Liver transplant | Top 23 novel treatment findings

Sustained viral clearance reduces liver mortality

Achieving SVR with DAAs is associated with a significant reduction in liver-related mortality, with adjusted hazard ratios indicating a 78% lower risk of death compared to those who do not achieve SVR. This benefit is observed across various levels of liver disease severity and substance use status.

Study published: 2022-10-30

Dexamethasone improves treatment outcomes in patients with chronic liver disease.

The PBPK model predicts that DEX exposure in patients with liver disease does not require dose adjustments for the low doses used in COVID-19 treatment protocols, despite significant changes in pharmacokinetics compared to healthy individuals.

Study published: 2021-11-10

Direct-acting antiviral therapy reduces liver cancer in hepatitis C patients.

The study found a significant decline in the proportion of HCV-related HCC from 41% in 2011-2016 to 30% in 2017-2021. Additionally, there was an increase in the proportion of patients diagnosed at earlier stages of HCC and those receiving curative management, indicating improved surveillance and treatment outcomes.

Study published: 2023-02-24

Liver resection surgery increases postoperative complications in patients with liver tumors.

The study found that while liver resection can be curative for certain liver pathologies, it is associated with significant postoperative morbidity, highlighting the need for careful patient selection and management.

Study published: 2021-04-09

CFTR modulators improve liver fibrosis

Patients with cystic fibrosis who received lumacaftor/ivacaftor showed significant decreases in liver function markers such as gamma-glutamyl transferase (GGT), AST-to-Platelet Index (APRI), and GGT-to-Platelet Ratio (GPR), indicating an improvement in liver fibrosis.

Study published: 2022-09-02

Digital therapy reduces alcohol use

Patients using AlcoChange showed a significant reduction in alcohol use and a higher rate of abstinence compared to non-compliant patients, along with a decreased risk of alcohol-related hospital re-admissions.

Study published: 2023-08-22

Vaccination boosts T cell responses in organ transplant recipients

Vaccination strongly induced SARS-CoV-2-specific T cells, including those reactive to BA.4/5 and XBB.1.5, which remained detectable over time and increased after a fourth dose. T cell responses correlated with antibody levels, suggesting that T cell responses can predict future antibody responses in SOTRs.

Study published: 2023-08-21

Folic acid supplementation reduces liver injury risk in pregnant women and children

Higher FA supplementation (≥600 mcg/day) was associated with attenuated associations between MDC exposures and liver injury outcomes in both mothers and children.

Study published: 2024-06-14

Sex-adjusted MELDNa improves liver transplant equity

The sex-adjusted MELDNa score modestly increased the transplantation rate for females and decreased overall mortality in simulations, addressing sex disparities in liver transplant allocation.

Study published: 2021-07-15

Lithocholic acid boosts muscle growth in chronic liver disease patients.

Increased gastrocnemius muscle weight in CLD rats treated with LCA and BCAA, significant correlation between serum LCA levels and muscle mass in CLD patients, and LCA levels predicting patient survival.

Study published: 2022-06-16

Therapies targeting macrophages reduce liver fibrosis in NASH patients.

The study found that therapies targeting macrophages may lead to improved fibrosis in some patients, with specific macrophage phenotypes correlating with disease severity and treatment response.

Study published: 2023-02-23

Booster vaccine safe for liver disease

The booster vaccination resulted in a positive response in 87.72% of patients for nCoV NTAb and 91.23% for nCoV S-RBD antibodies, with significant increases in antibody levels, especially in those who had failed basic immunization.

Study published: 2022-11-01

Elexacaftor/tezacaftor/ivacaftor linked to liver injury

ETI has shown efficacy in improving lung function and nutritional status in cystic fibrosis patients, with a significant association found between ETI and DILI in real-world data analysis.

Study published: 2023-09-17

mRNA vaccines boost immune responses in solid organ transplant recipients

The third dose of mRNA vaccine boosted humoral responses in SOTR, particularly Fc-mediated effector functions, although neutralizing activity against Delta and Omicron variants remained low compared to immunocompetent health care workers.

Study published: 2022-05-16

New protein targets for liver disease

The identification of 17 candidate protein targets for MASLD provides new insights into the disease's pathophysiology and suggests avenues for therapeutic intervention. The study also reports five novel genetic loci associated with MASLD, enhancing the understanding of its genetic underpinnings.

Study published: 2023-11-30

DLAT gene targets improve survival in liver cancer patients

Patients classified in the low-risk group based on the 3-gene signature had a significantly higher likelihood of survival compared to those in the high-risk group, indicating the prognostic value of the gene signature.

Study published: 2022-10-25

Personalized antibiotic dosing for XDR E. coli

The treatment led to a significant reduction in bacterial load (4-log reduction in CFU/mL) within the first ten hours, and the patient was discharged 8 days after surgery, indicating successful infection clearance.

Study published: 2024-04-12

Alcohol reduces liver lipid turnover in people with non-alcoholic fatty liver disease.

The study found that alcohol intoxication induced significant changes in lipid metabolism, with suppressed TG clearance in NAFLD, suggesting a synergistic effect of alcohol and NAFLD on disease progression.

Study published: 2021-02-19

HIV treatment impacts liver function in patients with liver toxicity concerns.

The study found that HIV-positive subjects on TLD had lower AST and Alb levels but higher TP and GST levels, suggesting a complex interaction between HIV treatment and liver function.

Study published: 2024-05-01

Higher HLA divergence improves vaccine response in liver transplant recipients.

Higher HED at the DQB1 locus was associated with stronger humoral responses to both SARS-CoV-2 and HBV vaccines, indicating that HED can predict vaccine response efficacy.

Study published: 2022-08-30

Genomic mismatches in liver transplants increase rejection risk for patients.

The analysis revealed that certain quartiles of missense variants were associated with lower rates of late rejection, suggesting that some genetic factors may contribute positively to transplant outcomes.

Study published: 2024-07-16

Energy modulation effective for NASH

Treatments modulating energy pathways showed a risk ratio of 1.84 for achieving NASH resolution, while those modulating fibrosis and bile acids also demonstrated significant efficacy in reducing disease severity and improving histological scores.

Study published: 2021-10-25

Antiretroviral therapy reduces HIV viral load and improves health in Nigerians with HIV/AIDS and Hepatitis C.

The study found a 4.0% prevalence of anti-HCV antibodies among PLWHA receiving ART, indicating a need for routine screening for HCV in this population.

Study published: 2023-03-12