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"Hongqun Liu"

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"Hongqun Liu"

Original Article

Liver fibrosis, cirrhosis, and portal hypertension

Galectin-3 inhibits cardiac contractility via a tumor necrosis factor alpha-dependent mechanism in cirrhotic rats
Ki Tae Yoon, Hongqun Liu, Jing Zhang, Sojung Han, Samuel S. Lee
Clin Mol Hepatol 2022;28(2):232-241.
Published online January 5, 2022
DOI: https://doi.org/10.3350/cmh.2021.0141
Background/Aims
Galectin-3 plays a key pathogenic role in cardiac hypertrophy and heart failure. The present study aimed to investigate the effects of galectin-3 on cardiomyopathy – related factors and cardiac contractility in a rat model of cirrhotic cardiomyopathy.
Methods
Rats were divided into two sets, one for a functional study, the other for cardiac contractile-related protein evaluation. There were four groups in each set: sham operated and sham plus N-acetyllactosamine (N-Lac, a galectin-3 inhibitor; 5 mg/kg); bile duct ligated (BDL) and BDL plus N-Lac. Four weeks after surgery, ventricular level of galectin-3, collagen I and III ratio, tumor necrosis factor alpha (TNFα), and brain natriuretic peptide (BNP) were measured either by Western blots or immunohistochemistry or enzyme-linked immunosorbent assay. Blood pressure was measured by polygraph recorder. Cardiomyocyte contractility was measured by inverted microscopy.
Results
Galectin-3 and collagen I/III ratio were significantly increased in cirrhotic hearts. TNFα and BNP were significantly increased in BDL serum and heart compared with sham controls. Galectin-3 inhibitor significantly decreased galectin-3, TNFα, and BNP in cirrhotic hearts but not in sham controls. N-Lac also significantly improved the blood pressure, and systolic and diastolic cardiomyocyte contractility in cirrhotic rats but had no effect on sham controls.
Conclusion
Increased galectin-3 in the cirrhotic heart significantly inhibited contractility via TNFα. Inhibition of galectin-3 decreased the cardiac content of TNFα and BNP and reversed the decreased blood pressure and depressed contractility in the cirrhotic heart. Galectin-3 appears to play a pathogenic role in cirrhotic cardiomyopathy.

Citations

Citations to this article as recorded by  Crossref logo
  • Apoptosis in Cardiac Conditions Including Cirrhotic Cardiomyopathy
    Fengxue Yu, Dae Gon Ryu, Ki Tae Yoon, Hongqun Liu, Samuel S. Lee
    International Journal of Molecular Sciences.2025; 26(13): 6423.     CrossRef
  • Cirrhotic Cardiomyopathy: Bridging Hepatic and Cardiac Pathophysiology in the Modern Era
    Dragoș Lupu, Camelia Cornelia Scârneciu, Diana Țînț, Cristina Tudoran
    Journal of Clinical Medicine.2025; 14(17): 5993.     CrossRef
  • Galectin-3: A Multitasking Protein Linking Cardiovascular Diseases, Immune Disorders and Beyond
    Mariarosaria Morello, Gisella Titolo, Saverio D’Elia, Silvia Caiazza, Ettore Luisi, Achille Solimene, Chiara Serpico, Andrea Morello, Francesco Natale, Paolo Golino, Plinio Cirillo, Giovanni Cimmino
    Targets.2025; 3(4): 34.     CrossRef
  • Galectin-3 as a therapeutic target in pulmonary hypertension: Molecular mechanisms, drug development directions, and emerging clinical applications
    Antonín Sedlář, Pavla Bojarová, František Kolář, Vladimír Křen, Lucie Bačáková
    Biomedicine & Pharmacotherapy.2025; 193: 118756.     CrossRef
  • Cardiomyopathy in cirrhosis: From pathophysiology to clinical care
    Hongqun Liu, Jwan A. Naser, Grace Lin, Samuel S. Lee
    JHEP Reports.2024; 6(1): 100911.     CrossRef
  • Cirrhotic cardiomyopathy: Pathogenesis, clinical features, diagnosis, treatment and prognosis
    Francisca Almeida, Alexandra Sousa
    Revista Portuguesa de Cardiologia.2024; 43(4): 203.     CrossRef
  • Therapies for Cirrhotic Cardiomyopathy: Current Perspectives and Future Possibilities
    Hongqun Liu, Daegon Ryu, Sangyoun Hwang, Samuel S. Lee
    International Journal of Molecular Sciences.2024; 25(11): 5849.     CrossRef
  • Role of Galectin in Cardiovascular Conditions including Cirrhotic Cardiomyopathy
    Hongqun Liu, Sang-Youn Hwang, Samuel S. Lee
    Pharmaceuticals.2023; 16(7): 978.     CrossRef
  • Chenodeoxycholic Acid Improves Embryo Implantation and Metabolic Health through Modulating Gut Microbiota–Host Metabolites Interaction during Early Pregnancy
    Meixia Chen, Ying Zhao, Haifeng Ji, Lu Li, Hui Liu, Sixin Wang, Dongyan Zhang, Jingdong Yin, Jing Wang, Xin Zhang
    Antioxidants.2023; 13(1): 8.     CrossRef
  • Temporal profile of cerebrospinal fluid galactin-3 and associated cytokine responses after severe traumatic brain injury in patients: a retrospective study
    Melisa Cetin, Ping Yip, Zhou-Hao Liu
    Future Healthcare Journal.2023; 10: S18.     CrossRef
  • Temporal profile of cerebrospinal fluid galactin-3 and associated cytokine responses after severe traumatic brain injury in patients: a retrospective study
    Melisa Cetin, Ping Yip, Wing Sze Leung, Zhou-Hao Liu
    Clinical Medicine.2023; 23(6): 81.     CrossRef
  • Pathogenic Mechanisms Underlying Cirrhotic Cardiomyopathy
    Hongqun Liu, Henry H. Nguyen, Ki Tae Yoon, Samuel S. Lee
    Frontiers in Network Physiology.2022;[Epub]     CrossRef
  • Collagen-binding fibroblast growth factor ameliorates liver fibrosis in murine bile duct ligation injury
    Qiangqiang Shi, Susu Wei, Zhi Chao Li, Jing Xu, Yaxin Li, Chuanlong Guo, Xianggen Wu, Chunying Shi, Guohu Di
    Journal of Biomaterials Applications.2022; 37(5): 918.     CrossRef
  • 9,017 View
  • 141 Download
  • 9 Web of Science
  • Crossref
Review

Liver fibrosis, cirrhosis, and portal hypertension

β-blockers in advanced cirrhosis: More friend than enemy
Ki Tae Yoon, Hongqun Liu, Samuel S. Lee
Clin Mol Hepatol 2021;27(3):425-436.
Published online December 3, 2020
DOI: https://doi.org/10.3350/cmh.2020.0234
Nonselective beta-adrenergic blocker (NSBB) therapy for the prevention of initial and recurrent gastrointestinal bleeding in cirrhotic patients with gastroesophageal varices has been used for the past four decades. NSBB therapy is considered the cornerstone of treatment for varices, and has become the standard of care. However, a 2010 study from the group that pioneered β-blocker therapy suggested a detrimental effect of NSBBs in decompensated cirrhosis, especially in patients with refractory ascites. Since then, numerous additional studies have incompletely resolved whether NSBBs are deleterious, although more recent evidence weighs against a harmful effect. The possibility of a “therapeutic window” has also been raised. We aimed to review the literature to analyze the pros and cons of using NSBBs in patients with cirrhosis, not only with respect to bleeding or mortality but also to other potential benefits and risks. β-blockers are highly effective in preventing first bleeding and recurrent bleeding. Furthermore, NSBBs improve congestion/ischemia of the gut mucosa, decrease intestinal permeability, and therefore indirectly alleviate systemic inflammation. β-blockers shorten the electrocardiographic prolonged QTc interval and may also decrease the incidence of hepatocellular carcinoma. On the other hand, the possibility of deleterious effects in cirrhosis has not been completely eliminated. NSBBs may be associated with an increased risk of portal vein thrombosis, although this could be correlational artifact. Overall, we conclude that β-blockers in cirrhosis are much more of a friend than enemy.

Citations

Citations to this article as recorded by  Crossref logo
  • Potential therapies for acute‐on‐chronic liver failure
    Maura A. Morrison, Florent Artru, Francesca M. Trovato, Evangelos Triantafyllou, Mark J. McPhail
    Liver International.2025;[Epub]     CrossRef
  • Advancements of direct oral anticoagulants in cirrhotic individuals with portal vein thrombosis
    Zhiqian Liu, Xiying Yang, Haitao Jiang, Rui Xie, Hong Wang
    Clinics and Research in Hepatology and Gastroenterology.2025; 49(4): 102553.     CrossRef
  • Cirrhotic Cardiomyopathy: Bridging Hepatic and Cardiac Pathophysiology in the Modern Era
    Dragoș Lupu, Camelia Cornelia Scârneciu, Diana Țînț, Cristina Tudoran
    Journal of Clinical Medicine.2025; 14(17): 5993.     CrossRef
  • Principles of Non-selective Beta-blocker Usage for Cirrhosis-associated Complications
    Daisy K. Maclaine, Kosha J. Mehta
    SN Comprehensive Clinical Medicine.2025;[Epub]     CrossRef
  • Cardiomyopathy in cirrhosis: From pathophysiology to clinical care
    Hongqun Liu, Jwan A. Naser, Grace Lin, Samuel S. Lee
    JHEP Reports.2024; 6(1): 100911.     CrossRef
  • Therapies for Cirrhotic Cardiomyopathy: Current Perspectives and Future Possibilities
    Hongqun Liu, Daegon Ryu, Sangyoun Hwang, Samuel S. Lee
    International Journal of Molecular Sciences.2024; 25(11): 5849.     CrossRef
  • Novel approaches in the medical management of compensated cirrhosis
    Antonio Moreno-Loro, Álvaro Giráldez, Fernando Jiménez, Ignacio López-Bueno, Alberto Pérez-Ramírez, Manuel Romero-Gómez
    Expert Review of Gastroenterology & Hepatology.2024; 18(6): 239.     CrossRef
  • Features of the course of hepatorenal syndrome in decompensated portal hypertension (case report)
    M.I. Tutchenko, D.V. Rudyk, M.S. Besedinskyi, S.L. Chub, Yu.V. Nerushchenko
    GASTROENTEROLOGY.2024; 58(2): 151.     CrossRef
  • Microarray analysis demonstrates up-regulation of the endothelin-1 gene with compensatory down-regulation of the ETA receptor gene in human portal vein
    Nicola E. Owen, Thomas L. Williams, Janet J. Maguire, Rhoda E. Kuc, Emma E. Davenport, Anthony P. Davenport
    Bioscience Reports.2024;[Epub]     CrossRef
  • The effect of propranolol on gastrointestinal motility and permeability in patients with cirrhosis and significant portal hypertension
    Elias Xirouchakis, Hariklia Kranidioti, Emilia Hadziyanni, Anastasia Kourikou, Christos Reppas, Maria Vertzoni, Nikolaos Papadopoulos, Melanie Deutsch, George Papatheodoridis, Spilios Manolakopoulos
    BMC Gastroenterology.2024;[Epub]     CrossRef
  • Review article: diagnosis, pathophysiology and management of atrial fibrillation in cirrhosis and portal hypertension
    Bert Vandenberk, Mario H. Altieri, Hongqun Liu, Satish R. Raj, Samuel S. Lee
    Alimentary Pharmacology & Therapeutics.2023; 57(3): 290.     CrossRef
  • Non-invasive tests-based risk stratification: Baveno VII and beyond
    Georg Semmler, Mathias Jachs, Mattias Mandorfer
    Clinical and Molecular Hepatology.2023; 29(1): 105.     CrossRef
  • Correspondence on Editorial regarding “Baveno-VII criteria to predict decompensation and initiate non-selective beta-blocker in compensated advanced chronic liver disease patients”
    Yu Jun Wong, Sanchit Sharma, Giulia Tosetti, Xiaolong Qi, Massimo Primignani
    Clinical and Molecular Hepatology.2023; 29(1): 188.     CrossRef
  • Noninvasive risk assessment of hepatic decompensation in patients with hepatitis B virus‐related liver cirrhosis
    David Sooik Kim, Beom Kyung Kim, Jae Seung Lee, Hye Won Lee, Jun Yong Park, Do Young Kim, Sang Hoon Ahn, Nikolaos Pyrsopoulos, Seung Up Kim
    Journal of Gastroenterology and Hepatology.2023; 38(8): 1372.     CrossRef
  • Dysregulated Calcium Handling in Cirrhotic Cardiomyopathy
    Sang Youn Hwang, Hongqun Liu, Samuel S. Lee
    Biomedicines.2023; 11(7): 1895.     CrossRef
  • How to suspect the presence of high‐risk esophageal varices and when to start endoscopic surveillance in children with biliary atresia?
    Ujjal Poddar, Arghya Samanta, Moinak Sen Sarma, Basant Kumar, Richa Lal, Anshu Srivastava, Vijay Datta Upadhyaya, Surender Kumar Yachha, Ankur Mandelia
    Journal of Gastroenterology and Hepatology.2023; 38(9): 1610.     CrossRef
  • Role of Galectin in Cardiovascular Conditions including Cirrhotic Cardiomyopathy
    Hongqun Liu, Sang-Youn Hwang, Samuel S. Lee
    Pharmaceuticals.2023; 16(7): 978.     CrossRef
  • Non-selective beta-blockers and the incidence of hepatocellular carcinoma in patients with cirrhosis: a meta-analysis
    Xinyi He, Zimo Zhao, Xi Jiang, Yan Sun
    Frontiers in Pharmacology.2023;[Epub]     CrossRef
  • Portal vein thrombosis in cirrhosis: exploring the uncharted waters
    P Anirvan
    Journal of Gastroenterology and Hepatology.2023; 38(10): 1855.     CrossRef
  • MicroRNAs as critical regulators in liver fibrosis
    Xiaolin Wang, Qiuhong Zai, Yong He, Qing Xie
    Portal Hypertension & Cirrhosis.2023; 2(3): 144.     CrossRef
  • The Intestinal Microbiota in the Development of Chronic Liver Disease: Current Status
    Josip Stojic, Michał Kukla, Ivica Grgurevic
    Diagnostics.2023; 13(18): 2960.     CrossRef
  • Nonselective beta-blockers may lead to stage 2 acute kidney injury and waitlist mortality in child class C cirrhosis
    Mason Lai, Cynthia Fenton, Jin Ge, Jessica Rubin, Jennifer C. Lai, Giuseppe Cullaro
    Hepatology Communications.2023;[Epub]     CrossRef
  • Hepatorenal syndrome: Current concepts and future perspectives
    Chan-Young Jung, Jai Won Chang
    Clinical and Molecular Hepatology.2023; 29(4): 891.     CrossRef
  • In severe alcohol‐related hepatitis, acute kidney injury is prevalent, associated with mortality independent of liver disease severity, and can be predicted using IL‐8 and micro‐RNAs
    Luke D. Tyson, Stephen Atkinson, Robert W. Hunter, Michael Allison, Andrew Austin, James W. Dear, Ewan Forrest, Tong Liu, Emma Lord, Steven Masson, Joao Nunes, Paul Richardson, Stephen D. Ryder, Mark Wright, Mark Thursz, Nikhil Vergis
    Alimentary Pharmacology & Therapeutics.2023; 58(11-12): 1217.     CrossRef
  • Gut liver brain axis in diseases: the implications for therapeutic interventions
    Mengyao Yan, Shuli Man, Benyue Sun, Long Ma, Lanping Guo, Luqi Huang, Wenyuan Gao
    Signal Transduction and Targeted Therapy.2023;[Epub]     CrossRef
  • Changes of the bacterial composition in duodenal fluid from patients with liver cirrhosis and molecular bacterascites
    Jim Höppner, Sandra Krohn, Ellen H. A. van den Munckhof, René Kallies, Adam Herber, Katharina Zeller, Jan Tünnemann, Madlen Matz-Soja, Antonis Chatzinotas, Stephan Böhm, Albrecht Hoffmeister, Thomas Berg, Cornelius Engelmann
    Scientific Reports.2023;[Epub]     CrossRef
  • Current knowledge about biomarkers of acute kidney injury in liver cirrhosis
    Han Ah Lee, Yeon Seok Seo
    Clinical and Molecular Hepatology.2022; 28(1): 31.     CrossRef
  • Pathogenic Mechanisms Underlying Cirrhotic Cardiomyopathy
    Hongqun Liu, Henry H. Nguyen, Ki Tae Yoon, Samuel S. Lee
    Frontiers in Network Physiology.2022;[Epub]     CrossRef
  • Real‐world clinical features, health‐care utilization, and economic burden in decompensated cirrhosis patients: A national database
    Hankil Lee, Beom Kyung Kim
    Journal of Gastroenterology and Hepatology.2022; 37(11): 2154.     CrossRef
  • Prolonged QT Interval in Cirrhosis: Twisting Time?
    William Lee, Bert Vandenberk, Satish R. Raj, Samuel S. Lee
    Gut and Liver.2022; 16(6): 849.     CrossRef
  • New Evidence of Oral Branched-Chain Amino Acid Supplementation on the Prognosis of Patients With Advanced Liver Disease
    Hankil Lee, Jeong-Ju Yoo, Sang Hoon Ahn, Beom Kyung Kim
    Clinical and Translational Gastroenterology.2022; 13(12): e00542.     CrossRef
  • Advances in cirrhotic cardiomyopathy
    Hongqun Liu, Ki Tae Yoon, Jing Zhang, Samuel S. Lee
    Current Opinion in Gastroenterology.2021; 37(3): 187.     CrossRef
  • 12,228 View
  • 312 Download
  • 34 Web of Science
  • Crossref