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Autophagy modulates physiologic and adaptive response in the liver 自噬调节肝脏的生理和适应反应
Pub Date : 2023-12-01 DOI: 10.1016/j.livres.2023.12.001
T. Le, N. Truong, Ai Xuan L. Holterman
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引用次数: 0
Should they wait? Two children under 3 years old infected by HCV 1b successfully treated by ledipasvir/sofosbuvir: A report of two cases 他们应该等待吗?雷地帕韦/索非布韦成功治疗2例3岁以下感染HCV 1b的儿童:2例报告
Pub Date : 2023-11-01 DOI: 10.1016/j.livres.2023.11.001
Mingna Li, Kuerbannisa Wulayin, Shutao Lin, Chao Wu, Lubiao Chen
Although direct-acting antivirals (DAAs) have notably increased the sustained virological response (SVR) rates in hepatitis C virus (HCV)-infected adolescent patients, the efficacy and safety for young children under 3 years old remain unclear. Currently, no guidelines recommend DAA therapy for this situation worldwide. Furthermore, the China National Medical Products Administration has not approved any DAA for treating children below 12 years old. Here, we described the characteristics of two children approximately 2 years old, who were infected by HCV genotype 1b and had significant clinical symptoms. Both received 12 weeks of ledipasvir/sofosbuvir (case 1: 45.00 mg/200 mg per day, weight 17 kg; case 2: 33.75 mg/150 mg per day, weight 12 kg). They achieved SVR at 12 weeks after treatment completion without obvious treatment-related adverse effects. Therefore, the safety and benefits of ledipasvir/sofosbuvir treatment in children under 3 years old seem to be confirmed. Our findings require further evaluation.
尽管直接作用抗病毒药物(DAAs)显著提高了丙型肝炎病毒(HCV)感染青少年患者的持续病毒学反应(SVR)率,但其对3岁以下幼儿的疗效和安全性仍不清楚。目前,尚无指南推荐DAA治疗这种情况。此外,中国国家药品监督管理局尚未批准任何用于治疗12岁以下儿童的DAA。在这里,我们描述了两名大约2岁的儿童的特征,他们感染了HCV基因型1b并有明显的临床症状。两例患者均接受12周的雷地帕韦/索非布韦治疗(病例1:45.00 mg/200 mg/天,体重17 kg;病例2:33.75 mg/150 mg/天,体重12 kg)。他们在治疗完成后12周达到SVR,没有明显的治疗相关不良反应。因此,ledipasvir/sofosbuvir治疗3岁以下儿童的安全性和益处似乎得到了证实。我们的发现需要进一步评估。
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引用次数: 0
Unveiling the effect of estrogen receptors on alcoholic liver disease: A novel outlook 揭示雌激素受体在酒精性肝病中的作用:一个新的前景
Pub Date : 2023-10-01 DOI: 10.1016/j.livres.2023.10.002
Sukriti Baweja, Ashmit Mittal, Swati Thangariyal, P. Debishree Subudhi, Shivani Gautam, Rashmi Kaul
Alcoholic liver disease (ALD) has a multifaceted development, progressing from alcoholic steatosis to alcoholic hepatitis and ultimately to alcoholic cirrhosis, irreversible liver damage that can even result in hepatocellular carcinoma. The prevalence of ALD is increasing globally, particularly among middle-aged adults. Gender-based studies have revealed that ALD affects more men; however, disease progression differs between men and women. Despite this, the molecular understanding of alcohol-induced liver injury among genders and its association with changes in sex hormone metabolism, particularly with estrogen and estrogen receptors (ERs) in ALD, remains poor. This review focuses on experimental and human studies describing alcohol and its association with estrogen metabolism and signaling via ERs. Chronic alcohol consumption affects the immune response, and whether estrogen has any contributory effect remains inadequately studied. This review also discusses various therapeutic approaches currently in use and future approaches that can affect the response or progression via estrogen signaling. The role of gender on alcohol consumption and its association with steroid hormones must be elucidated for a better understanding of the pathogenesis of ALD, the development of effective therapeutic approaches, and better disease management in both men and women, as ALD remains a major public health concern.
酒精性肝病(ALD)具有多方面的发展,从酒精性脂肪变性发展到酒精性肝炎,最终发展为酒精性肝硬化,这是一种不可逆的肝损伤,甚至可导致肝细胞癌。ALD的患病率在全球范围内呈上升趋势,尤其是在中年人中。基于性别的研究表明,ALD影响更多的是男性;然而,男性和女性之间的疾病进展是不同的。尽管如此,对性别间酒精性肝损伤及其与性激素代谢变化,特别是ALD中雌激素和雌激素受体(er)变化的关系的分子理解仍然很差。本文综述了酒精及其与雌激素代谢和内质网信号传导的关系的实验和人体研究。长期饮酒影响免疫反应,雌激素是否有任何促进作用仍未充分研究。本综述还讨论了目前使用的各种治疗方法和未来的方法,这些方法可以通过雌激素信号影响反应或进展。性别在酒精消费中的作用及其与类固醇激素的关系必须被阐明,以便更好地了解ALD的发病机制,开发有效的治疗方法,并更好地管理男性和女性的疾病,因为ALD仍然是一个主要的公共卫生问题。
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引用次数: 0
Mutation of autophagy-related gene ATG7 increases the risk of severe disease in patients with non-alcoholic fatty liver disease 自噬相关基因ATG7突变增加非酒精性脂肪肝患者严重疾病的风险
Pub Date : 2023-10-01 DOI: 10.1016/j.livres.2023.10.001
Mary Miu Yee WAYE
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引用次数: 0
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Liver research
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