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Management of Liver Diseases 2012
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Current Issue February 2012, Vol. 56, No. 2

Issue Highlights

  • HIF-1a induction suppresses excessive lipid accumulation in alcoholic fatty liver in mice

    Alcohol consumption increases hepatic oxygen consumption, resulting in central venous hypoxia. The hypoxia inducible factor (HIF) family of heterodimeric transcription factors regulates tissue adaptation to hypoxia and can contribute to the histological changes of alcoholic liver disease. In this study, hepatocyte-specific HIF-1a-null mice developed severe hypertriglyceridemia along with severe hepatic steatosis after an alcohol-rich diet. The progression of steatosis was associated with a higher expression level of sterol regulatory element-binding protein 1c (SREBP-1c). A HIF-1a-induced transcriptional regulator repressor DECI resulted important for maintaining a lower level of SREBP-1c in wild-type mice, thus providing evidence for protective roles of HIF-1 induction in the development of ethanol-induced fatty liver.

  • The SOD2 C47T polymorphism influences NAFLD fibrosis severity: evidence from case-control and intra-familial allele association studies

    Mitochondria-derived oxidative stress is important in the pathogenesis of NASH. Manganese-dependent superoxide dismutase (MnSOD), encoded by the SOD2 gene, plays an important role in protecting cells from oxidative stress. This study examines the association between a non-synonymous mutation in the SOD2 gene and NASH severity in a large European cohort by using both case-control and intra-familial association methodologies. The results indicate that mutations in the SOD2 gene (T allele) segregate more frequently in both family trios and in the case control study and show a consistent association with fibrosis severity in NAFLD.

Special Sections

Snapshot

Chimeric mouse model of hepatitis B virus infection Progresses in HBV research and development of more efficient treatments are hindered by the narrow species tropism of HBV. While mouse hepatocytes do not support HBV infection, human-chimeric mice can be efficiently infected by injecting infectious serum derived from either patients or chimeric mice. Chimeric mice can also be super-infected or simultaneously infected with different human hepatotropic viruses to investigate mechanisms of virus interference and response to antiviral treatment in the setting of co-infection. This snapshot focuses on recent advances and applications of the urokinase-type plasminogen activator (uPA) transgenic mice model, the most used and best characterized chimeric model currently available for HBV infection studies and preclinical drug evaluation.

Snaphsots Collections

  • TACE treatment in hepatocellular carcinoma: what should we do now?
    27 January 2012

    Fabio Farinati, Anna Giacomin, Veronica Vanin, Edoardo Giannini, Franco Trevisani

  • Genetic testing for hepatocellular carcinoma: an ambitious goal still to achieve
    27 January 2012

    Enrico Galmozzi, Massimo Colombo

  • Liver transplantation for severe alcoholic hepatitis saves lives
    27 January 2012

    Andrew K. Burroughs

  • At the cancer steering wheel: Defining key genomic drivers of liver cancer with next generation sequencing
    27 January 2012

    Anuradha Budhu, Xin Wei Wang

  • Post-liver transplantantion graft biopsies should not be used to assess the IL28B donor genotype in HCV recipients
    27 January 2012

    Maria Francesca Donato, Enrico Galmozzi, Cristina Rigamonti, Alessio Aghemo

  • View More Articles in Press...

About EASL

In the forty plus years since EASL was founded, it has grown from a small organization that played host to 70 participants at its first meeting, to becoming the leading liver association in Europe. EASL attracts the foremost hepatology experts as members and has an impressive track record in promoting research in liver disease, supporting wider education and promoting changes in european liver policy.



For more information about EASL (http://www.easl.eu)

On the Cover


After proving safe and effective, radioembolization has come of age and is seeking a specific role in the treatment of hepatocellular carcinoma. From B. Sangro et al., in this issue (pages 464–473).

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2012 International Liver Congress™


Barcelona 2012 Announcement

The International Liver Congress™ 2012 will take place in Spain from April 18 – 22, 2012 at the Centre Convencions Internacional (CC IB) in Barcelona. This venue will be the 47th annual meeting of the European Association for the Study of the Liver.>>More

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About the Journal

The Journal of Hepatology is the official journal of the European Association for the Study of the Liver (EASL). The journal publishes original papers, reviews, case reports and letters to the Editor concerned with clinical and basic research in the field of hepatology. The Journal is published in English.
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Publishing Information

Journal of Hepatology is published by Elsevier for the European Association for the Study of the Liver.

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Editor's Picks

Survival comparison between surgical resection and radiofrequency ablation for patients in BCLC very early/early stage hepatocellular carcinoma With implementation of effective surveillance programs for HCC, an increasing proportion of patients with HCC are diagnosed in its early stage. Given the limited availability of liver transplantation, surgical resection (SR) of HCC is traditionally considered as the treatment of choice. For patients with limited liver function reserve radiofrequency ablation (RFA) is a widely accepted alternative. However, it remained controversial in cohort studies whether RFA is equal to SR in terms of long-term overall and recurrence-free survivals for patients with well-preserved liver. Therefore, Wang et al. compared a total of 605 patients for the survival between SR and RFA in patients with HCC in very early/early stage. In conclusion, there was no significant difference in overall survival between SR and RFA for HCC patients in very early/early stage. However, SR yielded better disease-free survival than RFA.

The changing scenario of hepatocellular carcinoma over the last two decades in Italy Santi et al. provide a large epidemiological study on etiologic changes in hepatocellular carcinoma (HCC) and the impact of its improved management on 3027 HCC patients in Italy. The authors demonstrate a change of several etiologic and clinical features regarding HCC over the last 20 years. The survival improvement observed until 2001 was due to an increasing number of tumors diagnosed in early stages and in a background of compensated cirrhosis, and a growing and better use of locoregional treatments. However, the prevalence of early cancers and survival did not increase further in the last years, a result inciting national policies aimed at implementing surveillance programs for at risk patients.

Reviews

Radioembolization for hepatocellular carcinoma Radioembolization is a form of brachytherapy in which intra-arterially injected 90Y loaded microspheres serve as sources for internal radiation purposes. It produces average disease control rates above 80% and is usually very well tolerated. Main complications do not result from the microembolic effect, even in patients with portal vein occlusion, but rather from an excessive irradiation of non-target tissues including the liver. With a number of clinical trials underway, Sangro et al. summarize the available evidence showing that radioembolization adds a significant value to the therapeutic weaponry against HCC of tertiary care centers dealing with this major cancer problem.

Reviews Collections