 1995 – The fungal metabolite Brefeldin A (BFA) has become a valuable tool to address mechanisms of membrane transport in eukaryotic cells. The aim of the study was to investigate the action of BFA on the endocytic and transcytotic pathways in the biliary epithelium. Intrahepatic bile ductules were isolated from rat liver by collagenase digestion and mechanical separation of biliary tree from parenchymal tissue.

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