Abstract:In addition to the classic factor implicated in mortality (Child-Pugh class), alterations in inflammation-related components and soluble adhesion molecules, as representatives of hemodynamic alterations, are of prognostic significance in cirrhotic patients.
“…These observations are in line with 2 recent studies that also highlighted the predictive value of sTNF-R 75 levels as an independent risk factor for cirrhotic patients. 42,43 However, these studies were either focused on short-term survival (3 months) or did not evaluate the value of sTNF-Rs in comparison with MELD. 42,43 Furthermore, we made some additional observations.…”
Section: Discussionmentioning
confidence: 99%
“…42,43 However, these studies were either focused on short-term survival (3 months) or did not evaluate the value of sTNF-Rs in comparison with MELD. 42,43 Furthermore, we made some additional observations. Presence of elevated sTNF-R 75 levels or a high MELD score markedly reduced false-negative rates compared with single tests, which is clinically relevant especially for the decision whether to refer a patient for liver transplantation.…”
“…These observations are in line with 2 recent studies that also highlighted the predictive value of sTNF-R 75 levels as an independent risk factor for cirrhotic patients. 42,43 However, these studies were either focused on short-term survival (3 months) or did not evaluate the value of sTNF-Rs in comparison with MELD. 42,43 Furthermore, we made some additional observations.…”
Section: Discussionmentioning
confidence: 99%
“…42,43 However, these studies were either focused on short-term survival (3 months) or did not evaluate the value of sTNF-Rs in comparison with MELD. 42,43 Furthermore, we made some additional observations. Presence of elevated sTNF-R 75 levels or a high MELD score markedly reduced false-negative rates compared with single tests, which is clinically relevant especially for the decision whether to refer a patient for liver transplantation.…”
“…Cell adhesion molecules are known as prognostic markers of liver fibrosis [43]. The expressions of ICAM-1 and VCAM-1, modulated by TNF-α, are upregulated in alcoholic hepatitis, CCl 4 -induced liver injury, and nutritional fibrosis [44][45][46].…”
We have demonstrated that alpha-MSH gene therapy reversed established liver fibrosis in mice. It also prevented the upregulated fibrogenic and proinflammatory gene response after CCl4 administration. Its collagenolytic effect may be attributed to MMP and TIMP modulation. In summary, alpha-MSH gene therapy may be an effective therapeutic modality against liver fibrosis with potential clinical use.
“…Only one study fulfilled all quality criteria [39]. Thirty-one studies met our criteria for a 'good' quality study [32,37,39,47,55,57,60,62,63,66,76,81,85,89,92,[95][96][97]100,103,104,112,116,117,123,124,128,130,138,142,143]. …”
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