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Advancing toward non-invasive diagnosis of portal hypertension

Non-invasive approaches are expanding options for assessing portal hypertension, with elastography techniques and biochemical markers showing high sensitivity and specificity. AI-powered predictive models combine clinical data to improve diagnosis, but should not replace invasive HVPG, which remains the gold standard.

SourceChinese Medical Journals Publishing House Co., Ltd.·JournalPortal Hypertension & Cirrhosis·TypeLiterature review·DateAug 7, 2026

Consensus versus outcome-based definitions of acute-on-chronic liver failure: Implications for risk stratification and case identification

A recent study compared the clinical validity of a proposed consensus ACLF framework with an outcome-calibrated A-TANGO classification. The findings show that the consensus definition captures a smaller, liver-centered phenotype, while A-TANGO identifies a broader population with clinically meaningful mortality.

SourceXia & He Publishing Inc.·JournalJournal of Clinical and Translational Hepatology·DateAug 5, 2026

New study identifies hypoxic liver injury as a key predictor of mortality in severe ARDS patients

A new study found that hypoxic liver injury is a common complication affecting over one in five patients with severe ARDS, strongly associated with increased mortality. The study suggests that HLI may serve as a valuable prognostic marker and reflection of systemic disease severity in critically ill patients.

SourceJournal of Intensive Medicine·JournalJournal of Intensive Medicine·TypeObservational study·DateJul 2, 2026

The circadian rhythm connection in cholestatic liver disease

Researchers identify CD36 as a key regulator connecting circadian rhythm disturbances to abnormal bile acid metabolism and cholestatic liver injury. Elevated CD36 expression contributes to inflammatory activation and liver fibrosis, while CD36 deficiency restores bile acid metabolic rhythms and reduces liver damage.

SourceCompuscript Ltd·JournalGenes & Diseases·DateJun 29, 2026

Chinese Medical Journal article review highlights a growing global consensus on acute-on-chronic liver failure

Researchers agree on core elements of ACLF development, including chronic liver disease triggers, acute insult, and extrahepatic organ failure. A new three-stage mouse model supports testing of potential therapies, highlighting impaired liver regeneration as a key driver of disease progression.

SourceChinese Medical Journals Publishing House Co., Ltd.·JournalChinese Medical Journal·TypeLiterature review·DateApr 28, 2026

Immune checkpoint inhibitor–induced liver injury: a critical appraisal of treatment and rechallenge controversies

Guideline recommendations for immune checkpoint inhibitor-induced liver injury (ICILI) vary, with corticosteroids and biopsy indications differing among organizations. Rechallenge after ICILI is feasible in selected patients, with low recurrence rates, but standardized algorithms are needed.

SourceXia & He Publishing Inc.·JournalJournal of Clinical and Translational Hepatology·DateApr 21, 2026

Repurposing SGLT2 inhibitors for cirrhotic ascites: from mechanistic research to clinical exploration

SGLT2 inhibitors reduce proximal tubular sodium reabsorption by suppressing NHE3 via the SGLT2-MAP17-NHE3 microdomain. This effect is context-dependent, with distal compensation (NCC upregulation) possible. Clinical evidence shows reduced ascites, fewer paracenteses, and improved natriuresis.

SourceXia & He Publishing Inc.·JournalJournal of Clinical and Translational Hepatology·DateApr 21, 2026

Heart and metabolic risk factors more strongly linked to liver fibrosis in women than men, study finds

Women with cardiometabolic risk factors such as type 2 diabetes and high waist circumference face a higher risk of liver fibrosis, with rates increasing 11-fold and 2.8-fold compared to men. The study highlights the importance of managing these risk factors for liver health beyond heart disease prevention.

SourceKeck School of Medicine of USC·JournalJAMA Network Open·TypeData/statistical analysis·DateMar 9, 2026

Alcohol abstinence enables regeneration even in advanced liver cirrhosis

A study by MedUni Vienna found that up to one-third of patients with advanced alcohol-related cirrhosis can achieve complete regression of liver-related complications through consistent abstinence from alcohol. This 're-compensation' also leads to simultaneous recovery of liver function and a significant reduction in mortality rates.

SourceMedical University of Vienna·JournalJournal of Hepatology·TypeRandomized controlled/clinical trial·DateMar 4, 2026

Yes! The role of YAP and CTGF as potential therapeutic targets for preventing severe liver disease

A study from The University of Osaka reveals a molecular pathway connecting liver congestion to liver fibrosis, portal hypertension, and liver tumorigenesis. Researchers identified increased activity of YAP and CTGF in liver sinusoidal endothelial cells as key molecules involved in this signaling pathway.

SourceThe University of Osaka·JournalGastroenterology·TypeExperimental study·DateFeb 27, 2026

Chinese Guidelines for Clinical Diagnosis, Treatment, and Management of Cirrhosis (2025)

The Chinese Guidelines for Clinical Diagnosis, Treatment, and Management of Cirrhosis (2025) provide a comprehensive framework for diagnosing and managing liver cirrhosis. Key pathophysiological changes include impaired synthesis of albumin and coagulation factors, portal hypertension, gut-liver axis dysregulation, and progression driv...

SourceXia & He Publishing Inc.·JournalJournal of Clinical and Translational Hepatology·DateFeb 12, 2026

MET signaling’s protective role shows promise for treating acetaminophen-induced acute liver failure

A new study found that MET signaling plays a critical protective role in acetaminophen-induced acute liver failure by reducing liver damage and accelerating regeneration. The findings suggest targeting MET signaling could become a game-changer for treating drug-induced ALF, potentially reducing the need for emergency liver transplants.

SourceElsevier·JournalAmerican Journal Of Pathology·TypeExperimental study·DateFeb 2, 2026

Serum interleukin-8 for differentiating invasive pulmonary aspergillosis from bacterial pneumonia in patients with HBV-associated acute-on-chronic liver failure

A study found that serum interleukin-8 (IL-8) levels can differentiate invasive pulmonary aspergillosis from bacterial pneumonia in patients with HBV-associated acute-on-chronic liver failure. IL-6 levels were significantly higher in IPA patients compared to non-infection controls.

SourceXia & He Publishing Inc.·JournalJournal of Clinical and Translational Hepatology·DateJan 28, 2026

Global prevalence, temporal trends, and associated mortality of bacterial infections in patients with liver cirrhosis

Bacterial infections are common and severe complications in patients with liver cirrhosis, with a global prevalence of 35.1% reported. The most common infection sites were the gastrointestinal tract, ascites fluid, and urinary tract, with gram-negative organisms more frequent than gram-positive organisms.

SourceXia & He Publishing Inc.·JournalJournal of Clinical and Translational Hepatology·DateJan 22, 2026

Wyss Institute-led collaboration awarded by ARPA-H PRINT program to engineer off-the-shelf, universal, transplant-ready graft for liver failure

A multidisciplinary team of world-leading experts is developing an off-the-shelf engineered product that could address liver failure in millions of patients. The ImPLANT project aims to create synthetic biology-based gene circuits in human induced pluripotent stem cells to drive cell differentiation into all required liver cell types.

‘Forever chemicals’ may increase liver disease risk in adolescents by as much as 3-fold

A new study found that higher levels of PFAS in the blood are linked to an increased risk of early onset of metabolic dysfunction-associated steatotic liver disease (MASLD) in adolescents. MASLD affects up to 40% of children with obesity and increases long-term risk for type 2 diabetes, heart disease, and liver cancer.

SourceKeck School of Medicine of USC·JournalEnvironmental Research·TypeData/statistical analysis·DateJan 6, 2026

Lower prevalence of PSC among patients with IBD in Asia: Insights from a multinational study

A multinational study found PSC prevalence among Asian IBD patients to be markedly lower than in Western countries, associated with more favorable clinical outcomes. The proportion of asymptomatic PSC cases has increased due to improved imaging modality detection, allowing for early-stage diagnosis and reduced liver transplantation rates.

SourceUniversity of Tsukuba·JournalClinical Gastroenterology and Hepatology·DateDec 2, 2025

Laparoscopic surgery significantly reduces blood loss and improves jaundice recovery for severe newborn liver disease

A new study by Nagoya University researchers found that laparoscopic surgery significantly reduces blood loss and improves jaundice recovery compared to traditional open surgery for treating biliary atresia. The study analyzed data from 356 children who had surgery at two months old, tracking their outcomes for an average of 13 years.

SourceNagoya University·JournalHepatoBiliary Surgery and Nutrition·TypeObservational study·DateNov 25, 2025

New metric better predicts which drug-induced liver injury patients require transplant

A newly developed tool called the DILI-Inpt prognostic score can predict which hospitalized patients with severe idiosyncratic drug-induced liver injury are unlikely to recover on their own. The scoring system outperformed existing systems in identifying patients at high risk of death and liver transplant need.

SourceMichigan Medicine - University of Michigan·JournalClinical Gastroenterology and Hepatology·TypeData/statistical analysis·DateNov 19, 2025

Consensus on the management of liver injury associated with targeted drugs and immune checkpoint inhibitors for hepatocellular carcinoma (version 2024)

The Chinese Society of Hepatology outlines a structured framework for monitoring, diagnosing, preventing, and managing drug-induced liver injury in patients with hepatocellular carcinoma. Key risk factors include underlying liver disease, genetic predisposition, and drug-specific factors.

SourceXia & He Publishing Inc.·JournalJournal of Clinical and Translational Hepatology·DateNov 17, 2025

Hepatosplenic volumes and portal pressure gradient identify one-year further decompensation risk post-transjugular intrahepatic portosystemic shunt

A retrospective cohort study found that right hepatic lobe volume, spleen volume, and portal pressure gradient reduction predict further decompensation in cirrhotic patients post-TIPS. A nomogram model demonstrated high discriminative accuracy in identifying high-risk patients.

SourceXia & He Publishing Inc.·JournalJournal of Clinical and Translational Hepatology·DateNov 13, 2025

Chinese Medical Journal study uncovers new mechanism for liver fibrosis treatment

A recent study published in Chinese Medical Journal reveals that dihydroartemisinin upregulates CHAC1 through H3K9 acetylation modification, inducing ferroptosis in hepatic stellate cells and suppressing liver fibrosis progression. This discovery identifies molecular targets for developing new anti-fibrotic drugs.

SourceChinese Medical Journals Publishing House Co., Ltd.·JournalChinese Medical Journal·TypeExperimental study·DateNov 6, 2025

USC Superfund researchers identify “forever chemical” PFHpA as risk factor for severe liver disease in adolescents

Researchers identified a significant association between perfluoroheptanoic acid (PFHpA) exposure and metabolic dysfunction-associated steatotic liver disease (MASLD) in adolescents. The study used advanced models to reveal PFHpA's role in disrupting biological pathways, leading to liver damage and inflammation.

SourceKeck School of Medicine of USC·JournalCommunications Medicine·TypeExperimental study·DateOct 26, 2025

Portal vein thrombosis in liver cirrhosis

Risk factors for portal vein thrombosis (PVT) in liver cirrhosis include hemodynamic disturbances, vascular endothelial injury with hypercoagulable states, severity of cirrhosis, and thrombophilic genetic factors. Early identification and timely intervention are crucial to improve prognosis.

SourceXia & He Publishing Inc.·JournalJournal of Clinical and Translational Hepatology·DateSep 30, 2025