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Half of hepatitis C patients with private insurance denied life-saving drugs

A new study by the University of Pennsylvania School of Medicine found that private insurers deny coverage for life-saving hepatitis C drugs at a rate of 52.4%, while Medicaid and Medicare deny treatment at 34.5% and 14.7% respectively. The high denial rates may be due to varying restrictions on reimbursements among states.

SourceUniversity of Pennsylvania School of Medicine·JournalOpen Forum Infectious Diseases·DateJun 7, 2018

Diabetes researchers find switch for fatty liver disease

Duke researchers have identified a key fork in the road for the way the liver deals with carbohydrates, fats, and protein. By targeting BCAA breakdown, they found that activating this process reduces fat deposition in the liver and improves glucose regulation. This approach offers a promising new target for combating fatty liver disease.

SourceDuke University·JournalCell Metabolism·DateMay 17, 2018

New 'Scoring' System for Advanced Colorectal Cancer

A new 'scoring' system developed by Johns Hopkins Medicine enhances the prediction of survival in people with colorectal cancers that have spread to the liver. The system includes traditional Fong indicators plus genetic and morphological evaluation (GAME) factors, which outperform the existing Fong system in predicting patient outcomes.

SourceJohns Hopkins Medicine·JournalBJS·DateMay 14, 2018

Nutmeg's hidden power: Helping the liver

Researchers have discovered how nutmeg helps protect the liver, using a mouse animal model of liver toxicity. The spice was shown to restore healthy levels of lipids and acylcarnitines, and a specific compound, myrislignan, had a strong protective effect against liver damage.

SourceAmerican Chemical Society·JournalJournal of Proteome Research·DateMay 9, 2018

Liver fix thyself

Scientists from Cincinnati Children's and UCSF have discovered a mechanism behind an unusual form of tissue regeneration in mice with Alagille syndrome, a rare liver disease. This discovery may lead to a viable treatment for human disease by instructing other types of liver cells to switch identities.

Metastatic cancer gorges on fructose in the liver

Researchers found that metastatic cancer cells reprogram their metabolism to capitalize on fructose levels in the liver, leading to unchecked growth and proliferation. This discovery could lead to new therapies targeting metastatic cells and provide insight into how cancers adapt to new environments.

SourceDuke University·JournalCell Metabolism·DateApr 26, 2018

Automated analysis of biopsy samples enables rapid and reproducible quantification of NASH disease activity

A new study has reported a good correlation between an automated image analysis system and an expert reviewer for the identification of key markers of NASH disease activity in a pre-clinical model. The study used deep-learning algorithms applied to open-source pathology software (QuPath1) to accurately identify cell histology patterns ...

Germany: compensated cirrhosis substantially increases comorbidities and healthcare costs for patients with non-alcoholic fatty liver disease/non-alcoholic steatohepatitis

A study analyzed outcomes and costs for German patients with NAFLD/NASH who developed compensated cirrhosis, finding significant increases in comorbidities, mortality, and healthcare costs. The study highlights the need for new treatment options to improve patient outcomes.

Hepatitis C virus elimination programs report encouraging results: Is elimination within reach?

Two nationwide hepatitis C elimination programs in Georgia and Iceland have reported high levels of engagement, initiation of direct-acting antiviral agents, and cure among patients chronically infected with HCV. In Georgia, over 90% of diagnosed individuals were cured, while in Iceland, the prevalence of active HCV infection among peo...

Budesonide add-on therapy improves markers of disease activity but fails to improve histology in patients with primary biliary cholangitis

A study found that budesonide add-on therapy improves biochemical markers of disease activity but fails to improve liver histology in high-risk patients with primary biliary cholangitis. Budesonide was shown to produce clinically meaningful improvements in serum alkaline phosphatase levels.

Long-term obeticholic acid treatment leads to reversal or stabilization of fibrosis/cirrhosis in patients with PBC

The study confirms that long-term OCA treatment leads to reversal or stabilization of fibrosis/cirrhosis in patients with primary biliary cholangitis (PBC) who have had an incomplete response to ursodeoxycholic acid (UDCA). The majority of patients improved or maintained their histological stage, while two patients deteriorated.

Sustained virological response to oral hepatitis C virus treatment associated with reduced mortality in an Italian cohort

A real-world study found that patients with chronic hepatitis C virus infection who achieve a sustained virological response (SVR) after direct-acting antiviral agent (DAA) treatment have lower all-cause mortality. Achieving SVR reduced mortality from both liver-related and unrelated causes at all stages of disease.

First real-world studies report glecaprevir/pibrentasvir to be effective and well tolerated in chronic HCV infection

Two real-world studies from Italy and Germany report high rates of viral suppression and favourable safety profiles for glecaprevir/pibrentasvir in patients with chronic HCV infection. The treatment was found to be effective across a range of different patient types, with over 98% achieving sustained virological response.

Italy: Ongoing hepatitis A virus outbreak among men who have sex with men is linked to current outbreaks in Europe

A study found that the Italian outbreak is predominantly caused by strains linked to recent European outbreaks, highlighting the risk of acute HAV infection via sexual transmission in high-risk groups like MSM. The study also emphasizes the importance of hepatitis A vaccine coverage and awareness campaigns for prevention.

Screening for hepatocellular carcinoma in patients with hepatitis C-related cirrhosis achieving sustained virological response is likely to be cost effective

A Canadian study found that biannual ultrasound screening for hepatocellular carcinoma (HCC) in patients with hepatitis C-related liver cirrhosis after achieving a sustained virological response (SVR) to direct-acting antiviral agents is likely to be cost-effective. However, surveillance is unlikely to be cost-effective in patients wit...

Punjab, India: Mass treatment of a population with chronic hepatitis C infection produces high rates of cure

A large-scale study in Punjab, India found that mass treatment of chronic hepatitis C infection using decentralized care and generic DAAs resulted in high cure rates among almost 20,000 individuals. The study validated the efficacy and safety of this approach, with over 90% of patients achieving sustained virological response.

Hepatitis E virus infections can be life threatening and transmitted through blood products

Researchers found that hepatitis E virus (HEV) infections can be fatal in immunocompromised individuals and are linked to blood-borne transmission, highlighting the importance of HEV RNA screening of all blood products destined for transplant or immunosuppressed patients. The studies also show that HEV infection has been increasing ste...

Alcoholic liver disease replaces hepatitis C infection as the leading cause of liver transplantation in patients without hepatocellular carcinoma in the USA

Alcoholic liver disease has become the leading cause of liver transplantation in the US, surpassing hepatitis C infection, according to two studies. Non-alcoholic steatohepatitis is also on the rise, ranking second as a cause of liver transplantation due to chronic liver disease.