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Effects of Bacillus Calmette-Guérin on immunometabolism, microbiome and liver diseases Calmette Guérin芽孢杆菌对免疫代谢、微生物组和肝脏疾病的影响☆
Liver Research Pub Date : 2023-06-01 DOI: 10.1016/j.livres.2023.05.001
Muhammad Umair Ijaz, Farzam Vaziri, Yu-Jui Yvonne Wan
{"title":"Effects of Bacillus Calmette-Guérin on immunometabolism, microbiome and liver diseases","authors":"Muhammad Umair Ijaz,&nbsp;Farzam Vaziri,&nbsp;Yu-Jui Yvonne Wan","doi":"10.1016/j.livres.2023.05.001","DOIUrl":"10.1016/j.livres.2023.05.001","url":null,"abstract":"<div><p>Metabolic diseases have overtaken infectious diseases as the most serious public health issue and economic burden in most countries. Moreover, metabolic diseases increase the risk of having infectious diseases. The treatment of metabolic disease may require a long-term strategy of taking multiple medications, which can be costly and have side effects. Attempts to expand the therapeutic use of vaccination to prevent or treat metabolic diseases have attracted significant interest. A growing body of evidence indicates that Bacillus Calmette-Guérin (BCG) offers protection against non-infectious diseases. The non-specific effects of BCG occur likely due to the induction of trained immunity. In this regard, understanding how BCG influences the development of chronic metabolic health including liver diseases would be important. This review focuses on research on BCG, the constellation of disorders associated with metabolic health issues including liver diseases and diabetes as well as how BCG affects the gut microbiome, immunity, and metabolism.</p></div>","PeriodicalId":36741,"journal":{"name":"Liver Research","volume":"7 2","pages":"Pages 116-123"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46793543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Corrigendum to “Deficiency of pyruvate dehydrogenase kinase 4 sensitizes mouse liver to diethylnitrosamine and arsenic toxicity through inducing apoptosis” [Liver Res. 2 (2018) 100–107] “丙酮酸脱氢酶激酶4缺乏通过诱导细胞凋亡使小鼠肝脏对二乙基亚硝胺和砷毒性敏感”的更正[肝脏研究]. 2 (2018)100-107]
Liver Research Pub Date : 2023-06-01 DOI: 10.1016/j.livres.2022.11.004
Jonathan Choiniere , Matthew Junda Lin , Li Wang , Jianguo Wu
{"title":"Corrigendum to “Deficiency of pyruvate dehydrogenase kinase 4 sensitizes mouse liver to diethylnitrosamine and arsenic toxicity through inducing apoptosis” [Liver Res. 2 (2018) 100–107]","authors":"Jonathan Choiniere ,&nbsp;Matthew Junda Lin ,&nbsp;Li Wang ,&nbsp;Jianguo Wu","doi":"10.1016/j.livres.2022.11.004","DOIUrl":"https://doi.org/10.1016/j.livres.2022.11.004","url":null,"abstract":"","PeriodicalId":36741,"journal":{"name":"Liver Research","volume":"7 2","pages":"Page 164"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49868033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Heterogeneous population of macrophages in the development of non-alcoholic fatty liver disease 非酒精性脂肪肝发展过程中巨噬细胞的异质性群体☆
Liver Research Pub Date : 2023-03-01 DOI: 10.1016/j.livres.2022.06.001
Ye Eun Cho, Yong Seong Kwon, Seonghwan Hwang
{"title":"Heterogeneous population of macrophages in the development of non-alcoholic fatty liver disease","authors":"Ye Eun Cho,&nbsp;Yong Seong Kwon,&nbsp;Seonghwan Hwang","doi":"10.1016/j.livres.2022.06.001","DOIUrl":"10.1016/j.livres.2022.06.001","url":null,"abstract":"<div><p>Non-alcoholic fatty liver disease (NAFLD) is characterized by a spectrum of hepatic diseases, including fatty liver, non-alcoholic steatohepatitis, cirrhosis, and hepatocellular carcinoma. NAFLD is a hepatic manifestation of metabolic syndrome and has become the leading cause of liver transplantation, necessitating an in-depth understanding of its underlying pathogenic mechanisms and the identification of viable drug targets. Although fatty liver is benign and does not exert marked liver damage or inflammation, NAFLD progression involves inflammatory processes facilitated by immune cells. Macrophages and monocytes constitute the pool of innate immune cells that contribute to NAFLD development in association with other cell types, such as neutrophils, T cells, and natural killer cells. The concept that macrophages contribute to the inflammatory processes in NAFLD development has long been debated; however, the remarkable advances in experimental techniques have rapidly uncovered new subpopulations of macrophages and monocytes, whose functions need to be comprehensively elucidated. The current review focuses on the recent expansion of our knowledge of the heterogeneous population of macrophages crucially involved in NAFLD development. In addition, the present paper discusses ongoing efforts to target macrophages and inflammatory processes to develop optimal therapeutic agents against non-alcoholic steatohepatitis.</p></div>","PeriodicalId":36741,"journal":{"name":"Liver Research","volume":"7 1","pages":"Pages 16-25"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47369615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
New insights in the pathogenesis of alcohol-related liver disease: The metabolic, immunologic, and neurologic pathways☆ 酒精相关肝病发病机制的新见解:代谢、免疫和神经途径
Liver Research Pub Date : 2023-03-01 DOI: 10.1016/j.livres.2022.09.004
Tom Ryu, Kyurae Kim, Sung Eun Choi, Katherine Po Sin Chung, Won-Il Jeong
{"title":"New insights in the pathogenesis of alcohol-related liver disease: The metabolic, immunologic, and neurologic pathways☆","authors":"Tom Ryu,&nbsp;Kyurae Kim,&nbsp;Sung Eun Choi,&nbsp;Katherine Po Sin Chung,&nbsp;Won-Il Jeong","doi":"10.1016/j.livres.2022.09.004","DOIUrl":"10.1016/j.livres.2022.09.004","url":null,"abstract":"<div><p>Alcohol-related liver disease (ALD) became an important health issue worldwide. Following chronic alcohol consumption, the development of ALD might be caused by metabolic and immunologic factors, such as reactive oxygen species (ROS) and pro-inflammatory cytokines. For example, hepatic cytochrome P450 2E1 enzyme increases ROS production and stimulates <em>de novo</em> lipogenesis after alcohol exposure. In addition, damage- and pathogen-associated molecular patterns stimulate their specific receptors in non-parenchymal cells, including Kupffer cells, hepatic stellate cells (HSCs), and lymphocytes, which result in hepatocyte death and infiltration of pro-inflammatory cells (<em>e.g.</em>, neutrophils and macrophages) in the liver. Moreover, our studies have suggested the novel involvement of neurologic signaling pathways (<em>e.g.</em>, endocannabinoid and glutamate) through the metabolic synapse between hepatocytes and HSCs in the development of alcohol-related hepatic steatosis. Additionally, agouti-related protein and beta2-adrenergic receptors aggravate hepatic steatosis. Furthermore, organ-crosstalk has emerged as a critical issue in ALD. Chronic alcohol consumption induces dysbiosis and barrier disruption in the gut, leading to endotoxin leakage into the portal circulation, or lipolysis-mediated transport of triglycerides from the adipose tissue to the liver. In summary, this review addresses multiple pathogeneses of ALD, provides novel neurologic signaling pathways, and emphasizes the importance of organ-crosstalk in the development of ALD.</p></div>","PeriodicalId":36741,"journal":{"name":"Liver Research","volume":"7 1","pages":"Pages 1-8"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43878755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Transcription networks in liver development and acute liver failure 转录网络在肝脏发育和急性肝衰竭中的作用
Liver Research Pub Date : 2023-03-01 DOI: 10.1016/j.livres.2022.11.010
Rilu Feng , Roman Liebe , Hong-Lei Weng
{"title":"Transcription networks in liver development and acute liver failure","authors":"Rilu Feng ,&nbsp;Roman Liebe ,&nbsp;Hong-Lei Weng","doi":"10.1016/j.livres.2022.11.010","DOIUrl":"10.1016/j.livres.2022.11.010","url":null,"abstract":"<div><p>Acute liver failure (ALF) is a medical emergency due to massive hepatocyte loss. In such a harsh condition, maintaining transcriptional regulation in the remaining hepatocytes while activating similar transcription factor networks in liver progenitor cells (LPCs) to ensure essential liver functions are two critical processes to rescue patients from liver failure and death. In this review, we discuss the formation and functions of transcription networks in ALF and liver development. We focus on a hierarchical network of transcription factors that responds to different pathophysiological circumstances: (1) Under normal circumstances, pioneer factor forkhead box protein A2 (FOXA2) coordinates several constitutive hepatic transcription factors, such as hepatic nuclear factor 4 alpha (HNF4α) and CCAAT-enhancer binding protein α (C/EBPα), which ensure normal liver function; (2) When the expression of both HNF4α and C/EBPα in hepatocytes are disrupted by severe inflammation, retinoic acid receptor (RAR) is the alternative transcription factor that compensates for their absence; (3) When massive hepatic necrosis occurs, a similar transcription network including FOXA2 and HNF4α, is activated as a “rescue network” in LPCs to maintain vital liver functions when hepatocytes fail, and thus ensures survival. Expression of these master transcription factors in hepatocytes and LPCs is tightly regulated by hormone signals and inflammation. The performance of this hierarchical transcription network, in particularly the “rescue network” described above, significantly affects the clinical outcome of ALF.</p></div>","PeriodicalId":36741,"journal":{"name":"Liver Research","volume":"7 1","pages":"Pages 47-55"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46705513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
A novel nomogram based on routine clinical indicators for screening for Wilson's disease 一种新的基于常规临床指标的肝豆状核变性筛查图
Liver Research Pub Date : 2023-03-01 DOI: 10.1016/j.livres.2023.02.003
Jiahui Pang , Shuru Chen , Weiqiang Gan , Guofang Tang , Yusheng Jie , Zhanyi Li , Yutian Chong , Youming Chen , Jiao Gong , Xinhua Li , Yongyu Mei
{"title":"A novel nomogram based on routine clinical indicators for screening for Wilson's disease","authors":"Jiahui Pang ,&nbsp;Shuru Chen ,&nbsp;Weiqiang Gan ,&nbsp;Guofang Tang ,&nbsp;Yusheng Jie ,&nbsp;Zhanyi Li ,&nbsp;Yutian Chong ,&nbsp;Youming Chen ,&nbsp;Jiao Gong ,&nbsp;Xinhua Li ,&nbsp;Yongyu Mei","doi":"10.1016/j.livres.2023.02.003","DOIUrl":"https://doi.org/10.1016/j.livres.2023.02.003","url":null,"abstract":"<div><h3>Background and aims</h3><p>There is currently no single model for predicting Wilson's disease (WD). We aimed to create a nomogram using daily clinical parameters to improve the accuracy of WD diagnosis in patients with abnormal liver function.</p></div><div><h3>Methods</h3><p>Between July 2016 and December 2020, we identified 90 WD patients with abnormal liver function who had homozygous or compound heterozygous mutations in the <em>ATP7B</em> gene. The control group included 128 patients with similar liver function but no WD during the same time period. To create a nomogram, we screened potential predictive variables using the least absolute shrinkage and selection operator model and multivariate logistic regression.</p></div><div><h3>Results</h3><p>We developed a nomogram for screening for WD based on six predictive factors: serum copper, direct bilirubin, uric acid, cholinesterase, prealbumin, and reticulocyte percentage. In the training cohort, the area under curve (AUC) of the nomogram reached 0.967 (95% confidence interval (CI) 0.946–0.988), while the area under the precision-recall curve was 0.961. Based on the optimal cutpoint of 213.55, our nomogram performed well, with a sensitivity of 96% and a specificity of 87%. In the validation cohort, the AUC of the nomogram was as high as 0.991 (95% CI 0.970–1.000).</p></div><div><h3>Conclusions</h3><p>We developed a nomogram that can predict the risk of WD prior to the detection of serum ceruloplasmin or urinary copper, greatly increasing screening efficiency for patients with abnormal liver function.</p></div>","PeriodicalId":36741,"journal":{"name":"Liver Research","volume":"7 1","pages":"Pages 82-89"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49861777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A dual role of inflammation in acetaminophen-induced liver injury 炎症在对乙酰氨基酚引起的肝损伤中的双重作用
Liver Research Pub Date : 2023-03-01 DOI: 10.1016/j.livres.2023.03.001
Long Xu , Hua Wang
{"title":"A dual role of inflammation in acetaminophen-induced liver injury","authors":"Long Xu ,&nbsp;Hua Wang","doi":"10.1016/j.livres.2023.03.001","DOIUrl":"10.1016/j.livres.2023.03.001","url":null,"abstract":"<div><p>In many affluent nations, acetaminophen (APAP) overdose is the leading cause of drug-induced acute liver failure. The process of APAP-induced liver injury (AILI) is intimately tied to inflammation, including hepatocyte necrosis-caused initiation of inflammation, inflammation amplification that exacerbates liver injury, and the resolution of inflammation that triggers liver regeneration and repair. Excessive APAP metabolism in the liver eventually leads to hepatocyte necrosis and inflammation. Innate immune cells, such as neutrophils, eosinophils, monocytes, and gammadelta T cells, are recruited into the injured liver and release various cytokines. These immune cells and cytokines have been found to serve two purposes in AILI. In this review, we highlighted the dual role of inflammation, including inflammatory cytokines and inflammatory immune cells in AILI, and discussed possible explanations for contradictory findings.</p></div>","PeriodicalId":36741,"journal":{"name":"Liver Research","volume":"7 1","pages":"Pages 9-15"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45380763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Novel insights into the impact of liver inflammatory responses on primary liver cancer development 肝脏炎症反应对原发性肝癌癌症发展影响的新见解
Liver Research Pub Date : 2023-03-01 DOI: 10.1016/j.livres.2023.01.001
Yeni Ait-Ahmed , Fouad Lafdil
{"title":"Novel insights into the impact of liver inflammatory responses on primary liver cancer development","authors":"Yeni Ait-Ahmed ,&nbsp;Fouad Lafdil","doi":"10.1016/j.livres.2023.01.001","DOIUrl":"10.1016/j.livres.2023.01.001","url":null,"abstract":"<div><p>Primary liver cancers rank among the deadliest cancers worldwide and often develop in patients with chronic liver diseases in an inflammatory context. This review highlights recent reports on the mechanisms of inflammatory-mediated hepatic cell transformation that trigger the tumorigenic process (initiation steps) and the impact of the immune response favoring tumor cell expansion (progression steps). Several cytokines, namely interleukin (IL)-6, IL-17, IL-1beta, and tumor necrosis factor-alpha, have been described to play a prominent role in the initiation of liver cancers. Additionally, inflammation contributes to cancer progression by favoring tumor escape from anti-tumor immune response, angiogenesis, and metastasis through tumor growth factor-beta and matrix metalloprotease upregulation. These recent studies allowed the development of novel therapeutic strategies aiming at regulating liver inflammation. These strategies are based on the use of anti-inflammatory agents, antibodies targeting immune checkpoint molecules such as programmed death ligand 1 and molecules targeting angiogenic factors, metastasis key factors, and microRNAs involved in tumor development. This review aims at summarizing the recent studies reporting different mechanisms by which the liver inflammatory responses could contribute to liver cancer development.</p></div>","PeriodicalId":36741,"journal":{"name":"Liver Research","volume":"7 1","pages":"Pages 26-34"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45480600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Molecular mechanisms of autophagy and implications in liver diseases 自噬的分子机制及其在肝脏疾病中的意义
Liver Research Pub Date : 2023-03-01 DOI: 10.1016/j.livres.2023.02.002
Yuankai Wu , Hayden Weng Siong Tan , Jin-Yi Lin , Han-Ming Shen , Haihe Wang , Guang Lu
{"title":"Molecular mechanisms of autophagy and implications in liver diseases","authors":"Yuankai Wu ,&nbsp;Hayden Weng Siong Tan ,&nbsp;Jin-Yi Lin ,&nbsp;Han-Ming Shen ,&nbsp;Haihe Wang ,&nbsp;Guang Lu","doi":"10.1016/j.livres.2023.02.002","DOIUrl":"10.1016/j.livres.2023.02.002","url":null,"abstract":"<div><p>Autophagy is a highly conserved process in which cytosolic contents are degraded by the lysosome, which plays an important role in energy and nutrient balance, and protein or organelle quality control. The liver is the most important organ for metabolism. Studies to date have revealed a significant role of autophagy in the maintenance of liver homeostasis under basal and stressed conditions, and the impairment of autophagy has been closely linked to various liver diseases. Therefore, a comprehensive understanding of the roles of autophagy in liver diseases may help in the development of therapeutic strategies via targeting autophagy. In this review, we will summarize the latest understanding of the molecular mechanisms of autophagy and systematically discuss its implications in various liver diseases, including alcohol-related liver disease, non-alcoholic fatty liver disease, viral hepatitis, hepatocellular carcinoma, and acetaminophen-induced liver injury.</p></div>","PeriodicalId":36741,"journal":{"name":"Liver Research","volume":"7 1","pages":"Pages 56-70"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45318436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Direct-acting antivirals sofosbuvir and daclatasvir attenuate carbon tetrachloride-induced liver fibrosis in mice 直接作用抗病毒药物索非布韦和daclatasvir减轻四氯化碳诱导的小鼠肝纤维化
Liver Research Pub Date : 2023-03-01 DOI: 10.1016/j.livres.2023.02.001
Mayadah M. Abdelsalam , Nageh El-Mahdy , Sabry Abou-Saif
{"title":"Direct-acting antivirals sofosbuvir and daclatasvir attenuate carbon tetrachloride-induced liver fibrosis in mice","authors":"Mayadah M. Abdelsalam ,&nbsp;Nageh El-Mahdy ,&nbsp;Sabry Abou-Saif","doi":"10.1016/j.livres.2023.02.001","DOIUrl":"https://doi.org/10.1016/j.livres.2023.02.001","url":null,"abstract":"<div><h3>Background and aim</h3><p>Advanced liver fibrosis is a major risk for developing hepatocellular carcinoma (HCC) in chronic hepatitis C virus (HCV) patients. Direct-acting antivirals (DAAs) which are used for treating HCV infection, produce more than 90% cure rate but do not seem to diminish the rate of occurrence or recurrence of HCC. This study aimed to investigate the effect of DAAs sofosbuvir (SOF) and daclatasvir (DAC) on carbon tetrachloride (CCl<sub>4</sub>)-induced fibrotic changes in mice.</p></div><div><h3>Methods</h3><p>Eighty adult male Swiss albino mice were randomly allocated into 8 groups (10 mice/group): normal control group, SOF group (receiving SOF 80 mg/kg body weight (BW), oral gavage, daily), DAC group (receiving DAC 30 mg/kg BW, oral gavage, daily), SOF + DAC group (receiving a combination of both, daily), CCl4 model group (receiving CCl<sub>4</sub> 2 mL/kg BW, intraperitoneal twice weekly) and three CCl<sub>4</sub>-intoxicated groups receiving either SOF or DAC or their combination. All CCl<sub>4</sub> groups received CCl<sub>4</sub> for 12 weeks followed by DAAs for another 12 weeks.</p></div><div><h3>Results</h3><p>CCl<sub>4</sub>-induced a significant elevation of alanine aminotransferase (ALT) and aspartate aminotransferase (AST), and produced histopathological evidence of fibrosis and liver degeneration along with a significant increase (<em>P</em> ≤ 0.001) of the proliferation markers (proliferating cell nuclear antigen (PCNA) and Ki-67), hepatic stellate cells (HSCs) activation markers (alpha-smooth muscle actin (α-SMA) and glial fibrillary acidic protein (GFAP)), fibrosis marker (matrix metalloproteinase-9 (MMP-9)) and pro-inflammatory cytokine (tumor necrosis factor-alpha (TNF-α)). CCl<sub>4</sub>-intoxicated mice treated with SOF, DAC, or their combination revealed a significant amelioration (<em>P</em> ≤ 0.001) of CCl<sub>4</sub>-induced elevation of liver enzymes, fibrotic changes, and liver degeneration along with a significant attenuation (<em>P</em> ≤ 0.001) of CCl<sub>4</sub>-induced upregulation of all tested markers. The effects of SOF, DAC, and their combination on liver enzymes were comparable while the effect of SOF + DAC combination on mitigating CCl<sub>4</sub>-induced upregulation of the proliferation and HSCs activation markers was significantly stronger than either SOF or DAC alone. As for MMP-9 and TNF-α, the effects of DAC and SOF + DAC combination were comparable and both were more significant than that of SOF alone.</p></div><div><h3>Conclusions</h3><p>SOF and DAC may possess an antifibrotic effect that is independent of their role as antiviral agents against CCl<sub>4</sub>-induced liver injury. This might exclude the role of DAAs in early occurrence or accelerated recurrence of HCC through the progression of the HCV patients' pre-existing fibrosis. However, HCC patients treated with DAAs should be closely monitored with continuous HCC surveillance during and post-therapy.</p></div>","PeriodicalId":36741,"journal":{"name":"Liver Research","volume":"7 1","pages":"Pages 71-81"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49861780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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