Applied Medical Research,
Год журнала:
2024,
Номер
unknown, С. 1 - 11
Опубликована: Апрель 29, 2024
Rare
liver
diseases
are
highly
diverse
and
driven
by
multiple
mechanisms
that
not
well
understood.
Classifying
these
is
challenging,
but
the
European
Reference
Network
(ERN)
on
rare
has
proposed
categorizing
them
as
autoimmune,
infectious,
genetic/hereditary,
vascular,
neoplastic,
others
with
unknown
causes.
Liver International,
Год журнала:
2025,
Номер
45(3)
Опубликована: Фев. 20, 2025
ABSTRACT
The
comprehensive
population‐based
cohort
study
of
autoimmune
liver
disease
(AILD)
mortality
by
Lasyte
et
al.
provides
valuable
epidemiological
insights.
Several
methodological
perspectives
merit
consideration,
including
public
database
limitations,
temporal
trends
and
the
role
chronic
kidney
as
an
unmeasured
covariate
in
risk
assessment.
These
elements
further
enhance
interpretation
this
robust
AILD
analysis.
Experimental and Clinical Gastroenterology,
Год журнала:
2025,
Номер
9, С. 217 - 222
Опубликована: Март 6, 2025
A
clinical
case
of
an
extremely
rare
morphologically
verified
combination
primary
biliary
cholangitis
and
hemochromatosis
in
a
patient
is
presented.
brief
description
literature
reference
on
these
diseases
are
given
from
the
standpoint
modern
approach
to
diagnostics,
classification,
manifestations
treatment.
The
presented
observation
considers
course
disease
onset
present
time,
including
stage
self-induced
cessation
taking
necessary
medications
seeking
medical
help,
which
led
rapid
progression
with
pronounced
appearance
typical
color
skin,
xanthelasma,
hepatosplenomegaly
hepatocellular
insufficiency.
data
laboratory
instrumental
examination
conducted
various
clinics
analyzed.
It
important
note
that
liver
cirrhosis
as
result
has
very
unfavorable
prognosis,
treatment
comprehensive.
Annals of Pharmacotherapy,
Год журнала:
2025,
Номер
unknown
Опубликована: Март 12, 2025
Objective:
To
review
the
published
data
including
pharmacology,
efficacy,
and
safety
of
seladelpar,
a
peroxisome
proliferator-activated
receptor
delta
(PPARδ)
agonist
leading
to
Food
Drug
Administration
(FDA)
accelerated
approval
for
treatment
primary
biliary
cholangitis
(PBC).
Data
sources:
A
PubMed
(January
1,
1985
January
27,
2025)
literature
search
was
performed
using
terms
MBX-8025,
agonist,
PBC.
Other
sources
included
Google
Scholar
National
Institutes
Health
Clinical
Trials
Registry.
Study
selection
extraction:
All
English-language
evaluating
pharmacokinetics,
safety,
efficacy
seladelpar
in
PBC
reviewed.
synthesis:
Seladelpar
is
first
PPARδ
that
has
shown
significant
reduction
across
biochemical
response,
alkaline
phosphatase
(ALP)
normalization,
pruritus
as
compared
placebo
while
demonstrating
tolerability.
Relevance
patient
care
clinical
practice
comparison
existing
drugs:
While
drug
treatments
are
efficacious,
there
remains
an
unmet
need
due
incomplete
response
many
patients.
Patients
frequently
suffer
from
symptoms,
pruritus,
impacting
their
quality
life.
could
have
beneficial
role
add-on
therapy
improving
well
alleviating
pruritus.
Conclusion:
safe
effective
fills
need.
Seladelpar’s
benefit
predicted
by
improvement
surrogate
endpoints
may
confirmation
traditional
FDA
approval.
Seminars in Liver Disease,
Год журнала:
2025,
Номер
unknown
Опубликована: Апрель 3, 2025
The
onset
of
decompensation
in
advanced
chronic
liver
disease
(ACLD)
is
a
hallmark
natural
history,
with
poor
prognosis
and
significantly
increased
liver-related
mortality.
Etiological
treatments
for
viral
hepatitis
or
abstinence
cirrhosis
due
to
alcohol
abuse
have
demonstrated
that
some
patients
experience
partial
complete
clinical
analytical
improvement,
stage
termed
“recompensation.”
Although
recompensation
primarily
defined
clinically
based
on
treatable
etiologies,
it
still
evolving
conditions
like
metabolic
dysfunction-associated
steatotic
(MASLD).
Despite
the
need
specific
biomarkers
hepatic
recompensation,
no
been
thoroughly
studied
this
context.
Biomarkers
identified
compensated
ACLD
(cACLD)
following
etiological
treatment
might
be
explored
recompensation.
pathophysiology
mechanisms
underlying
remain
unclear,
understanding
mechanism
involved
could
help
identify
potential
targets
This
review
provides
an
update
concept,
examines
existing
data
invasive
non-invasive
biomarkers,
mainly
cACLD
after
cure,
raised
explores
future
therapeutic
process.
Life,
Год журнала:
2024,
Номер
14(4), С. 500 - 500
Опубликована: Апрель 12, 2024
Gender
Medicine
has
had
an
enormous
expansion
over
the
last
ten
years.
Autoimmune
liver
diseases
include
several
conditions,
i.e.,
autoimmune
hepatitis
(AIH),
primary
biliary
cholangitis
(PBC),
sclerosing
(PSC),
and
conditions
involving
or
tree
overlapping
with
AIH,
as
well
IgG4-related
disease.
However,
little
is
known
about
impact
of
sex
in
pathogenesis
natural
history
these
conditions.
The
purpose
this
review
to
provide
update
gender
disparities
among
by
reviewing
data
published
from
1999
2023.
epidemiology
been
changing
years,
due
amelioration
knowledge
their
diagnosis,
pathogenesis,
treatment.
clinical
collected
so
far
support
existence
differences
diseases.
Notably,
could
be
longer
than
that
which
now
known,
problems
being
initiated
even
at
a
pediatric
age.
Moreover,
disparity
observed
during
onset
complications
related
end-stage
disease,
including
cancer
incidence.
there
still
important
debate
researchers
With
review,
we
would
like
emphasize
urgency
basic
science
research
increase
our
understanding
Cells,
Год журнала:
2024,
Номер
13(19), С. 1650 - 1650
Опубликована: Окт. 4, 2024
Primary
sclerosing
cholangitis
(PSC)
is
a
rare,
chronic
liver
disease
with
no
approved
therapies.
The
ursodeoxycholic
acid
(UDCA)
has
been
widely
used,
although
there
evidence
that
the
use
of
UDCA
delays
time
to
transplant
or
increases
survival.
Several
candidate
drugs
are
currently
being
developed.
largest
group
these
new
agents
represented
by
FXR
agonists,
including
obeticholic
acid,
cilofexor,
and
tropifexor.
Other
target
bile
metabolism
ASTB/IBAP
inhibitors
fibroblasts
growth
factor
(FGF)19
analogues.
Cholangiocytes,
epithelial
duct
cells,
play
role
in
PSC
development.
Recent
studies
have
revealed
cells
undergo
downregulation
GPBAR1
(TGR5),
receptor
involved
bicarbonate
secretion
immune
regulation.
Additional
under
evaluation
PPARs
(elafibranor
seladelpar),
anti-itching
such
as
MAS-related
G-protein–coupled
receptors
antagonists,
anti-fibrotic
immunosuppressive
agents.
Drugs
targeting
gut
bacteria
pathways
also
investigation,
given
strong
link
between
microbiota.