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Books > Medicine > Clinical & internal medicine > Hepatology
This volume is composed of chapters that review important
fundamental aspects of HCV biology and disease pathogenesis
including, for example, the discovery and identification of the HCV
genome, early virus-cell interactions including identification of
various cellular receptors, HCV gene expression studied using the
HCV replicon system, identification and characterization of HCV
structural- and non-structural HCV proteins, HCV replication in
cultured cells, and host factors involved in viral replication.
This volume also contains chapters dealing with immunity to HCV
infection and pathogenesis. This is particularly important in
understanding hepatitis C because HCV infection alone is not cell
lytic. Mechanisms underlying the persistent nature of HCV infection
are also discussed in these chapters. Many of the authors published
articles that were listed among the "top 10 papers" published in
the 24 years since HCV was discovered in 1989. Their citations are
above 1,000 (Web of Science). The authors describe the background
and significance of their contributions to the field in the context
of findings from other research groups.
This volume serves as a reference for the dissemination of advances
made in the study of Hepatitis B Virus (HBV). Hepatitis B Virus:
Methods and Protocols details protocols and techniques ranging from
cell culture studies to in vivo and clinical immunology. The
chapters in this book discuss treatments of in vitro infection
systems, analysis and quantification of cccDNA and its mutations;
in vitro polymerase activity assays; cellular trafficking of core
proteins; intracellular calcium metabolism; detection, cloning, and
sequencing of HBV markers; and new strategies aimed at exploiting
new mechanisms for drug discovery. The book also covers classical
methods for resolution of extracellular viral particles by native
gel electrophoresis, and methods for detecting HBV antigens in drug
discovery. Written in the highly successful Methods in Molecular
Biology series format, chapters include introductions to their
respective topics, lists of the necessary materials and reagents,
step-by-step, readily reproducible laboratory protocols, and tips
on troubleshooting and avoiding known pitfalls. Cutting-edge and
comprehensive, Hepatitis B Virus: Methods and Protocols is a
valuable tool for researchers to use toward their advanced studies
in HBV.
HBV is most prevalent viral infection worldwide. Recent advances in
HBV virology epidemiology and management are of utmost importance
particularly during this time when HCV is taking the front row in
discussion and research. However, there's an increased interest in
management of HBV in special populations, which is covered in this
issue. The authors also explore drugs in the pipeline as well as
new approaches for achieving long-term viral suppression and
possibly cure.
Alcohol abuse remains a significant problem world-wide. The most
commonly affected organ remains the liver with a risk of alcoholic
liver disease (ALD) which can range from asymptomatic to alcoholic
hepatitis to alcoholic cirrhosis. In 2010, alcohol-attributable
cirrhosis was responsible for 0.9% of all global deaths. Given the
sheer magnitude of alcohol abuse and alcoholic liver disease, an
update on this topic is pertinent and relevant. This issue will
focus on a variety of topics including alcoholism, the pathogenesis
of ALD, the spectrum of ALD, the pathology of ALD, and the
long-term management of patients with ALD. Alcoholic hepatitis is a
particular type of ALD with a high mortality. This issue will
explore the syndrome of alcoholic hepatitis, its prognostic
markers, and the available therapies. Because alcohol intake can
influence so many other conditions of the liver (especially
hepatitis C), articles in this issue will also explore the impact
of alcohol abuse on other liver conditions. In addition, several
other topics such as nutritional therapy for ALD, ALD and liver
cancer, and ALD and infection risk will be explored. Also, even
though it is quite controversial, we will also explore liver
transplant as a therapy for alcoholic liver disease including
alcoholic hepatitis.
This issue of Critical Care Clinics focuses on Hepatology and
Critical Care. Articles include: Acute on Chronic and Decompensated
Chronic Liver Failure, Hepatic Encephalopathy, Respiratory
Complication in Liver Disease, GI Issues in Liver Disease, Bridging
the Patient with Liver Disease to Transplant or Recovery,
Infections in Liver Disease, Kidney Injury in Liver Disease, The
Liver in Critical Illness, Hematological Issues in Liver Disease,
Pharmacological Issues in Liver Disease and more!
Due to the current obesity epidemic, non-alcoholic fatty liver
disease (NAFLD) is prevalent in a significant portion of the United
States patient population. It is being increasingly recognized that
NAFLD affects both adults and children and can progress to end
stage liver disease with resultant cirrhosis, portal hypertension,
and hepatocellular carcinoma. In addition, several extrahepatic
conditions may be linked to NAFLD including cardiovascular disease,
insulin requiring and type 2 diabetes mellitus, obstructive sleep
apnea, colonic adenomas, hyperuricemia, vitamin D deficiency,
hyperferritinemia, pancreatic steatosis, hypothyroidism, and
polycystic ovarian syndrome. Therapies for NAFLD are evolving
rapidly. This issue will analyze patient demographics, risk
factors, pathophysiology, patient presentation, and treatments for
NAFLD.
This issue of Surgical Clinics of North America, guest edited by
Dr. Clifford Cho, is devoted to Technical Aspects of Oncological
Hepatic Surgery. He has assembled expert authors to review the
following topics: Determination of Resectability; Radiographic
Characterization of Hepatic Tumors; Chemotherapy-associated
Hepatotoxicity; Preoperative Assessment and Optimization of the
Future Liver Remnant; Anatomy of Hepatic Resectional Surgery;
Resection of Gallbladder Carcinoma; Resection of Hilar
Cholangiocarcinoma; Technical Aspects of Orthotopic Liver
Transplantation for Hepatocellular Carcinoma; Hemostasis and
Hepatic Surgery; Minimally Invasive Hepatic Surgery; Hepatic Tumor
Ablation; Hepatic Transarterial Therapies; Hepatic Perfusion
Therapy; Hepatic Artery Infusional Chemotherapy; Ex vivo Hepatic
Surgery, and more!
This issue of Surgical Oncology Clinics of North America, guest
edited by Nipun Merchant, MD, is devoted to Pancreatic Neoplasms.
Dr. Merchant has assembled expert authors to review the following
topics: Molecular and Genetic Basis of Pancreatic Carcinogenesis:
Which Concepts May Be Clinically Relevant?; Role Of EUS and ERCP In
The Clinical Assessment Of Pancreatic Neoplasms; Optimal Imaging
Modalities For The Diagnosis and Staging Of Periampullary Lesions;
Advances in the Surgical Management of Resectable and Borderline
Resectable Pancreatic Cancer; Minimally Invasive Approaches to
Pancreatic Surgery; Adjuvant and Neoadjuvant Therapy for Pancreatic
Cancer; Palliative Management of Unresectable Pancreatic Cancer;
Spectrum and Classification of Cystic Lesions of the Pancreas;
Therapeutic Approach to Cystic Neoplasms of the Pancreas; Clinical
Presentation and Management of Pancreatic Neuroendocrine Tumors;
State-of-the-Art Imaging of Pancreatic Neuroendocrine Tumors;
Surgical Approaches to Pancreatic Neuroendocrine Tumors; and
Medical Management of Pancreatic Neuroendocrine Tumors: Current and
Future Therapy.
This book will provide current understandings about two
ubiquitously expressed metabotropic GPCRs, G-coupled purinoreceptor
type 2 (P2Y) and Takeda G-protein-coupled bile acid receptor 5
(TGR5). G protein coupled receptors (GPCRs) are the largest family
of proteins implicated in majority of cellular responses. The two
receptor sub-families play a central role in many physiological
functions as well as in many pathological conditions. This book
offers up-to-date information on the physiological functions,
signaling pathways and regulatory mechanisms of P2Y and TGR5
receptors. In addition, this book provides a comprehensive overview
about the abnormalities of P2Y/TGR5 receptors and their
contribution in the development and progression of pathological
conditions. It also covers the currently available natural,
chemical and pharmacological agents targeting these two receptor
families and their therapeutic implications in P2Y and TGR5
associated disorders. This book is a valuable source for beginners
and researchers to follow the rapidly progressing field of these
two GPCR subfamily members.
There are over 180 million people with chronic HCV infection
worldwide with between 2.7 and 3.9 million in the United States.
Hepatitis C most significantly affects Asia and Africa, with rates
up to 15% in countries such as Egypt and up to 30% in certain
regions such as Punjab, Pakistan. Hepatitis C places a significant
burden on the public health infrastructure, as it remains the
leading cause of chronic liver disease, accounting for 50-75% of
primary liver cancers and is responsible for 30% of all liver
transplantations. It is estimated to have cost the United States
$5.5 billion in 1997, comparable to the national cost of asthma,
$5.8 billion in 1994.This number is only expected to grow as the
current HCV population ages, increasing overall rates of
compensated cirrhosis/end-stage liver disease. The evolution of
directly acting anti-virals has ushered in a new era for chronic
hepatitis C. Ongoing drug development strategy has involved
targeting several replication steps of the virus and the hope is to
see all oral therapies by late 2014 or early 2015. Thus we are at
an exciting cross roads with regard to new information and
challenges with HCV: rising disease burden with associated high
costs, the challenges globally and in multiple patient populations,
and the impending availability of effective and well tolerated
treatments. Therefore there is a need to commission an exclusive
issue of GCNA for HCV.
Clinical information about Hepatitis C is quickly outdated, so Dr.
Poordad has assembled expert authors to provide state-of-the-art
clinjcal reviews for hepatologists. This issue is uniquely
organized to present articles based on therapeutic regimens for
certain types of patients: Regimens for the Treatment-Naive
Patient; Regimens for Treatment of the Interferon-Failure Patient;
Regimens for DAA Failure Patients; Regimens for the Cirrhotic
Patient; Regimens for the Peri-Transplant Patient; Regimens for the
HIV-Co-Infected Patient; and Next-generation Regimens: The Future
of HCV Therapy. This presentation will be very clinically relevant
for the practicing hepatologist.
Dr. Reuben provides a timely update to the topic of HCC, which was
last covered in 2011. The highly respected authors in his issue
address advances in imaging for diagnosis, surgical resection and
liver transplantation, and local and systemic therapy. The breadth
of the topic is covered, with articles devoted to histopathology,
classification and staging, and screening and detection.
Dr. Brown provides a timely upate on the clinical diagnosis and
management of Hepatic Encephalopathy. His issue addresses current
hot topics including Role of NH4 in Pathogenesis of Hepatic
Encephalopathy; How to diagnose and manage HE in fulminant hepatic
failure; New methods of Brain Imaging and testing (eg PET) and
Hepatic Encephalopathy; Management New agents for HE (focus on NH4
lowering drugs used in UCD); Legal responsibility of MD when he
diagnoses HE; Diets in Encephalopathy; and Neurological
manifestations of HE.
The field of hepatobiliary diseases has advanced enormously in the
past 3 decades. The incorporation of new diagnostic and therapeutic
interventions in clinical hepatology as well as liver
transplantation has exponentially grown and specialty fields have
emerged within the liver disease arena. Interventional procedures
play a critical role in the management of patients with
hepatobiliary diseases as they offer diagnostic and definite
treatment options for an array of conditions. Interventions include
those that directly measure portal pressure, perform transjugular
liver biopsy and place transjugular intrahepatic portsosystemic
shunts as therapy for complications of portal hypertension. Other
commonly performed intervention is digestive and hepatobiliary
endoscopy which offers not only diagnostic but also therapeutic
choices in various areas such as portal hypertension and
hepatobiliary disease. Endoscopy plays a fundamental role in the
management of patients with almost all types of liver disease.
Additionally, both the fields of hepatology and endoscopy have
become very specialized and thus a thorough knowledge of the
indications, findings, therapeutic possibilities and complications
that arise from endoscopic interventions is a must for the
practicing clinician. The rising incidence of liver cancer has also
placed radiofrequency ablation and chemoembolization of liver
lesions at the forefront of interventional therapies for
hepatocellular carcinoma. Finally the management of acute liver
failure has certainly evolved with new therapeutic options such as
liver assist devices that can help manage these patients in the
intensive care unit. This issue of Clinics in Liver Disease devoted
to Interventional Hepatology is a timely and unique one. The Guest
Editors have assembled an outstanding group of experts in several
fields that can provide practitioners with state of the art and
evidence based articles that help manage patients with
hepatobiliary disease.
Dr. Flamm has invited a group of distinguished hepatologists to
provide insight into the assessment of a variety of scenarios where
clinical judgment based on experience and published literature is
an invaluable addition to the care of individual patients. Articles
included in the issue address the following topics: Evaluation and
Management of Portal Vein Thrombosis, Liver Disease in the HIV
patient, Hepatocellular Carcinoma, Evaluation of Renal
Insufficiency in the Cirrhotic Patient, Contemporary Management of
Autoimmune Hepatitis, Diagnosis and Treatment of Overlap Syndromes,
Ins and Outs of Liver Imaging for the Gastroenterologist,
Contemporary Assessment of Hepatic Fibrosis, A Primer on Liver
Transplantation Immunosuppressive Agents for the
Gastroenterologist, Evaluation of Jaundice in the Hospitalized
Patient, Liver Disease in the Adolescent, Evaluation and Management
of Hemochromatosis and How and When to Administer Hepatitis A and B
Virus Vaccinations. These are all common contemporary reasons for
consultations for Gastroenterologists and Hepatologists and this
issue will address the issues in a pragmatic way.
This volume looks at the liver's epithelial cells-hepatocytes and
cholangiocytes-and their progenitors. This book is divided into
five parts: isolation of progenitor cells; characterization of
liver progenitors in vivo; generation of hepatocytes,
cholangiocytes, and their progenitors; reconstitution of liver
tissue structures; and liver injury models. The chapters in this
book cover topics such as expansion of bipotential liver
stem/progenitor cells (LPCs) from fetal and neonatal liver;
identifying progenitor cells involved in liver regeneration in
vivo; methods for generating hepatocytes and cholangiocytes from
multiple cellular sources; 3D tissue structures ex vivo; and
resolving hepatic fibrosis by bone marrow transplantation. Written
in the highly successful Methods in Molecular Biology series
format, chapters include introductions to their respective topics,
lists of the necessary materials and reagents, step-by-step,
readily reproducible laboratory protocols, and tips on
troubleshooting and avoiding known pitfalls. Cutting-edge and
thorough, Hepatic Stem Cells: Methods and Protocols is a valuable
resource to help researchers understand the current theories used
to study hepatic stem/progenitor cells, and aid them in performing
experiments related to liver biology and pathophysiology.
Autoimmune Liver Diseases summarizes the recent high-impact
research and clinical findings obtained in Japan in the study and
treatment of autoimmune liver diseases. Although these disorders
are relatively rare, they are recognized as an important group of
refractory liver diseases, the most common of which are autoimmune
hepatitis (AIH) and primary biliary cirrhosis (PBC). The book
therefore comprises two major sections, one dealing with AIH, the
other with PBC. AIH in Japanese patients creates a unique disease
population, as its clinical features are different from those of
Western patients resulting from the different genetic background of
the two patient populations. Also, mouse models of neonatal
thymectomy-PD-1 knockout mice, clinical analyses of acute
hepatitis-like manifestations, and research findings on
IgG4-related autoimmune hepatitis have been reported in Japan and
are included in this book. A disease-susceptibility gene specific
to Japanese PBC patients has also recently been discovered. Because
of the relatively homogeneous population of Japan, analyses
conducted with Japanese PBC patients have yielded findings that are
highly relevant to the pathogenesis of the disease. Furthermore,
new pathological staging criteria, anti-gp210 antibodies and the
basis they provide for improved accuracy of prognosis, treatment
with bezafibrate, and the outcomes of living-donor liver
transplantation are also presented here. This volume therefore
serves as a useful resource not only for hepatologists, but also
for researchers, clinical residents, and medical students both in
Japan and in other countries.
Internationally renowned experts present topics related to obesity,
nutrition, and liver disease in this issue. In the first article,
the epidemiology of obesity and its association with liver disease
are covered. The following two articles focus on the roles that
visceral adipose tissue and microbiota potentially play in the
pathogenesis of obesity-related liver disease. The next article
focuses on the hepatic pathology seen in patients with
obesity-related liver disease and those with malnutrition. The next
five articles are focused on NAFLD and provide in-depth data on the
natural history and treatment strategies for patients with NAFLD.
The next six articles deal with the impact of obesity on other
liver diseases and on special populations including children and
liver-transplant recipients. The final article provides the most
updated information regarding genomics and genetic targets that may
provide better prognostic and diagnostic biomarkers and more
personalized treatment targets for patients with NAFLD.
Cutting-edge information in this issue will help readers gain
better understanding of the natural history and pathogenesis of
primary and secondary liver diseases associated with obesity. As
the information about obesity-related liver disease expands,
clinicians will be able to provide more targeted therapeutic
options for these patients and develop more accurate diagnostic and
prognostic biomarkers.
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