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Fatty liver disease medication may have no effect

A new trial found that orlistat, a common fat absorption inhibitor, does not help patients with fatty liver disease lose weight or improve liver enzymes. However, moderate weight loss was associated with significant improvements in liver symptoms.

SourceWiley·JournalHepatology·DateJan 13, 2009

Cellular stress causes fatty liver disease in mice

A University of Iowa researcher and colleagues have discovered a direct link between cellular stress and fatty liver disease in mice. The study found that disrupted protein folding causes abnormal fat metabolism in the liver, which may lead to serious conditions like diabetes and cirrhosis.

SourceUniversity of Iowa·JournalDevelopmental Cell·DateDec 8, 2008

Mayo Clinic seeks new therapies for alcoholic hepatitis

A new study from Mayo Clinic found that etanercept therapy was not effective in treating patients with moderate to severe alcoholic hepatitis, increasing six-month mortality rates due to increased infections. Abstinence is still considered the best policy for reversing liver damage and reducing disease progression.

SourceMayo Clinic·JournalGASTROENTEROLOGY·DateDec 1, 2008

A new light on work-related fatigue

Research found that workers with high levels of alanine aminotransferase (ALT) and central obesity had significantly higher self-reported fatigue after work. The study suggests that objective measures such as elevated ALT and increased waist circumference are associated with work-related fatigue in apparently healthy workers.

SourceWorld Journal of Gastroenterology·JournalWorld Journal of Gastroenterology·DateNov 28, 2008

JCI online early table of contents: Nov. 13, 2008

New research reveals that alkaline pH activates TRPA1 protein in human cell lines and mouse nerve cells, causing pain sensation. The study suggests a potential link between TRPA1 activation and human alkaline pH-related pain sensations, contributing to the understanding of pain mechanisms.

SourceJCI Journals·JournalJournal of Clinical Investigation·DateNov 13, 2008

Arsenic linked to cardiovascular disease at EPA-regulated drinking water standards

Researchers at the University of Pittsburgh discovered that exposure to EPA-approved levels of arsenic in drinking water can lead to cardiovascular disease by closing pores in liver blood vessels. The study found that mice exposed to arsenic had impaired sinusoidal cell functions, leading to a loss of nutrient exchange and waste removal.

SourceUniversity of Pittsburgh Schools of the Health Sciences·JournalJournal of Clinical Investigation·DateNov 13, 2008

Is sildenafil safe in cirrhosis patients?

Research on sildenafil use in cirrhosis patients found that it does not induce profound changes in splanchnic blood flow and portal hypertension. The study suggests phosphodiesterase type-5 inhibition is not a useful therapeutic agent for alleviating portal hypertension in end-stage liver disease.

SourceWorld Journal of Gastroenterology·JournalWorld Journal of Gastroenterology·DateNov 11, 2008

JCI table of contents: Oct. 23, 2008

Researchers identified a molecular reason why MEK inhibitors are limited in their ability to kill B-RAF mutant tumor cells, suggesting a new antitumor approach. MicroRNA15a modulates the expression of Cdc25A and affects hepatic cystogenesis in a rat model of polycystic kidney disease.

SourceJCI Journals·JournalJournal of Clinical Investigation·DateOct 23, 2008

A breakthrough in contrast-enhanced intraoperative ultrasonography

Researchers have developed a new microbubble agent, Sonazoid, that enhances the sensitivity of contrast-enhanced intraoperative ultrasonography (CE-IOUS) for detecting occult liver lesions in patients with colorectal cancer. CE-IOUS using Sonazoid allows for longer imaging times and improved detection of metastases during hepatectomy.

SourceWorld Journal of Gastroenterology·JournalWorld Journal of Gastroenterology·DateSep 18, 2008

Normal ALT levels may mask advanced fibrosis in liver disease patients

A study found that nonalcoholic fatty liver disease (NAFLD) patients with normal alanine aminotransferase (ALT) levels have advanced fibrosis, indicating the need for liver biopsy. The researchers discovered that patients with normal ALT had milder inflammation and steatosis, but still at risk of severe hepatic disease.

SourceWiley·JournalHepatology·DateSep 4, 2008