GUT MICROBE-PRODUCED IMIDAZOLE PROPIONATE AGGRAVATED HEPATIC FIBROSIS BY BOOSTING HEPATOCELLULAR DEATH AND M1 MACROPHAGE POLARIZATION

<div><p><b>Background: </b>Emerging evidence demonstrates microbial metabolites play pivotal roles in onset and progression of liver fibrosis and imidazole propionate (ImP) as a microbially produced histidine-derived metabolite was significantly increased in patients with chronic hepatitis B/cirrhosis compared to healthy controls. However, whether ImP is involved in hepatic fibrosis remains unclear. The present study aimed to explore the effects of ImP on hepatic fibrosis and its potential mechanisms.</p>

CRITICAL GAPS AND DISPARITIES IN GUIDELINE-RECOMMENDED ALBUMIN USE FOR SPONTANEOUS BACTERIAL PERITONITIS: A NATIONAL COHORT STUDY

<div><p><b>Background: </b>Albumin reduces mortality in spontaneous bacterial peritonitis (SBP) and is recommended by national guidelines. However, gaps and potential disparities in standard of care are not well-studied in large cohorts. We investigated temporal trends, center-level variation, and racial disparities in guideline-recommended albumin use for patients hospitalized with SBP in a large national cohort of Veterans with cirrhosis (VOCAL).</p>

BAR501, A SELECTIVE GPBAR1 AGONIST, REDUCES VASCULAR INFLAMMATION AND ATHEROSCLEROSIS IN A MOUSE MODEL OF MASLD

<div><p><strong><b>Background:</strong> </b>Metabolic dysfunction-associated steatotic liver disease (MASLD), represent the most common cause of chronic liver disease in Western countries. MASLD patients are at increased risk for developing clinically meaningful cardiovascular diseases (CVD), including stroke and coronary artery disease and its fatal and nonfatal ischemic complications.

SINGLE CELL TRANSCRIPTIONAL T CELL DYNAMICS OF PEDIATRIC LIVER TRANSPLANT REJECTION

<div><p><b>Background: </b>Conventional therapy for late T cell mediated acute cellular rejection (ACR) in liver transplant includes corticosteroids and anti-thymocyte globulin, has remained unchanged for six decades, and is not infrequently met with treatment failure. Here, we used single cell RNAseq with TCR V(D)J profiling to identify expanded (ie, alloreactive) T cell clones and their gene expression profiles in response to anti-rejection treatment.</p>

REDUCE DOSE SAFETY OF DIRECT ORAL ANTICOAGULANTS IN CIRRHOTIC PATIENTS AND PORTAL VEIN THROMBOSIS WITH COEXISTENT SIGNIFICANT THROMBOCYTOPENIA: A MULTI-COUNTRY STUDY

<div><p><strong><b>Background:</strong> </b>Treating portal vein thrombosis in patients with cirrhosis becomes increasingly challenging when there is also significant thrombocytopenia (&lt;50*10<sup>3</sup>/uL). As suggested by various international medical societies, a 50% reduction in the standard anticoagulation dosage has been recommended for individuals with significant thrombocytopenia.

DECREASED MORTALITY IN PATIENTS WITH SEVERE ALCOHOL-ASSOCIATED HEPATITIS (SAH) TREATED WITH CORTICOSTEROIDS DURING THE COVID PANDEMIC

<div><p><strong>Background</strong>: Corticosteroids are the standard of care for SAH in the absence of contraindications. Survival benefits conferred by steroids are often gained at the expense of increased infection risk. We investigated the co-incidental impact of infection mitigation measures during the COVID pandemic on mortality in SAH patients treated with corticosteroids.</p>

MIRNAS EMBEDDED IN HEPATOCYTE DERIVED EXTRACELLULAR VESICLES PROMOTE ENDOTHELIAL CAPILLARIZATION IN CHRONIC LIVER DISEASE

<div><p><b>Background:</p> </b><div><p><span lang="EN-US">Liver cells paracrinally affect neighboring cells through the release of extracellular vesicles (EVs), which may contain microRNAs (miRNAs). Our aim was to investigate the role of miRNAs enclosed in hepatocyte-derived EVs as modulators of endothelial dedifferentiation in chronic liver disease (CLD).</span></p></div>

PLACEMENT OF A TRANS-JUGULAR INTRAHEPATIC PORTOSYSTEMIC SHUNT (TIPS) MODIFIES THE EXPRESSION OF PROINFLAMMATORY CYTOKINES IN CIRCULATING MONOCYTES EXPOSED TO LIPOPOLYSACCARIDE

<div><p><b>Background: </b>Recent data have indicated that decompensated cirrhosis is characterized by an imbalance in the innate immune system, leading to low-grade systemic inflammation. In particular, inflammatory cytokines secreted by monocytes and macrophages have been implicated in the pathogenesis of portal hypertension and its complications. Additionally, MerTK-expressing monocytes participate in the determination of severity of acute liver failure.

UNVEILING THE TOTAL BURDEN OF LIVER CANCER IN LOW SOCIO-DEMOGRAPHIC INDEX COUNTRIES FROM 2010-2019: EPIDEMIOLOGICAL TRENDS, ETIOLOGY, AND GENDER SPECIFIC PATTERNS

<div><p><b>Background: </b>Liver cancer poses a significant health challenge worldwide, but its burden in low Socio-Demographic Index (SDI) countries remains understudied. These countries face unique obstacles, including limited healthcare resources, inadequate screening programs, and a higher prevalence of risk factors like hepatitis B and C. Liver cancer has become a pressing public health issue, impacting individuals, communities, and healthcare systems in low SDI countries.

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