• Issue

    Hepatology Communications: Volume 6, Issue 1

    1-249
    January 2022

Issue Information

Open Access

Issue Information

  • Pages: 1-4
  • First Published: 26 December 2021

Editorials

Open Access

Liver Cancer Has a Distinctive Profile in Black Patients: Current Screening Guidelines May Be Inadequate

  • Pages: 8-11
  • First Published: 23 September 2021
Liver Cancer Has a Distinctive Profile in Black Patients: Current Screening Guidelines May Be Inadequate

There is mounting evidence that Black patients develop more advanced liver cancers with less advanced liver disease. These findings have important implications for the future of liver cancer screening.

Review

Open Access

Role of Cholesterol-Associated Steatohepatitis in the Development of NASH

  • Pages: 12-35
  • First Published: 24 August 2021
Role of Cholesterol-Associated Steatohepatitis in the Development of NASH

Free cholesterol accumulates in the liver in some patients with NAFLF and promotes the necroinflammation and fibrosis typical of NASH. Cholesterol-associated steatohepatitis (CASH) plays an important role in the development and progression of NASH. Randomized controlled trials are needed to demonstrate whether statins or statin/ezetimibe combination can effectively reverse steatohepatitis and liver fibrosis in patients with NASH.

Original Articles

Open Access

Ultrasensitive Assay for Hepatitis B Core-Related Antigen Predicts Hepatocellular Carcinoma Incidences During Entecavir

  • Pages: 36-49
  • First Published: 16 September 2021
Ultrasensitive Assay for Hepatitis B Core-Related Antigen Predicts Hepatocellular Carcinoma Incidences During Entecavir

We examined the potential of HBcrAg and HBsAg measured by ultrasensitive assays for predicting hepatocellular carcinoma (HCC) development in chronic hepatitis B patients treated with entecavir (ETV). The adjusted hazard ratio for HCC incidence was significantly lower in patients with HBcrAg ≤ 2.9 log U/mL at year 1 than in those in the high HBcrAg cohort. The measurement of HBcrAg via the ultrasensitive assay has a better potential for predicting HCC during antiviral treatment than the current HBcrAg assay.

Open Access

Feasibility, Outcomes, and Safety of Telehepatology Services During the COVID-19 Pandemic

  • Pages: 65-76
  • First Published: 21 April 2021
Feasibility, Outcomes, and Safety of Telehepatology Services During the COVID-19 Pandemic

Tele-hepatology is a safe, feasible, and reasonably effective tool for rendering health-care services using smartphones during the COVID-19 pandemic.

Open Access

Direct AMPK Activation Corrects NASH in Rodents Through Metabolic Effects and Direct Action on Inflammation and Fibrogenesis

  • Pages: 101-119
  • First Published: 07 September 2021
Direct AMPK Activation Corrects NASH in Rodents Through Metabolic Effects and Direct Action on Inflammation and Fibrogenesis

AMPK is a key cellular sensor that is activated in response to a variety of conditions that deplete energy levels. AMPK activity is reduced in NASH. Direct AMPK activation using PXL770, a clinical-stage investigational drug, improves the hallmarks of NASH and type 2 diabetes in rodent models.

Open Access

Ipragliflozin Improves the Hepatic Outcomes of Patients With Diabetes with NAFLD

  • Pages: 120-132
  • First Published: 17 June 2021
Ipragliflozin Improves the Hepatic Outcomes of Patients With Diabetes with NAFLD

In the randomized controlled trial, long-term ipragliflozin treatment ameliorates hepatic outcomes, including fibrosis, in patients with type 2 diabetes with NAFLD. Ipragliflozin also ameliorates obesity and glycemic control in patients with type 2 diabetes with NAFLD.

Open Access

Transcriptomic Cross-Species Analysis of Chronic Liver Disease Reveals Consistent Regulation Between Humans and Mice

  • Pages: 161-177
  • First Published: 28 August 2021
Transcriptomic Cross-Species Analysis of Chronic Liver Disease Reveals Consistent Regulation Between Humans and Mice

In the present study, we observed that – although major interspecies differences remain – improved mouse models show up to 40% of the gene expression changes seen in liver tissue of human NAFLD or NASH, which is much higher than previously reported. Moreover, we identified gene sets consistently regulated in human and mouse chronic liver disease. Based on single-cell RNA-sequencing data set we mapped liver cell types to those genes and validated them by immunostaining.

Open Access

Inhibition of CMTM4 Sensitizes Cholangiocarcinoma and Hepatocellular Carcinoma to T Cell–Mediated Antitumor Immunity Through PD-L1

  • Pages: 178-193
  • First Published: 21 July 2021
Inhibition of CMTM4 Sensitizes Cholangiocarcinoma and Hepatocellular Carcinoma to T Cell–Mediated Antitumor Immunity Through PD-L1

CMTM4 stabilizes PD-L1 on liver cancer cells. CMTM4-low ICC/HCC, which expresses lower PD-L1, could be completely blocked by anti-PD-L1 mAb.

Open Access

Therapeutic Underuse and Delay in Hepatocellular Carcinoma: Prevalence, Associated Factors, and Clinical Impact

  • Pages: 223-236
  • First Published: 25 August 2021
Therapeutic Underuse and Delay in Hepatocellular Carcinoma: Prevalence, Associated Factors, and Clinical Impact

One-fourth of HCC patients receive no therapy and one-fifth of treated patients experience treatment delays. Both were associated with demographic, socioeconomic, clinical characteristics of patients, facility type, and regions. The association between therapeutic delay and survival was stage- and treatment-dependent. Therapeutic delay was associated with worse OS in patients who had early-stage HCC or received curative treatment.