Furthermore, ribosomal protein S5 (RPS5) was identified as a dire

Furthermore, ribosomal protein S5 (RPS5) was identified as a direct target of MASM, which stabilized RPS5 in cultured HSCs and in the liver of experimental animals after dimethylnitrosamine (DMN) or bile duct ligation (BDL). Functional studies revealed that RPS5 could prevent HSC activation. RPS5 overexpression in HSCs resulted in Akt dephosphorylation at both Ser473 and

Thr308, and led to subsequent dephosphorylation of GSK3β or P70S6K. Progression of DMN- and BDL-induced hepatic fibrosis was aggravated by Rps5 knockdown and alleviated by RPS5 overexpression, which correlated with the modulation of Akt phosphorylation and HSC number in the fibrotic livers. Moreover, RPS5 was substantially reduced in the transdifferentiated

HSCs, experimental fibrotic livers, and human cirrhosis samples. selleck compound Conclusion: These results demonstrate that RPS5 is implicated in hepatic fibrogenesis and may represent a promising target for potential therapeutic intervention in liver fibrotic diseases. (Hepatology 2014;60:648–660) “
“Biliary strictures can be categorized according to technical factor as anastomotic or nonanastomotic strictures. Biliary anastomotic stricture is a common complication after living-donor liver transplantation, occasionally causing deaths. The two most commonly used methods for biliary anastomosis are duct-to-duct anastomosis and hepaticojejunostomy. Before presenting a description of the latest techniques of duct-to-duct anastomosis and hepaticojejunostomy, this review first relates

the technique of donor right hepatectomy, as click here most biliary complications suffered by recipients of living-donor liver transplantation originate from donor operations. Clomifene Three possible causes of biliary anastomotic stricture, namely impaired blood supply, biliary anomaly, and technical flaw, are then discussed. Lastly, the review focuses on the latest management of biliary anastomotic stricture. Treatment modalities include endoscopic retrograde cholangiography with dilatation, percutaneous transhepatic biliary drainage with dilatation, conversion of duct-to-duct anastomosis to hepaticojejunostomy, and revision hepaticojejunostomy. End-to-side versus side-to-side hepaticojejunostomy is also discussed. Liver transplantation is a life-saving procedure for patients with end-stage liver diseases. As the supply of liver grafts from deceased donors always fall shorts, living-donor liver transplantation (LDLT) has been developed as the alternative to deceased-donor liver transplantation. LDLT was initially limited to pediatric recipients because of restriction of graft size. Later when it was extended to adult patients, still only the left lobe of the liver was used. In order to extend the benefit of LDLT to as many patients as possible, transplantation of the right liver lobe, which is a bigger graft, to an adult was initiated in 1996.

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