Liver injury in COVID-19: Clinical features, potential mechanisms, risk factors and clinical treatments DOI Creative Commons
Shuwu Zhao, Yiming Li, Yilin Li

et al.

World Journal of Gastroenterology, Journal Year: 2023, Volume and Issue: 29(2), P. 241 - 256

Published: Jan. 5, 2023

The coronavirus disease 2019 (COVID-19) pandemic has been a serious threat to global health for nearly 3 years. In addition pulmonary complications, liver injury is not uncommon in patients with novel COVID-19. Although the prevalence of varies widely among COVID-19 patients, its incidence significantly increased severe cases. Hence, there an urgent need understand caused by Clinical features include detectable function abnormalities and imaging changes. Liver tests, computed tomography scans, ultrasound can help evaluate injury. Risk factors male sex, preexisting including transplantation chronic disease, diabetes, obesity, hypertension. To date, mechanism COVID-19-related fully understood. Its pathophysiological basis generally be explained systemic inflammatory response, hypoxic damage, ischemia-reperfusion injury, drug side effects. this review, we systematically summarize existing literature on COVID-19, clinical features, underlying mechanisms, potential risk factors. Finally, discuss management provide recommendations care

Language: Английский

Low immunogenicity to SARS-CoV-2 vaccination among liver transplant recipients DOI Creative Commons
Liane Rabinowich, Ayelet Grupper,

Roni Baruch

et al.

Journal of Hepatology, Journal Year: 2021, Volume and Issue: 75(2), P. 435 - 438

Published: April 21, 2021

Two SARS-CoV-2 mRNA vaccines were approved to prevent COVID-19 infection, with reported vaccine efficacy of 95%. Liver transplant (LT) recipients are at risk lower immunogenicity and not included in the registration trials. We assessed safety this special population.

Language: Английский

Citations

323

Analysis of antibody responses after COVID-19 vaccination in liver transplant recipients and those with chronic liver diseases DOI Open Access
Paul J. Thuluvath,

Polly Robarts,

Mahak Chauhan

et al.

Journal of Hepatology, Journal Year: 2021, Volume and Issue: 75(6), P. 1434 - 1439

Published: Aug. 26, 2021

Language: Английский

Citations

148

SARS-CoV-2 in immunocompromised individuals DOI Creative Commons
Susan DeWolf, Justin Laracy, Miguel‐Angel Perales

et al.

Immunity, Journal Year: 2022, Volume and Issue: 55(10), P. 1779 - 1798

Published: Sept. 13, 2022

Language: Английский

Citations

92

COVID-19 and liver disease DOI
Jean‐François Dufour, Thomas Marjot, Chiara Becchetti

et al.

Gut, Journal Year: 2022, Volume and Issue: 71(11), P. 2350 - 2362

Published: June 14, 2022

Knowledge on SARS-CoV-2 infection and its resultant COVID-19 in liver diseases has rapidly increased during the pandemic. Hereby, we review manifestations pathophysiological aspects related to patients without disease as well impact of with chronic (CLD), particularly cirrhosis transplantation (LT). been associated overt proinflammatory cytokine profile, which probably contributes substantially observed early late abnormalities. CLD, decompensated cirrhosis, should be regarded a risk factor for severe death. LT was impacted pandemic, mainly due concerns regarding donation recipients. However, did not represent per se worse outcome. Even though scarce, data specific therapy special populations such recipients seem promising. vaccine-induced immunity seems impaired CLD recipients, advocating revised schedule vaccine administration this population.

Language: Английский

Citations

71

Safety and immunogenicity of COVID-19 vaccination in patients with non-alcoholic fatty liver disease (CHESS2101): A multicenter study DOI Creative Commons
Jitao Wang,

Zhiyun Hou,

Jianxin Liu

et al.

Journal of Hepatology, Journal Year: 2021, Volume and Issue: 75(2), P. 439 - 441

Published: April 24, 2021

Language: Английский

Citations

90

Administration of COVID-19 vaccines in immunocompromised patients DOI Open Access
Manica Negahdaripour, Mojtaba Shafiekhani, Seyed Mohammad Iman Moezzi

et al.

International Immunopharmacology, Journal Year: 2021, Volume and Issue: 99, P. 108021 - 108021

Published: July 28, 2021

Language: Английский

Citations

72

Liver transplantation from active COVID-19 donors: A lifesaving opportunity worth grasping? DOI Creative Commons
Renato Romagnoli, Salvatore Gruttadauria, Giuseppe Tisone

et al.

American Journal of Transplantation, Journal Year: 2021, Volume and Issue: 21(12), P. 3919 - 3925

Published: Sept. 1, 2021

COVID-19 pandemic dramatically impacted transplantation landscape. Scientific societies recommend against the use of donors with active SARS-CoV-2 infection. Italian Transplant Authority recommended to test recipients/donors for SARS-CoV-2-RNA immediately before liver transplant (LT) and, starting from November 2020, grafts deceased infection were allowed be considered urgent-need candidates active/resolved COVID-19. We present results first 10 LTs within an multicenter series. Only two recipients had a positive molecular at LT and one them remained up 21 days post-LT. None other eight was found during follow-up. IgG in 80% (8/10) recipients, 71% (5/7) showed neutralizing antibodies, expression protective immunity related recent In addition, testing RNA on donors' biopsy negative 100% (9/9), suggesting very low risk transmission LT. Immunosuppression regimen unchanged, according standard protocol. Despite small number cases, these data suggest that transplanting livers informed immunity, might contribute safely increase donor pool.

Language: Английский

Citations

65

Impact of COVID-19 on the liver and on the care of patients with chronic liver disease, hepatobiliary cancer, and liver transplantation: An updated EASL position paper DOI Open Access
Thomas Marjot, Christiane S. Eberhardt, Tobias Boettler

et al.

Journal of Hepatology, Journal Year: 2022, Volume and Issue: 77(4), P. 1161 - 1197

Published: July 20, 2022

Language: Английский

Citations

62

Humoral Response to SARS-Cov-2 Vaccination in Liver Transplant Recipients–A Single-Center Experience DOI Creative Commons
Jassin Rashidi‐Alavijeh, Alexandra Frey,

Moritz Passenberg

et al.

Vaccines, Journal Year: 2021, Volume and Issue: 9(7), P. 738 - 738

Published: July 4, 2021

Vaccination against SARS-CoV-2 infection is currently approved and shows favorable outcomes, but little known about antibody responses in solid organ transplant recipients, since these patients are to have an impaired immune response upon vaccination not been included admission studies. We therefore analyzed immunogenicity 43 liver (LT) recipients a median of 15 days (IQR, 12–24) after receiving two doses the mRNA-based vaccine BNT162b2 following standard protocol, compared results control group consisting 20 healthcare workers (HCWs). Thirty-four (79%) LT developed antibodies, out (100%) (p = 0.047). The IgG titer was significantly lower (216 vs. >2080 BAU/mL, p 0.0001). Age sex distribution similar that antibodies those who did not. Interestingly, received mycophenolate mofetil exhibited reduced other (5 11 (45.5%) 29 32 (90.6%), 0.004). In conclusion, our data reveal group, still show superior reported so far.

Language: Английский

Citations

59

COVID-19-associated liver injury: Clinical characteristics, pathophysiological mechanisms and treatment management DOI Open Access
Penghui Li, Ying Liu, Ziqi Cheng

et al.

Biomedicine & Pharmacotherapy, Journal Year: 2022, Volume and Issue: 154, P. 113568 - 113568

Published: Aug. 17, 2022

Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), has become a global epidemic and poses major threat to public health. In addition COVID-19 manifesting as disease, patients with also have complications in extrapulmonary organs, including liver damage. Abnormal function is relatively common patients; its clinical manifestations can range from an asymptomatic elevation of enzymes decompensated hepatic function, injury more prevalent critical patients. Liver comprehensive effect mediated multiple factors, damage directly SARS-CoV-2, drug-induced damage, hypoxia reperfusion dysfunction, immune stress inflammatory factor storms. Patients chronic (especially alcohol-related nonalcoholic fatty cirrhosis hepatocellular carcinoma) are at increased risk death after infection aggravates disease. This article reviews the latest SARS-CoV-2 reports, focusing on underlying mechanism, expounds risk, treatment vaccine safety transplantation.

Language: Английский

Citations

44