HepatologyPub Date : 2025-08-14DOI: 10.1097/hep.0000000000001488
Heechul Nam,Jeong Won Jang
{"title":"Reply: The CRAPT-M score: Robust enough for clinical practice?","authors":"Heechul Nam,Jeong Won Jang","doi":"10.1097/hep.0000000000001488","DOIUrl":"https://doi.org/10.1097/hep.0000000000001488","url":null,"abstract":"","PeriodicalId":177,"journal":{"name":"Hepatology","volume":"181 1","pages":""},"PeriodicalIF":13.5,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144850960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HepatologyPub Date : 2025-08-13DOI: 10.1097/HEP.0000000000001491
Chien-Hao Huang, Wei-Ting Ku, Wei Teng, Wen-Juei Jeng, Chun-Yen Lin
{"title":"Letter to the Editor: Peripheral Foxp3-high Tregs as a dual biomarker for HCC prognosis and immunotherapy response.","authors":"Chien-Hao Huang, Wei-Ting Ku, Wei Teng, Wen-Juei Jeng, Chun-Yen Lin","doi":"10.1097/HEP.0000000000001491","DOIUrl":"10.1097/HEP.0000000000001491","url":null,"abstract":"","PeriodicalId":177,"journal":{"name":"Hepatology","volume":" ","pages":""},"PeriodicalIF":15.8,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144843882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HepatologyPub Date : 2025-08-13DOI: 10.1097/HEP.0000000000001497
Yawen Dong, Zhihao Li, Gregory J Gores, Julie K Heimbach, Rory L Smoot, Timucin Taner, Patrick P Starlinger
{"title":"Reply: The treatment options for de novo perihilar cholangiocarcinoma require more details.","authors":"Yawen Dong, Zhihao Li, Gregory J Gores, Julie K Heimbach, Rory L Smoot, Timucin Taner, Patrick P Starlinger","doi":"10.1097/HEP.0000000000001497","DOIUrl":"10.1097/HEP.0000000000001497","url":null,"abstract":"","PeriodicalId":177,"journal":{"name":"Hepatology","volume":" ","pages":""},"PeriodicalIF":15.8,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144843884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HepatologyPub Date : 2025-08-13DOI: 10.1097/HEP.0000000000001496
Qin Zeng, Danna Xie, Qiao Zhou, Baolin Qian
{"title":"Letter to the Editor: The treatment options for de novo perihilar cholangiocarcinoma require more details.","authors":"Qin Zeng, Danna Xie, Qiao Zhou, Baolin Qian","doi":"10.1097/HEP.0000000000001496","DOIUrl":"10.1097/HEP.0000000000001496","url":null,"abstract":"","PeriodicalId":177,"journal":{"name":"Hepatology","volume":" ","pages":""},"PeriodicalIF":15.8,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144843883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HepatologyPub Date : 2025-08-13DOI: 10.1097/HEP.0000000000001492
Manal F Abdelmalek, Keith D Lindor
{"title":"Betaine in the treatment of steatotic liver disease-Historical fad or a timeless treasure worth reviving?","authors":"Manal F Abdelmalek, Keith D Lindor","doi":"10.1097/HEP.0000000000001492","DOIUrl":"10.1097/HEP.0000000000001492","url":null,"abstract":"","PeriodicalId":177,"journal":{"name":"Hepatology","volume":" ","pages":""},"PeriodicalIF":15.8,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144843937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HepatologyPub Date : 2025-08-07DOI: 10.1097/hep.0000000000001487
Xiaoping Zhu,Shenglong Li
{"title":"Letter to the Editor: The CRAPT-M Score: Robust enough for clinical practice?","authors":"Xiaoping Zhu,Shenglong Li","doi":"10.1097/hep.0000000000001487","DOIUrl":"https://doi.org/10.1097/hep.0000000000001487","url":null,"abstract":"","PeriodicalId":177,"journal":{"name":"Hepatology","volume":"17 1","pages":""},"PeriodicalIF":13.5,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144796939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HepatologyPub Date : 2025-08-04DOI: 10.1097/hep.0000000000001486
Nhat Quang N Thai,Nidhi P Goyal,Kimberly P Newton,Jeffrey B Schwimmer
{"title":"Reply: Blood pressure adjustment and competing risks analysis should be reconsidered in the mortality exploration among children with MASLD.","authors":"Nhat Quang N Thai,Nidhi P Goyal,Kimberly P Newton,Jeffrey B Schwimmer","doi":"10.1097/hep.0000000000001486","DOIUrl":"https://doi.org/10.1097/hep.0000000000001486","url":null,"abstract":"","PeriodicalId":177,"journal":{"name":"Hepatology","volume":"28 1","pages":""},"PeriodicalIF":13.5,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144769708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HepatologyPub Date : 2025-08-04DOI: 10.1097/hep.0000000000001477
Andrew S Lim,Sheena N Cruz,Aliya Asghar Uddin,Olga Malysheva,Marie A Caudill,Cristina Alonso,Alejandro Montilla,Morten A Karsdal,Diana Julie Leeming,Alejandro E Mayorca-Guiliani,Frederik Høbjerg Svejsø,Craig J McClain,Timothy R Morgan
{"title":"Pilot trials of oral betaine in participants with non-alcoholic fatty liver disease and elevated alanine aminotransferase.","authors":"Andrew S Lim,Sheena N Cruz,Aliya Asghar Uddin,Olga Malysheva,Marie A Caudill,Cristina Alonso,Alejandro Montilla,Morten A Karsdal,Diana Julie Leeming,Alejandro E Mayorca-Guiliani,Frederik Høbjerg Svejsø,Craig J McClain,Timothy R Morgan","doi":"10.1097/hep.0000000000001477","DOIUrl":"https://doi.org/10.1097/hep.0000000000001477","url":null,"abstract":"BACKGROUND/AIMBetaine, 20 grams/day for 12 months, reduced liver injury in several trials in non-alcoholic steatohepatitis (NASH). Our aim was to determine the safety and efficacy of lower doses of betaine in clinically diagnosed metabolic dysfunction-associated steatotic liver disease (MASLD) and an elevated ALT.METHODSWe performed three pilot trials in participants with clinically diagnosed non-cirrhotic MASLD and ALT ≥50 U/L. In the first trial, 44 participants were randomized to 4 g or 8 g daily for 12 weeks. In the second trial 10 participants received 1 g/d for 24 weeks while 16 participants received 2 g/d for 24 weeks in the third trial. Primary outcome was percent decline in abnormal component of ALT (ie, ALT >30 for males or >25 for females). Other outcomes included improvement in absolute ALT and AST, and other serologic tests of liver injury, including metabolomics-advanced steatohepatitis fibrosis (MASEF) score, cytokeratin 18, and pro-C3. Baseline and end of treatment data were compared with a paired t-test.RESULTSAt baseline, more than 75% of participants had NASH when tested by MASEF score. ALT, AST, cytokeratin 18, pro-C3, and MASEF score decreased significantly among participants receiving 8 g, 4 g, 2 g, but not 1 g. High density lipoprotein increased in the 4 g and 2 g cohorts; low density lipoprotein did not change. Approximately 35% reported mild, transient gastrointestinal symptoms.CONCLUSIONBetaine 8 g/d, 4 g/d, and 2 g/d for 12-24 weeks significantly reduced ALT and other serologic markers of liver injury among participants with clinically defined MASLD and an elevated ALT.","PeriodicalId":177,"journal":{"name":"Hepatology","volume":"733 1","pages":""},"PeriodicalIF":13.5,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144769843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HepatologyPub Date : 2025-08-04DOI: 10.1097/hep.0000000000001485
Peng Gao,Wukun Ge,Rongsong Wang
{"title":"Letter to the editor: Real-world evidence supports nephrotoxic risk of anakinra plus zinc in alcohol-associated hepatitis.","authors":"Peng Gao,Wukun Ge,Rongsong Wang","doi":"10.1097/hep.0000000000001485","DOIUrl":"https://doi.org/10.1097/hep.0000000000001485","url":null,"abstract":"","PeriodicalId":177,"journal":{"name":"Hepatology","volume":"161 1","pages":""},"PeriodicalIF":13.5,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144769712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HepatologyPub Date : 2025-08-04DOI: 10.1097/hep.0000000000001484
Yue Hu,Zheng Li,Xinran Cheng
{"title":"Letter to the editor: Blood pressure adjustment and competing risks analysis should be reconsidered in the mortality exploration among children with MASLD.","authors":"Yue Hu,Zheng Li,Xinran Cheng","doi":"10.1097/hep.0000000000001484","DOIUrl":"https://doi.org/10.1097/hep.0000000000001484","url":null,"abstract":"","PeriodicalId":177,"journal":{"name":"Hepatology","volume":"26 1","pages":""},"PeriodicalIF":13.5,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144769707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}