The etiology of acute hepatitis superimposed upon previously unrecognized asymptomatic HBsAg carriers

Chia‐Ming Chu, Yun‐Fan Liaw, Chia C. Pao, Miau‐Ju Huang – 1 March 1989 – To study the etiology of acute hepatitis superimposed upon previously unrecognized asymptomatic HBsAg carriers, paired sera were collected in acute and convalescence phases for measurement of HBeAg, anti‐HBe, hepatitis B virus DNA and anti‐delta from 76 adult patients with acute hepatitis who were HBsAg positive but IgM anti‐HBc negative or positive only at low titer. None of them were IgM anti‐hepatitis A virus positive on admission.

Propranolol does not alter cerebral blood flow and functions in cirrhotic patients without previous hepatic encephalopathy

Paul Calès, Max Pierre‐Nicolas, Antonio Guell, Jean‐Louis Mauroux, Anne Franco‐Sempe, Jean‐Pierre Vinel, Gilles Geraud, Jean‐Pierre Pascal – 1 March 1989 – Since it has been suggested that propranolol could lead to hepatic encephalopathy, we undertook a study to assess the effects of propranolol on cerebral blood flow and cerebral functions. Sixteen patients with alcoholic cirrhosis and large esophageal varices and without major hepatic dysfunction (Child‐Pugh score <14) or previous hepatic encephalopathy were randomized to receive either propranolol or placebo.

Stimulation of DNA synthesis in hepatocytes by kupffer cells after partial hepatectomy

Fujio Katsumoto, Kohji Miyazaki, Fumio Nakayama – 1 March 1989 – The role of Kupffer cells during reparative regeneration of rat liver was investigated with an in vitro experimental model. Conditioned media from primary cultures of Kupffer cells isolated from intact and regenerating liver were added to primary cultures of hepatocytes, and [3H]thymidine incorporation into DNA was studied. Kupffer cell‐conditioned media from intact liver and regenerating remnant liver significantly stimulated DNA synthesis in hepatocytes as compared with control media (p<0.05).

Isolation, culture and main characteristics of mouse fat‐storing cells: Interaction with viruses

Wan Chen, Jean‐Louis Gendrault, Anne‐Marie Steffan, Eric Jeandidier, André Kirn – 1 March 1989 – Fat‐storing cells were isolated from 15‐day‐old mouse sinusoidal cell cultures (Kupffer or endothelial cells), where they had multiplied abundantly; they were then purified by a negative selection method based on the fact that they do not possess Fc receptors, as do both other types of cells.

Does hypophosphatemia play a role in acute liver failure?

James P. Knochel – 1 March 1989 – This is the first record of hypophosphataemia in acute liver failure induced by paracetamol; it occurred in most of the patients and was severe (<0.3 mmol/l) in more than one third. At this level hypophosphataemia produces impaired oxygen transport and tissue hypoxia, abnormal leucocyte function, depressed platelet numbers and function, generalised muscle weakness, and disorder of the central nervous system; these are frequent complications of acute liver failure.

Chlamydia trachomatis and ascites: Going with the flow?

J. Marc Shabot – 1 March 1989 – Chlamydia trachomatis as an etiological agent in the Fitz‐Hugh‐Curtis syndrome has recently been reported; however, the condition has not been typically associated with ascites. We report a case of Chlamydia trachomatis perihepatitis in a young woman who had exudative ascites as a predominant clinical feature of her disease. Laparoscopy revealed characteristic “violin string” adhesions which were also identified on abdominal computerized scan.

The effect of biliary enteroenterostomy on the pharmacokinetics of enterally administered cyclosporine in rats

Peter F. Whitington, Beat H. Kehrer, Susan H. Whitington, Benjamin Shneider, Dennis D. Black – 1 March 1989 – A major factor in poor bioavailability of cyclosporine in children undergoing orthotopic liver transplantation appears to be poor absorption of the drug. Our hypothesis is that the Roux‐en‐Y choledochojejunostomy used for biliary drainage in these children causes cyclosporine malabsorption by reducing the length of bowel available for absorption and by distally displacing the entry of bile into the intestine.

Urea cycle enzyme activities are normal and inducible by a high‐protein diet in CCl4 cirrhosis of rats

Philip J. Snodgrass – 1 March 1989 – We produced moderately severe, inactive micronodular cirrhosis in rats using CCl4 and measured the urea cycle enzyme activities in liver after feeding a 15% casein diet for 1 week and again after a 60% casein diet for 1 week. There was no deficiency of any of the five urea cycle enzymes in cirrhotic livers of rats pair‐fed the 15% casein diet. Argininosuccinate synthetase and carbamyl phosphate synthetase activities were lower than in non‐pair‐fed controls by some baselines.

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