Spontaneous exacerbation of disease activity in patients with chronic delta hepatitis infection: The role of hepatitis B, C or D?

Zvi Ackerman, Boontar Valinluck, John G. McHutchison, Allan G. Redeker, Sugantha Govindarajan – 1 September 1992 – Forty‐six patients with chronic hepatitis delta virus infection were followed between 6 and 116 mo (mean = 32.8 mo; median = 24 mo). Nineteen patients (41%) demonstrated clinical courses with episodes of biochemical reactivation (ALT levels ≥ 10 times baseline values [group A]). Twenty‐seven patients (59%) had stable clinical courses without biochemical reactivation (group B). Patients in group A were younger than those in group B (30.5 vs.

Incidence and predictive factors of first episode of spontaneous bacterial peritonitis in cirrhosis with ascites: Relevance of ascitic fluid protein concentration

Josep Llach, Antoni Rimola, Miquel Navasa, Pere Ginès, Joan M. Salmerón, Angels Ginès, Vicente Arroyo, Joan Rodés – 1 September 1992 – To investigate the long‐term probability of the appearance of the first episode of spontaneous bacterial peritonitis in cirrhosis with ascites and to identify predictors of this complication, we closely followed throughout their illness 127 patients consecutively admitted to our unit for the treatment of an episode of ascites without prior spontaneous bacterial peritonitis (follow‐up period: 21 ± 22 mo).

Increased spontaneous and lymphokine‐conditioned IgA and IgG synthesis by B cells from alcoholic cirrhotic patients

José Antonio Girón, Melchor Alvarez‐Mon, José Luis Menéndez‐Caro, Luis Abreu, Agustín Albillos, Luis Manzano, Alberto Durántez – 1 September 1992 – Immunoglobulin secretion by B lymphocytes is a complex process in which lymphokines secreted by T lymphocytes play an important regulatory role. Increased serum levels of IgA and IgG have been characteristically detected in patients with alcoholic cirrhosis. We have studied the functional alterations of T and B lymphocytes implicated in the physiopathology of this common immunoglobulin abnormality.

Localization of cytochrome P‐450 gene expression in normal and diseased human liver by in situ hybridization of wax‐embedded archival material

Colin N. A. Palmer, Philip J. Coates, Susan E. Davies, Elizabeth A. Shephard, Ian R. Phillips – 1 September 1992 – The localization of the expression of several cytochrome P‐450 genes in normal and diseased human liver was investigated by in situ hybridization of formalin‐fixed, paraffin wax–embedded archival tissue samples with 35S‐labeled antisense RNA probes.

Role of the liver in splanchnic extraction of atrial natriuretic factor in the rat

Alexander L. Gerbes, Rochus Witthaut, Veit Gülberg, Gaétan Thibault, Manfred Bilzer, Dieter Jüngst – 1 September 1992 – Mesenteric, hepatic and splanchnic extraction of C‐terminal and N‐terminal atrial natriuretic factor was investigated in male Sprague‐Dawley rats. Plasma concentrations (mean ± S.E.M.) of C‐terminal atrial natriuretic factor were 55.0 ± 6.1 fmol/ml, 31.2 ± 4.0 fmol/ml and 23.5 ± 3.3 fmol/ml (n = 12) in the abdominal aorta, the portal vein and the hepatic vein, respectively.

Nutritional therapy for alcoholic hepatitis: Are we there yet?

Timothy R. Morgan, Charles L. Mendenhall – 1 September 1992 – This prospective study compared the effects of tube‐fed nutrition with those of a regular diet in alcoholic liver disease. The high prevalence of malnutrition in patients with alcoholic liver disease requires clarification of the benefits of aggressive nutritional support. Patients were randomly assigned a regular diet without or with tube‐fed supplementation, delivering 1.5 g/kg protein and 167 kJ/kg daily.

Liver/kidney microsome antibody type 1 and hepatitis C virus infection

Francloise Lunel, Nisen Abuaf, Lionel Frangeul, Patrick Grippon, Michèle Perrin, Yann Le Coz, Dominique Valla, Eric Borotto, Anne‐Marie Yamamoto, Jean‐Marie Huraux, Pierre Opolon, Jean‐Claude Homberg – 1 September 1992 – Recent studies have shown that hepatitis C virus antibodies are present in a large proportion of patients with autoimmune hepatitis type 2. We have studied 83 patients with liver/kidney microsome antibody‐positive type 1 hepatitis.

HBsAg retention sensitizes the hepatocyte to injury by physiological concentrations of interferon‐γ

Patrick N. Gilles, Deborah L. Guerrette, Richard J. Ulevitch, Robert D. Schreiber, Francis V. Chisari – 1 September 1992 – The role that inflammatory cytokines may play in the life cycle of the hepatitis B virus and in the pathogenesis of its associated liver disease has not been carefully delineated.

Differential effects of chenodeoxycholic and ursodeoxycholic acids on interleukin 1, interleukin 6 and tumor necrosis factor–α production by monocytes

Yvon Calmus, Jerome Guechot, Philippe Podevin, Marie‐Therese Bonnefis, Jacqueline Giboudeau, Raoul Poupon – 1 September 1992 – Cell‐mediated immunity and macrophage activity, especially that of Kupffer cells, are impaired during cholestasis. Some evidence exists that bile acids play a role in these immune defects. The purpose of this study was to evaluate the effects of individual bile acids on immunity and to determine whether monocytes could be a target.

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