30 The data reported here support a different

30 The data reported here support a different check details model in which the CD8+ T cells respond to an AAV2 vector-encoded transgene expressed in hepatocytes and are primed without CD4+ T cell help by direct presentation of antigen. The absence of cross-priming is consistent with several other features of the AAV vectors. First, cell death and the subsequent phagocytosis of apoptotic bodies is a route by which cellular antigen enters the cross-presentation

pathway,34 but these vectors are noncytopathic so this pathway of antigen presentation would not be favored. Second, whereas transduction of liver cells with adenovirus resulted in robust synthesis of type 1 IFN, this type of response was not elicited by AAV vectors.35 The type 1 IFNs play diverse roles in induction of specific immunity, and one of these roles is the promotion of cross-presentation.36 The evidence in favor of a direct-primed response raises the question of how the T cells could actually be engaged. Although hepatocytes are separated from circulating T cells by an endothelial barrier, this endothelium is fenestrated and direct contact between T cells and underlying hepatocytes can occur.12 In our model, the hepatocytes

are the only cells transduced with the AAV vector. Thus, both the ultrastructural evidence and the expression pattern of AAV favor the model that hepatocytes are directly priming the CD8+ T cells. Our BGJ398 chemical structure data also support the interpretation that AAV2-ova did not induce a CD4+ T cell response, and that, furthermore, the CD8+ T cell MCE公司 response was not modified by the absence of CD4+ T cell help. In similar studies using D0.11.10

T cells, the lack of a readily detectable immune response was attributed either to the induction of T cell anergy16 or to the differentiation of the T cells into classic Tr3 cells expressing CD25 and the transcription factor forkhead box P3 (FoxP3).37 However, even if such cells were generated, a local immune response occurred in their presence. The CD8+ T cell response to AAV was associated with elevated expression of the coinhibitory molecule PD-1. The PD-1 molecule is associated with a senescent phenotype, characteristic of inactive T cells found in the liver during chronic infections, such as with lymphocytic choriomeningitis virus and HCV.38, 39 The regulation of PD-1 expression on CD8+ T cells is not fully understood, but our data contribute to this question by showing that the antigen-specific induction of PD-1 on CD8+ T cells in the liver was not different in mice lacking MHC class II; therefore, we do not see an essential role either for CD4+ T helper cells, or for CD4+ T regulatory cells, in the induction of PD-1.

1953, Poole 2002, Williams

et al 2002, Condit et al 200

1953, Poole 2002, Williams

et al. 2002, Condit et al. 2007, Mackey et al. 2008). The Bayesian method produces credible intervals for every parameter, and for every statistic derived from the parameters, based on posterior distributions described by the Markov chains, plus it simplifies the likelihood formulation by incorporating a latent parameter, Dj, for the age at which animal j dies (Clark et al. 2005; Appendix S2). Constraints on parameters served as prior probability distributions: the probability of any parameter combination was set to zero if it predicted survival rate outside the interval (0,1) at any age. We compared prior probabilities of survival rates to fitted posterior distributions to show that priors had negligible impact on results (Appendix S4). Single Markov chains of 10,000 steps were completed for all the models tested CYC202 order (Appendix S1). For the piecewise regression model with three segments, we carried out four additional chains of 22,000 steps,

each with different starting values for the parameters, in order to test for convergence. Parameter estimates, survival rates, and credible intervals based on the four runs were indistinguishable, and Gelman and Rubin’s (1992) scale reduction factor was <1.01, so the four chains were merged for a total of 80,000 estimates (discarding the first 2,000 of each Navitoclax cost as burn-in). There was autocorrelation in parameter chains, particularly for β1 (the first age division), so the final samples of 80,000 were thinned to 2,000 randomly drawn sets of parameters. The thinned chains describe the model’s estimate of each parameter’s posterior distribution. Every parameter combination was also used to calculate age-specific survival (Eq. (1)) and thence survivorship, yielding posterior distributions of all S(x) and L(x). The mean of each posterior distribution was taken as the best estimate for

every statistic, including survival and detection rates. The central 95 percentiles of the posterior distributions served as credible intervals for each model parameter, survival, and survivorship at every age. We state that differences are “statistically significant” when credible intervals medchemexpress did not overlap a null hypothesis, for example, when intervals for slope parameters did not overlap zero. An additional source of uncertainty resulted from misread or failed brands. We documented misread brands by matching observed sex, brand position (left vs. right flank), and tag number to original records, and by examining repeated sightings. For example, the female with brand number 247 was seen many times from 1991 onward, while the brand 297 appeared in 1997 and 2000; the two numbers were never recorded in the same year. Since the real brand 297 was applied to a male, we assigned the 1997 and 2000 sightings to Brand-247.

1953, Poole 2002, Williams

et al 2002, Condit et al 200

1953, Poole 2002, Williams

et al. 2002, Condit et al. 2007, Mackey et al. 2008). The Bayesian method produces credible intervals for every parameter, and for every statistic derived from the parameters, based on posterior distributions described by the Markov chains, plus it simplifies the likelihood formulation by incorporating a latent parameter, Dj, for the age at which animal j dies (Clark et al. 2005; Appendix S2). Constraints on parameters served as prior probability distributions: the probability of any parameter combination was set to zero if it predicted survival rate outside the interval (0,1) at any age. We compared prior probabilities of survival rates to fitted posterior distributions to show that priors had negligible impact on results (Appendix S4). Single Markov chains of 10,000 steps were completed for all the models tested check details (Appendix S1). For the piecewise regression model with three segments, we carried out four additional chains of 22,000 steps,

each with different starting values for the parameters, in order to test for convergence. Parameter estimates, survival rates, and credible intervals based on the four runs were indistinguishable, and Gelman and Rubin’s (1992) scale reduction factor was <1.01, so the four chains were merged for a total of 80,000 estimates (discarding the first 2,000 of each Poziotinib mw as burn-in). There was autocorrelation in parameter chains, particularly for β1 (the first age division), so the final samples of 80,000 were thinned to 2,000 randomly drawn sets of parameters. The thinned chains describe the model’s estimate of each parameter’s posterior distribution. Every parameter combination was also used to calculate age-specific survival (Eq. (1)) and thence survivorship, yielding posterior distributions of all S(x) and L(x). The mean of each posterior distribution was taken as the best estimate for

every statistic, including survival and detection rates. The central 95 percentiles of the posterior distributions served as credible intervals for each model parameter, survival, and survivorship at every age. We state that differences are “statistically significant” when credible intervals 上海皓元 did not overlap a null hypothesis, for example, when intervals for slope parameters did not overlap zero. An additional source of uncertainty resulted from misread or failed brands. We documented misread brands by matching observed sex, brand position (left vs. right flank), and tag number to original records, and by examining repeated sightings. For example, the female with brand number 247 was seen many times from 1991 onward, while the brand 297 appeared in 1997 and 2000; the two numbers were never recorded in the same year. Since the real brand 297 was applied to a male, we assigned the 1997 and 2000 sightings to Brand-247.

Mouse sera were assayed for HBsAg and capsid-associated HBV DNA a

Mouse sera were assayed for HBsAg and capsid-associated HBV DNA at the indicated time points after injection. The SensoLyte FDP SEAP Reporter Gene Assay kit (AnaSpec, Fremont, CA) was used to detect SEAP activity in mouse sera. For immunofluorescence staining of the HBV core antigen, mouse livers were fixed with 4% formalin overnight, cryoprotected in 30% sucrose, and sectioned at a thickness of 10 μm, using Leica cryostat (Leica

Microsystems, Buffalo Grove, IL), and mounted on Superfrost glass slides (Thermo Fisher Scientific). Sections were incubated with the primary antibody (anti-HBc; US Biological) overnight, followed by incubation with the goat anti-rabbit secondary antibody conjugated with Alexa Fluor 568 (Invitrogen). Slides were subsequently counterstained with 4′,6-diamidino-2-phenylindole (DAPI). Images were captured using a Zeiss LSM 510 Meta Confocal Microscope (Carl Zeiss GmbH, Jena, Germany). www.selleckchem.com/products/U0126.html For Western blot analysis of the HBV core protein, approximately 120 mg of the mouse liver was rinsed with cold buffer A (50 mM Tris-HCl, pH 7.0, 2 mM EDTA, and 150 mM NaCl) and homogenized in buffer B (50 mM Tris-HCl, pH 7.0, 10% glycerol, 5 mM MgCl2, 0.2 mM EDTA, check details 1 mM dithiothreitol, and 1 × protease inhibitor cocktail). The homogenates were centrifuged at 15,000g

for 30 minutes twice to pellet the cell debris. Next, 150 μg of total proteins were analyzed in 15% SDS-PAGE, using the same protocol described above for HepG2 cell lysates. BLOCK-iT Pol II miR RNAi expression vectors (Invitrogen) were used to knock down the expression of KLF15 in mice. To analyze the expression level of KLF15 in miR RNAi-transfected hepatocytes, mice were anesthetized and their livers were perfused with collagenase 3 days after hydrodynamic

injection to obtain hepatocytes, which were subsequently sorted by flow cytometry to separate transfected (i.e., green fluorescent protein [GFP]-positive) hepatocytes from untransfected (i.e., GFP-negative) hepatocytes. To analyze the effect of KLF15 on viral gene expression, 10 μg of pAAV-HBV1.2 or pAAV-HBV1.2-CPm2 and 5 μg of pLive-SEAP were coinjected into mice through the tail veins. All of the plasmids used MCE for hydrodynamic injection were prepared using the EndoFree plasmid preparation kit (Qiagen). The Student t test and Mann-Whitney U test were used to analyze data. A value of P < 0.05 was regarded as statistically significant. To identify host factors that can promote HBV gene expression, we initiated a yeast one-hybrid assay to screen for transcription factors that could bind the HBV major surface promoter. Multiple screens pulled out the previously identified NF-Y transcription factor, as well as a few members of the KLF family of transcription factors12 (T. Tan and T.S.B. Yen, unpublished data).

The results further identify mTOR as a novel effector of RB of PM

The results further identify mTOR as a novel effector of RB of PMNs. Consequently, mTOR inhibition by rapamycin dramatically aggravated the RB defect of patients’ PMNs. This rapamycin-induced inhibition of NOX2 activity in PMNs from patients with cirrhosis was mediated through inhibition of p38-MAPK signaling and phosphorylation of p47phox(S345). Therefore, the use of mTOR inhibitors may increase the susceptibility of patients with cirrhosis to bacterial infections. These results suggest that rapamycin or rapalogs should be used with caution in immuno-depressed patients. The authors thank Margarita Hurtado-Nedelec, Anh Cung, Michèle Fay, and Célia Madjene for their

help with flow cytometry and imaging selleck chemicals studies. Additional Supporting Information may be found in the online version of this article. “
“Endothelial nitric oxide synthase (eNOS) is a critical modulator of vascular tone and blood flow and plays major roles in liver physiology and pathophysiology. Nitric oxide (NO) is widely recognized as one of the key humoral factors important for the initiation of liver regeneration in response to partial hepatectomy. Liver regeneration in response to partial hepatectomy is dependent on the efficiency of growth factor-mediated cell-cycle progression. Epidermal growth factor receptor (EGFR) is a critical mediator of multiple

hepatic mitogens, such as epidermal growth factor (EGF), transforming growth factor alpha, amphiregulin, and heparin-binding EGF in regenerating livers. However, the functional significance of endothelial nitric Talazoparib datasheet oxide synthase (eNOS) expressed in hepatocytes, and its potential role in EGFR-mediated hepatocyte proliferation, remains unexplored. We sought to determine whether eNOS is essential for hepatocyte proliferation in response to partial hepatectomy (PH). Our studies with eNOS knockout (eNOS−/−) mice suggest that eNOS activation is essential for the efficient induction of early events and elicitation of a robust hepatocyte proliferative response to PH. Moreover,

eNOS expression is essential for the efficient early induction of matrix metalloprotease-9, a known mediator of extracellular matrix remodeling and growth factor activation 上海皓元医药股份有限公司 in regenerating livers. Our in vitro studies suggest that eNOS is a critical mediator of EGF-induced hepatocyte proliferation, potentially via its influence on the induction of early growth response-1 (Egr-1) and phosphorylation of c-Jun—known mediators of cell-cycle progression. EGF-induced eNOS phosphorylation at Ser 1177 is dependent on the phosphorylation and activation of EGFR/PI3 kinase/AKT signaling in hepatocytes. Conclusion: Collectively, these results highlight a hitherto unrecognized role for eNOS activation in hepatocyte proliferation with implications for targeted therapies to enhance liver regenerative response in chronic disorders.

The results further identify mTOR as a novel effector of RB of PM

The results further identify mTOR as a novel effector of RB of PMNs. Consequently, mTOR inhibition by rapamycin dramatically aggravated the RB defect of patients’ PMNs. This rapamycin-induced inhibition of NOX2 activity in PMNs from patients with cirrhosis was mediated through inhibition of p38-MAPK signaling and phosphorylation of p47phox(S345). Therefore, the use of mTOR inhibitors may increase the susceptibility of patients with cirrhosis to bacterial infections. These results suggest that rapamycin or rapalogs should be used with caution in immuno-depressed patients. The authors thank Margarita Hurtado-Nedelec, Anh Cung, Michèle Fay, and Célia Madjene for their

help with flow cytometry and imaging selleck compound studies. Additional Supporting Information may be found in the online version of this article. “
“Endothelial nitric oxide synthase (eNOS) is a critical modulator of vascular tone and blood flow and plays major roles in liver physiology and pathophysiology. Nitric oxide (NO) is widely recognized as one of the key humoral factors important for the initiation of liver regeneration in response to partial hepatectomy. Liver regeneration in response to partial hepatectomy is dependent on the efficiency of growth factor-mediated cell-cycle progression. Epidermal growth factor receptor (EGFR) is a critical mediator of multiple

hepatic mitogens, such as epidermal growth factor (EGF), transforming growth factor alpha, amphiregulin, and heparin-binding EGF in regenerating livers. However, the functional significance of endothelial nitric AZD1208 mouse oxide synthase (eNOS) expressed in hepatocytes, and its potential role in EGFR-mediated hepatocyte proliferation, remains unexplored. We sought to determine whether eNOS is essential for hepatocyte proliferation in response to partial hepatectomy (PH). Our studies with eNOS knockout (eNOS−/−) mice suggest that eNOS activation is essential for the efficient induction of early events and elicitation of a robust hepatocyte proliferative response to PH. Moreover,

eNOS expression is essential for the efficient early induction of matrix metalloprotease-9, a known mediator of extracellular matrix remodeling and growth factor activation 上海皓元 in regenerating livers. Our in vitro studies suggest that eNOS is a critical mediator of EGF-induced hepatocyte proliferation, potentially via its influence on the induction of early growth response-1 (Egr-1) and phosphorylation of c-Jun—known mediators of cell-cycle progression. EGF-induced eNOS phosphorylation at Ser 1177 is dependent on the phosphorylation and activation of EGFR/PI3 kinase/AKT signaling in hepatocytes. Conclusion: Collectively, these results highlight a hitherto unrecognized role for eNOS activation in hepatocyte proliferation with implications for targeted therapies to enhance liver regenerative response in chronic disorders.

Obliterative portal venopathy as characterized by Ludwig et al15

Obliterative portal venopathy as characterized by Ludwig et al.15 was found in three of the 16 patients who underwent

liver biopsy, and pure nodular regenerative hyperplasia, small duct sclerosing cholangitis without fibrosis, and bacterial cholangitis was found in one patient each. The remaining 10 patients had histologically normal liver and bile ducts. Anticoagulation was administered to 95 patients (93%) for a median duration of 234 days (range, 7–937 days). Median interval from first symptoms to start of treatment was 13 days (range, 0–140 days), and from diagnosis to treatment was 0 days (range, −7 to 21 days) (Fig. 1). Three ICG-001 patients, for whom portal vein thrombosis was suspected on clinical

and ultrasound data, had had anticoagulation initiation 7, 5, and 3 days respectively prior to diagnosis confirmation with computed tomography. Initial treatment was heparin in 84 patients (unfractionated heparin in 23 Alpelisib patients, low molecular weight heparin in 61 patients), and vitamin K antagonists in 11. A transjugular intrahepatic portosystemic shunt was inserted in one patient who also received anticoagulation treatment and thrombolysis. Obstruction of the portal vein or of its two branches was found in 83 patients (87%). The 12 remaining patients had only a single obstructed portal vein branch (with or without splenic or superior mesenteric vein obstruction) were all symptomatic. Seven patients had only left or right portal vein thrombosis. All had clinical symptoms. The splenic

vein or the superior mesenteric vein were 上海皓元医药股份有限公司 obstructed in 41 (43%) and 55 (58%) patients, respectively. Extensive obstruction of the portal vein and its right and left branches, superior mesenteric vein, and splenic vein was found in 28 patients (29%). Figure 2 shows the outcome of venous obstruction compared with initial findings. Compared with baseline, the prevalence of obstruction decreased by 30% for the portal vein or its two main branches, 54% for the splenic vein, 53% for the superior mesenteric vein, and 54% for simultaneous obstruction of all above veins. The portal venous system was completely patent in 19 patients. A portal cavernoma developed in 38 patients. None of the 12 patients with obstruction of a single portal vein branch developed obstruction of the portal vein or both branches. There was no extension to the mesenteric or splenic vein during follow up. Figure 3 shows that the 1-year recanalization rate was 38% in the 83 patients with initial obstruction of the portal vein or both branches. Recanalization did not occur in any of the patients beyond the sixth month after anticoagulation treatment was initiated.

PHS 2010-05-103) Mice were infected with O viverrini by feeding

PHS 2010-05-103). Mice were infected with O. viverrini by feeding 50 intact, viable metacercariae to each mouse by way of an orogastric tube. Mta1−/− and Mta1+/+ mice were bred in our laboratory as described.23, 28 Seven mice of each genotype, Mta1−/− and Mta1+/+, age- and sex-matched per group, were infected and included in the investigation. Infected mice and control noninfected mice were euthanized

23 days after infection by way of overdose with pentobarbital sodium plus phenytoin sodium (Euthasol, Virbac, Fort Worth, TX). At necropsy, blood for serum was removed by way of cardiac puncture, after which the liver, spleen, kidneys, lungs, and bladder were removed from the mouse. About half of each of the solid ACP-196 purchase organs were stored by snap freezing them in liquid N2, and the remainder were fixed and stored in 4% formalin in phosphate-buffered saline (PBS).

The investigation of O. viverrini infection of these mice was undertaken with the approval of the Institutional Animal Use and Care committee of the George ALK inhibitor Washington University. An indirect enzyme-linked immunosorbent assay (ELISA) was used to measure levels of immunoglobulin G (IgG) to an O. viverrini soluble adult worm preparation produced as described.19 A pool of positive control sera was derived from equal portions of sera from each genotype at 23 days after infection. A pool of negative control sera was sourced from the age- and sex-matched mice without any other apparent infection. PolySorp (Nalge, Nunc International, Rochester, NY) 96-well microtiter plates were coated with 100 μL/well of 5 μg/mL of soluble adult worm antigen, prepared from adult O. viverrini worms in carbonate-bicarbonate buffer (pH

9.6), sealed, and incubated overnight MCE公司 at 4°C. Plates were washed three times with PBS (pH 7.2) and blocked with 100 μL/well of 3% bovine serum albumin (BSA) (Sigma, St. Louis, MO) diluted in PBS (pH 7.2). Control and experimental serum samples were diluted 1:4,000 in PBS (pH 7.2), and 100 μL was added to each well of the microtiter plate in duplicate. The plates were sealed and incubated overnight at 4°C and then washed three times with PBS with 0.05% Tween 20 (pH 7.2). A biotinylated goat anti-mouse IgG antibody (Vector Laboratories Inc., Burlingame, CA) was used at a 1:5,000 dilution in 3% BSA and PBS and applied 100 μL/well and then incubated for 90 minutes at room temperature. After incubation, the plates were washed with PBS with 0.05% Tween 20 and incubated with a 1:1,000 dilution of horseradish peroxidase–conjugated streptavidin (GE Healthcare, Buckinghamshire, UK) in 3% BSA and PBS for 60 minutes at room temperature in the dark. The plates were incubated in the dark at room temperature for 30 minutes with o-phenylenediamine dihydrochloride.

PHS 2010-05-103) Mice were infected with O viverrini by feeding

PHS 2010-05-103). Mice were infected with O. viverrini by feeding 50 intact, viable metacercariae to each mouse by way of an orogastric tube. Mta1−/− and Mta1+/+ mice were bred in our laboratory as described.23, 28 Seven mice of each genotype, Mta1−/− and Mta1+/+, age- and sex-matched per group, were infected and included in the investigation. Infected mice and control noninfected mice were euthanized

23 days after infection by way of overdose with pentobarbital sodium plus phenytoin sodium (Euthasol, Virbac, Fort Worth, TX). At necropsy, blood for serum was removed by way of cardiac puncture, after which the liver, spleen, kidneys, lungs, and bladder were removed from the mouse. About half of each of the solid Epacadostat organs were stored by snap freezing them in liquid N2, and the remainder were fixed and stored in 4% formalin in phosphate-buffered saline (PBS).

The investigation of O. viverrini infection of these mice was undertaken with the approval of the Institutional Animal Use and Care committee of the George GPCR Compound Library cell line Washington University. An indirect enzyme-linked immunosorbent assay (ELISA) was used to measure levels of immunoglobulin G (IgG) to an O. viverrini soluble adult worm preparation produced as described.19 A pool of positive control sera was derived from equal portions of sera from each genotype at 23 days after infection. A pool of negative control sera was sourced from the age- and sex-matched mice without any other apparent infection. PolySorp (Nalge, Nunc International, Rochester, NY) 96-well microtiter plates were coated with 100 μL/well of 5 μg/mL of soluble adult worm antigen, prepared from adult O. viverrini worms in carbonate-bicarbonate buffer (pH

9.6), sealed, and incubated overnight medchemexpress at 4°C. Plates were washed three times with PBS (pH 7.2) and blocked with 100 μL/well of 3% bovine serum albumin (BSA) (Sigma, St. Louis, MO) diluted in PBS (pH 7.2). Control and experimental serum samples were diluted 1:4,000 in PBS (pH 7.2), and 100 μL was added to each well of the microtiter plate in duplicate. The plates were sealed and incubated overnight at 4°C and then washed three times with PBS with 0.05% Tween 20 (pH 7.2). A biotinylated goat anti-mouse IgG antibody (Vector Laboratories Inc., Burlingame, CA) was used at a 1:5,000 dilution in 3% BSA and PBS and applied 100 μL/well and then incubated for 90 minutes at room temperature. After incubation, the plates were washed with PBS with 0.05% Tween 20 and incubated with a 1:1,000 dilution of horseradish peroxidase–conjugated streptavidin (GE Healthcare, Buckinghamshire, UK) in 3% BSA and PBS for 60 minutes at room temperature in the dark. The plates were incubated in the dark at room temperature for 30 minutes with o-phenylenediamine dihydrochloride.

Studies using combinations of DAA agents with PEG-IFN/RBV have be

Studies using combinations of DAA agents with PEG-IFN/RBV have been initiated, and these studies will multiply. Whether or not RBV (and TBV) can be eliminated altogether remains to be determined. Particularly for those patients with unfavorable treatment characteristics, RBV may remain a part of our therapeutic armamentarium for years to come; if so, TBV could be an option with

the potential to limit toxicity and potentially reduce costs. The ideal study may combine TBV with a DAA agent and PEG-IFN and compare this to RBV to determine if SVR rates can be preserved or improved by the minimization of dose reductions and the reduction of the emergence of resistance. Because of the long wait between the approval of PEG-IFN and RBV and the yet-to-come approval of DAA agents, we should not discount the potential click here contribution of TBV. Many promising agents have already been stopped

in development because of a lack of efficacy or toxicity.22, Ivacaftor 23 Thus, if TBV can be shown to preserve or improve efficacy rates in combination with DAAs and PEG-IFN and bring lower rates of anemia, the use of TBV in these clinical settings would be a welcome addition to the HCV armamentarium as we begin to expand the HCV populations that we treat.1 “
“Peritoneovenous shunt (PVS) is accepted as a treatment for refractory ascites due to liver cirrhosis. Infection is a well-known complication of shunting. However, the effects of PVS in terms of complications for renal disease are unclear. We encountered a case involving a 52-year-old man with alcoholic liver cirrhosis and complications of nephrotic syndrome that were worsened by PVS. He received PVS for refractory ascites due to alcoholic liver cirrhosis

before coming to our hospital for evaluation for liver transplantation. Nephrotic syndrome was then identified due to cirrhosis-related membranoproliferative DNA Methyltransferas inhibitor glomerulonephritis (MPGN). Prednisolone was administrated at 60 mg/day for MPGN. On day 5, he showed grade IV hepatic encephalopathy (West Haven criteria). Tapering prednisolone and intestinal cleansing with lactulose treatment improved hepatic encephalopathy, but hyperammonemia persisted and the PVS was removed. After shunt removal, urinary protein levels decreased from 4–6 g/day to 0.3–0.5 g/day and ammonia levels decreased. PVS may increase the excretion of urinary protein and increase ammonia levels in patients with complications of glomerulonephritis. “
“Lipocalin-2 (Lcn2) is preferentially expressed in hepatocellular carcinoma (HCC). However, the functional role of Lcn2 in HCC progression is still poorly understood, particularly with respect to its involvement in invasion and metastasis.