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IF 33 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-12-15 DOI: 10.1016/j.jhep.2025.11.022
Philip Newsome, Frank Tacke, Heiner Wedemeyer, Lorenza Rimassa, Annalisa Berzigotti, Tom H. Karlsen, Vlad Ratziu
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引用次数: 0
Individualizing endpoints in chronic HBV treatment: HBsAg loss and beyond 慢性HBV治疗的个体化终点:HBsAg损失及以上
IF 25.7 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-12-13 DOI: 10.1016/j.jhep.2025.12.006
Milan J. Sonneveld, Harry L.A. Janssen
There are many new compounds in development for the treatment of chronic hepatitis B. Although major on-treatment HBsAg declines can be achieved with some of these drugs, achievement of post-treatment sustained HBsAg loss with undetectable HBV DNA (functional cure) remains challenging; especially in patients with high pretreatment HBsAg levels. Interestingly, a substantial proportion of patients in these trials that did not experience HBsAg loss, did maintain low HBsAg levels after withdrawal of study treatments. Based on data from natural history studies and studies on finite treatment with currently available agents, off-treatment sustained low HBsAg levels with low or undetectable HBV DNA levels (referred to as partial cure) is associated with excellent virological and clinical outcomes. In this expert opinion article, we argue that it is important to shift focus from HBsAg loss as the sole endpoint of HBV trials to a more individualized assessment of response that also considers partial cure (defined as off-treatment sustained low HBsAg with undetectable HBV DNA, potentially combined with other biomarkers) as a favorable treatment outcome. Such a strategy could help increase the number of patients considered responders to treatment, and as such could potentially extend eligibility for novel treatments to more CHB patients who can experience significant benefits.
目前有许多用于治疗慢性乙型肝炎的新化合物正在开发中。尽管其中一些药物可以实现治疗时HBsAg的显著下降,但在HBV DNA检测不到的情况下实现治疗后持续HBsAg下降(功能性治愈)仍然具有挑战性;特别是在HBsAg预处理水平高的患者中。有趣的是,在这些试验中,相当大比例的患者没有经历HBsAg损失,在退出研究治疗后仍然保持低HBsAg水平。根据自然史研究和目前可用药物有限治疗的研究数据,治疗结束后持续的低HBsAg水平和低或无法检测到的HBV DNA水平(称为部分治愈)与良好的病毒学和临床结果相关。在这篇专家意见文章中,我们认为重要的是将焦点从HBsAg损失作为HBV试验的唯一终点转移到更加个性化的反应评估,并将部分治愈(定义为治疗后持续低HBsAg且HBV DNA不可检测,可能与其他生物标志物联合)视为有利的治疗结果。这样的策略可以帮助增加被认为对治疗有反应的患者数量,因此可以潜在地将新治疗的资格扩展到更多的慢性乙型肝炎患者,他们可以体验到显著的益处。
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引用次数: 0
Addressing the Risk of HBV Transmission in Serodifferent Partners 解决乙肝病毒在不同血清性伴侣中的传播风险
IF 25.7 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-12-11 DOI: 10.1016/j.jhep.2025.11.029
Athanasios Mamarelis, Matthew Byott, Stuart Flanagan, Indrajit Gosh, Eleni Nastouli

Section snippets

Authors' contributions

Writing the Manuscript: Athanasios Mamarelis, Matthew Byott, Stuart Flanagan, Eleni NastouliNext-Generation Sequencing (NGS): Jude HeaneyBioinformatic Analysis: Matthew Byott

Data availability statement

The data that support the findings of this study are available from the corresponding author upon reasonable request.

Financial support

The authors received no financial support for the research, authorship, and/or publication of this article.

Conflict of interest

The authors declare no conflicts of interest.Please refer to the accompanying ICMJE disclosure forms for further details.

Acknowledgement

We thank Dr Jude Heaney and Dr Paul Grant (HSL Laboratories) for their valuable assistance with the HBV NGS testing.
部分片段作者贡献撰写稿件:Athanasios Mamarelis, Matthew Byott, Stuart Flanagan, Eleni nastoul下一代测序(NGS): Jude heaney生物信息学分析:Matthew byott数据可用性声明支持本研究结果的数据可根据合理要求从通讯作者处获得。作者在研究、撰写和/或发表本文时未获得任何经济支持。利益冲突作者声明无利益冲突。详情请参阅随附的ICMJE披露表格。我们感谢Jude Heaney博士和Paul Grant博士(HSL实验室)对HBV NGS检测的宝贵帮助。
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引用次数: 0
Viral infection as a trigger for primary sclerosing cholangitis in genetically susceptible individuals 病毒感染作为基因易感个体原发性硬化性胆管炎的触发因素
IF 33 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-12-11 DOI: 10.1016/j.jhep.2025.11.014
David C. Trampert
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引用次数: 0
Recurrence pattern for HBV-related HCC after liver transplantation in the antiviral era 抗病毒时代肝移植后hbv相关HCC的复发模式
IF 25.7 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-12-11 DOI: 10.1016/j.jhep.2025.12.004
Huigang Li, Ruijie Zhao, Shusen Zheng, Xiao Xu, Di Lu

Section snippets

Ethical approval

Ethical approval for the HBV-related HCC cohort was obtained from the Ethics Committee of two centers (Shulan (Hangzhou) Hospital and the First Affiliated Hospital, Zhejiang University School of Medicine), consistent with prior research (approval IDs: No. 2020-510 and No. KY2021014).

Authors' contributions

Li H and Zhao R performed the analyses. Li H and Lu D drafted the manuscript. Xu X and Zheng S revised the manuscript.

Data availability statement

The data that support the findings of this study are available on request from the corresponding author. The data are not publicly available due to privacy or ethical restrictions.

Financial support

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Declaration of Competing Interest

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
hbv相关HCC队列的伦理批准获得了两个中心(杭州蜀兰医院和浙江大学医学院第一附属医院)伦理委员会的伦理批准,与前期研究一致(批准号:2020-510号和浙江大学医学院第一附属医院)。KY2021014)。li H和Zhao R进行了分析。李海和陆德起草了手稿。徐翔、郑s对原稿进行了修改。数据可用性声明支持本研究结果的数据可根据通讯作者的要求提供。由于隐私或道德限制,这些数据不会公开。作者声明,他们没有已知的竞争经济利益或个人关系,可能会影响本文所报道的工作。竞争利益声明作者声明,他们没有已知的竞争经济利益或个人关系,可能会影响本文所报道的工作。
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引用次数: 0
Associations of accelerated biological aging with steatotic liver disease and fibrosis 加速生物衰老与脂肪变性肝病和纤维化的关系
IF 25.7 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-12-11 DOI: 10.1016/j.jhep.2025.12.003
Jing Liu, Jinyi Wu, Bin Wang
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引用次数: 0
Reply to: “Comment on nivolumab plus ipilimumab for potentially resectable hepatocellular carcinoma: long-term efficacy and biomarker exploration” 回复:“关于纳武单抗联合伊匹单抗治疗可切除肝癌的评论:长期疗效和生物标志物探索”
IF 25.7 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-12-08 DOI: 10.1016/j.jhep.2025.12.001
Chia-Lang Hsu, Yung-Yeh Su, Da-Liang Ou, Chiun Hsu

Section snippets

Authors' contributions

Chiun Hsu served as a principal investigator and designed the study. Yung-Yeh Su performed statistical analyses for the clinical part of the study. Chia-Lang Hsu and Da-Liang Ou performed statistical analyses for the biomarker study. Chiun Hsu and Yung-Yeh Su wrote and/or edited the manuscript. All authors provided comments on and approved the final manuscript.

Financial support

This study was supported by grant 07D4-1CABMS2217 from National Health Research Institutes, Taiwan, and MOHW114-TDU-B-221-144007 from Ministry of Health and Welfare, Taiwan.

Conflict of interest

CH received research fundings (to the institution) from Bristol-Myers Squibb/ ONO, GoldenBiotech, IPSEN, Roche and honorarium from AstraZeneca, Bristol-Myers Squibb/ONO, Eisai, MSD, and Roche. Other authors have no relevant conflict of interests to declare.Please refer to the accompanying ICMJE disclosure forms for further details.
章节摘要作者的贡献许仕筠担任主要研究者并设计了这项研究。Su yong - yeh对研究的临床部分进行了统计分析。Chia-Lang Hsu和Da-Liang Ou对生物标志物研究进行了统计分析。徐千和苏永业撰写和/或编辑了手稿。所有作者都对定稿进行了评论和批复。​利益冲突ch从百时美施贵宝/ONO、GoldenBiotech、IPSEN、罗氏获得研究经费(对该机构),从阿斯利康、百时美施贵宝/ONO、卫材、默沙东和罗氏获得酬金。其他作者无相关利益冲突需要申报。详情请参阅随附的ICMJE披露表格。
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引用次数: 0
CAR T-cell therapy induces remission in multiorgan IgG4-related disease with hepatobiliary involvement CAR - t细胞治疗可诱导累及肝胆的多器官igg4相关疾病缓解
IF 25.7 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-12-08 DOI: 10.1016/j.jhep.2025.11.027
Verena Keitel, Michael C. Kreissl, Tobias Goetze, Carola Dröge, Christina Katharina Kuhn, Nhu-Nguyen Pham, Dennis Löffler, Dominique Borie, Jens Schreiber, Martin Boettcher, Katrin Hippe, Maciej Pech, Martin Mikusko, Ulrike Köhl, Denise Walther, Kristin Reiche, Dimitrios Mougiakakos
IgG4-related disease (IgG4-RD) is a fibroinflammatory disorder in which IgG4+ B cells and T cells interact to drive chronic organ inflammation. Patients with multiorgan involvement may become refractory to standard therapy, resulting in progressive organ damage and risk of organ failure. Here, we report a patient with treatment-refractory multiorgan IgG4-RD treated with CD19-directed CAR T cells and describe the clinical and immunologic effects over more than 12 months of follow-up. A 60-year-old man with IgG4-RD involving the pancreas, hepatobiliary tract, and lungs refractory to long-term immunosuppression received autologous CD19-directed CAR T cells. Disease course was monitored longitudinally, and peripheral blood underwent multimodal immune profiling. CAR T cell therapy was well tolerated, with only grade 1 cytokine release syndrome, no neurotoxicity, and transient cytopenias without infections. Treatment induced B cell aplasia lasting six months, and serum IgG4 normalized by month 8 and remained within the reference range. FAPI PET/CT demonstrated regression of fibroinflammatory activity, accompanied by improved lung function and quality of life. Immunosuppressive therapy was completely discontinued without disease flares for more than 12 months. B cell reconstitution consisted predominantly of naïve and transitional subsets. This was paralleled by a decline in T follicular helper cells and CD4+ cytotoxic T cells and attenuation of fibro-inflammatory and B cell–mediated signaling networks on interactome analyses. In this treatment-refractory case of multiorgan IgG4-RD, CD19-directed CAR T cell therapy induced durable, treatment-free remission with normalization of serum IgG4 and improvement across multiple clinical endpoints. Multimodal immune profiling indicates that CAR T cells can reset the B cell compartment and dampen pathogenic T cell and stromal interactions, supporting prospective evaluation of CAR T cell therapy in IgG4-RD.
IgG4相关疾病(IgG4- rd)是一种纤维炎性疾病,其中IgG4+ B细胞和T细胞相互作用驱动慢性器官炎症。多器官受累的患者可能难以接受标准治疗,导致进行性器官损伤和器官衰竭的风险。在这里,我们报告了一位用cd19靶向CAR - T细胞治疗难治性多器官IgG4-RD的患者,并描述了在超过12个月的随访中临床和免疫效果。一名60岁男性IgG4-RD累及胰腺、肝胆道和肺部,长期免疫抑制难治性患者接受了自体cd19定向CAR - T细胞治疗。对病程进行纵向监测,外周血进行多模态免疫分析。CAR - T细胞疗法耐受性良好,只有1级细胞因子释放综合征,无神经毒性,无感染的短暂性细胞减少。治疗后B细胞发育不全持续6个月,血清IgG4在第8个月恢复正常,维持在参考范围内。FAPI PET/CT显示纤维炎性活动消退,并伴有肺功能和生活质量的改善。免疫抑制治疗完全停止,没有疾病发作超过12个月。B细胞重构主要由naïve和过渡亚群组成。这与T滤泡辅助细胞和CD4+细胞毒性T细胞的下降以及纤维炎症和B细胞介导的信号网络的衰减相一致。在这个多器官IgG4- rd治疗难治性病例中,cd19导向的CAR - T细胞治疗诱导了持久的、无治疗的缓解,血清IgG4正常化,多个临床终点均有改善。多模式免疫分析表明,CAR - T细胞可以重置B细胞区室,抑制致病性T细胞和基质的相互作用,支持CAR - T细胞治疗IgG4-RD的前瞻性评估。
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引用次数: 0
Hepatocyte-specific ablation of LONP1 disrupts liver glucose homeostasis in mice 肝细胞特异性消融LONP1破坏小鼠肝脏葡萄糖稳态
IF 25.7 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-12-08 DOI: 10.1016/j.jhep.2025.11.028
Zehua Zhang, Ting Fang, Pengkai Wu, Beicheng Sun, Dengqiu Xu

Section snippets

Data availability statement (delete if not applicable)

The transcriptome (RNA-seq) data generated in this study have been deposited in the Genome Sequence Archive of the National Genomics Data Center at the China National Center for Bioinformation/Beijing Institute of Genomics of the Chinese Academy of Sciences (GSA: CRA018701), which is publicly accessible (https://ngdc.cncb.ac.cn/gsa). The mass spectrometry proteomics data have been deposited in the ProteomeXchange Consortium via the PRIDE partner repository with the dataset identifier, PXD055467

Authors' contributions

Beicheng Sun and Dengqiu Xu conceptualized the project. Dengqiu Xu, Zehua Zhang, Ting Fang, and Pengkai Wu performed the experiments, generated and analyzed the data. Dengqiu Xu and Zehua Zhang wrote the manuscript. Beicheng Sun and Dengqiu Xu provided conceptual inputs and suggestions into the manuscript.

Financial support

This work was supported by grants from the Anhui Provincial Natural Science Foundation (Grant No. 2408085Y041), the Key Project of Natural Science Research of Anhui Provincial Department of Education (Grant No. 2024AH050824) and the Anhui Provincial Natural Science Foundation and the State Key Program of the National Natural Science Foundation of China (Grant Nos. 82120108012, 81930086).

Conflict of interest

The authors have declared that no competing interest exists.Please refer to the accompanying ICMJE disclosure forms for further details.
本研究产生的转录组(RNA-seq)数据已存入中国国家生物信息中心/中国科学院北京基因组研究所国家基因组数据中心基因组序列档案(GSA: CRA018701),可公开访问(https://ngdc.cncb.ac.cn/gsa)。质谱蛋白质组学数据已通过PRIDE合作伙伴存储库存储在ProteomeXchange Consortium中,数据集标识符为pxd055467。徐登秋、张泽华、方廷和吴鹏凯进行了实验,生成并分析了数据。许登秋和张泽华撰写了手稿。孙北成和徐登秋为稿件提供了概念性的输入和建议。基金资助:安徽省自然科学基金(批准号:2408085Y041)、安徽省教育厅自然科学研究重点项目(批准号:2024AH050824)、安徽省自然科学基金和国家自然科学基金国家重点项目(批准号:82120108012,81930086)。利益冲突作者声明不存在利益冲突。详情请参阅随附的ICMJE披露表格。
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引用次数: 0
Decoding the metabolic dialogue between hepatocytes and macrophages driving liver regeneration 解码驱动肝脏再生的肝细胞和巨噬细胞之间的代谢对话
IF 33 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Pub Date : 2025-12-04 DOI: 10.1016/j.jhep.2025.11.011
Cornelius Engelmann
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引用次数: 0
期刊
Journal of Hepatology
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