Albumin synthesis rates in cirrhosis: Correlation with child‐turcotte classification

Peter E. Ballmer, Dominic Walshe, Margaret A. McNurlan, Heather Watson, Peter W. Brunt, Peter J. Garlic – 1 August 1993 – Albumin‐synthesis rates were measured in nine patients with stable cirrhosis and compared with those of eight healthy volunteers by means of a new technique using stable isotopes. Four grams of L‐[1‐13C]leucine was injected over 10 min, and blood samples were drawn at intervals.

Proliferative and cytotoxic T‐cell clones recognize endogenously synthesized HBcAG in an asymptomatic HBsAg carrier

Pei‐Yun Shu, Chungming Chang, Lih‐Hwa Hwan, Cheng‐Po Hu – 1 August 1993 – The characterization of immune responses to hepatitis B virus is crucial for the understanding of hepatitis B virus–caused liver disease. However, lack of a suitable autologous effector–target cell system makes a precise study of the pathogenesis of hepatitis B difficult. In this study we established a model system by using autologous HBcAg‐expressing Epstein‐Barr virus–immortalized lymphoblastoid cell lines as stimulator/target cells.

Activin induces cell death in hepatocytes in vivo and in vitro

Ralph H. Schwall, Kim Robbins, Paula Jardieu, Ling Chang, Cora La, Timothy G. Terrel – 1 August 1993 – While studying endocrine responses to activin in female rats, we discovered that activin caused a marked reduction in liver mass. The regressed livers exhibited no gross signs of necrosis or infarction, but histopathological evaluation revealed extensive cell death in the centrilobular regions. The dying cells appeared to fragment into structures resembling apoptotic bodies.

Increased blood levels of methyl tert‐butyl ether but not of ethyl propionate during instillation with contact gallstone dissolution agents in the pig

Oliver Esch, Claudio D. Schteingart, Dirk Pappert, Diane Kirby, Rita Streich, Alan F. Hofman – 1 August 1993 – We performed experiments in anesthetized piglets with two cholesterol gallstone solvents, methyl tertbutyl ether and ethyl propionate, to determine whether blood levels of either solvent would increase during gallbladder instillation of these solvents under conditions simulating gallstone dissolution.

Tissue eicosanoids and vascular permeability in rats with chronic biliary obstruction

Narumi Ohara, Norbert F. Voelke, Shih‐Wen Chang – 1 July 1993 – Advanced cirrhosis is known to be associated with extrahepatic organ dysfunction, but the mechanism for this cirrhosis complication is largely unknown. We measured tissue albumin leakage in rats with biliary cirrhosis or acute cholestasis and tested the hypothesis that arachidonic acid metabolites contribute to the vascular permeability change.

Reestablishment of cell polarity of rat hepatocytes in primary culture

Alexandru I. Musat, Carol A. Sattler, Gerald L. Sattler, Henry C. Pitot – 1 July 1993 – The cell–basement membrane interaction is an important determinant of epithelial cell polarity. Although hepatocytes in situ are polarized, no morphologically identifiable basement membrane is found at their basal surface. However, several studies have demonstrated immunoreactivity to basement membrane proteins in the space of Disse, indicating the existence of an extracellular matrix, albeit of low density.

Restructuring American health care financing: First of all, do no harm!

Paul D. Berk – 1 July 1993 – Health care costs are climbing throughout the western world. Aging populations and the costs of advanced technology are the principal forces behind much of this global increase. No country has yet succeeded in containing these growing costs other than by some form of rationing. A variety of experimental strategies, including managed competition, are being considered or tested, but none is clearly effective.

A comparison of the effects of aflatoxin B1 on the livers of rats and duck hepatitis B virus–infected and noninfected ducks

Alan A. Seawright, Roger T. Snowden, I. Olusola Olubuyide, Joan Riley, David J. Judah, Gordon E. Neal – 1 July 1993 – A need exists for an appropriate animal model for the involvement of both hepatitis B virus infection and ingestion of aflatoxins in the etiology of liver cancer. Duck hepatitis B virus–infected ducks, on the basis of hepatoma development in the wild in China, appear to offer this possibility. The duck has been reexamined as a model system, and key metabolic processes have been assayed in comparison with the rat model for hepatocarcinogenesis.

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