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  • Metabolic and genetic mechanisms of metabolic dysfunction-associated steatotic liver disease: an integrative perspective from molecular pathways to clinical challenges
    Jingyuan Ma, Yanna Ma, Xing Wan, Junchen Li, Yunshu Zhang, Jifeng Liu, Yunhai Gao
    Frontiers in Endocrinology.2025;[Epub]     CrossRef
  • 3,287 View
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Review

Metabolic dysfunction-associated steatotic liver disease (MASLD) and its relatively advanced form, metabolic dysfunction-associated steatohepatitis (MASH), are becoming increasingly prevalent worldwide, making their prevention and management an urgent global health priority. Central to their development are key metabolic defects, including abnormal concentrations of monosaccharides, fatty acids, and amino acids, but the complex relationships between these substances within the hepatic microenvironment remain only partially understood. Dysregulated glucose metabolism and selective insulin resistance (IR) promote hepatic gluconeogenesis, glycolysis, and de novo lipogenesis; and excessive concentrations of free fatty acids from the diet and adipose tissue drive steatosis. Emerging evidence also implies that amino acid metabolism affects mitochondrial function and redox balance. Dysfunctional mitochondrial oxidative phosphorylation and the associated increase in reactive oxygen species production further exacerbate the cellular stress, inflammation, and fibrosis. However, compared with monosaccharide and fatty acid metabolism, the role of amino acid metabolism in MASLD/MASH remains less well understood. A better understanding of the role of such metabolic dysfunction in liver pathobiology should aid the identification of more useful biomarkers and precision therapies for MASLD/MASH.

Citations

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  • Precision medicine in steatotic liver disease
    Vitchapong Prasitsumrit, Vincent L. Chen
    Current Opinion in Gastroenterology.2026; 42(3): 121.     CrossRef
  • Immunometabolism of IRF4 in adipose, muscle, and immune cells influences obesity and MASLD
    Daniel M. Marko, Jonathan D. Schertzer
    American Journal of Physiology-Endocrinology and Metabolism.2026; 330(4): E520.     CrossRef
  • Colorimetric detection of amino acids enabled by functional nanomaterials: mechanisms, performance evaluation, and translational perspectives
    Wenfeng Ren, Wenyu Tu, Jiqiang Guo, Ying Gao
    Microchimica Acta.2026;[Epub]     CrossRef
  • Food Nutrients and Bioactive Compounds for Managing Metabolic Dysfunction-Associated Steatotic Liver Disease: A Comprehensive Review
    Erdenetsogt Dungubat, Kohei Fujikura, Masahiko Kuroda, Toshio Fukusato, Yoshihisa Takahashi
    Nutrients.2025; 17(13): 2211.     CrossRef
  • Current Data on the Role of Amino Acids in the Management of Obesity in Children and Adolescents
    Diana Zamosteanu, Nina Filip, Laura Mihaela Trandafir, Elena Ţarcă, Mihaela Pertea, Gabriela Bordeianu, Jana Bernic, Anne Marie Heredea, Elena Cojocaru
    International Journal of Molecular Sciences.2025; 26(15): 7129.     CrossRef
  • Protein and Macronutrient Metabolism in Liver Cirrhosis: About Sarcopenia
    Seul Ki Han, Soon Koo Baik, Moon Young Kim
    Nutrients.2025; 17(21): 3346.     CrossRef
  • 11,747 View
  • 308 Download
  • 10 Web of Science
  • Crossref

Editorial

Steatotic liver disease

An analysis of polygenic risk scores for non-alcoholic fatty liver disease
Dae Won Jun
Clin Mol Hepatol 2021;27(3):446-447.
Published online May 21, 2021
DOI: https://doi.org/10.3350/cmh.2021.0133

Citations

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  • Genetics in non-alcoholic fatty liver disease: The role of risk alleles through the lens of immune response
    Silvia Sookoian, Carlos J. Pirola
    Clinical and Molecular Hepatology.2023; 29(Suppl): S184.     CrossRef
  • Changing the nomenclature from nonalcoholic fatty liver disease to metabolic dysfunction-associated fatty liver disease is more than a change in terminology
    Eileen Laurel Yoon, Dae Won Jun
    Clinical and Molecular Hepatology.2023; 29(2): 371.     CrossRef
  • Risk factors in nonalcoholic fatty liver disease
    Eunji Ko, Eileen L. Yoon, Dae Won Jun
    Clinical and Molecular Hepatology.2023; 29(Suppl): S79.     CrossRef
  • Noninvasive imaging biomarkers for liver fibrosis in nonalcoholic fatty liver disease: current and future
    Jung Hwan Yu, Han Ah Lee, Seung Up Kim
    Clinical and Molecular Hepatology.2023; 29(Suppl): S136.     CrossRef
  • Advances in genetic variation in metabolism-related fatty liver disease
    Fan Shi, Mei Zhao, Shudan Zheng, Lihong Zheng, Haiqiang Wang
    Frontiers in Genetics.2023;[Epub]     CrossRef
  • Fatty liver disease: An updated overview of risk factors
    Abdullatif Suliman Alsayegh, Mohammed Abdullah Alduaybi, Hamoud Ghayyadh Alanizi, Nada Abdulrahman Amer Alajmi, Shahad Mohammed Bin Saeed, Meshal Ibrahim Zaid Al Owias, Adel Awad Al Rashedi, Asma Saad Alqahtani, Bader Sayah Alanezi
    International journal of health sciences.2023; 7(S1): 3698.     CrossRef
  • 8,309 View
  • 168 Download
  • 5 Web of Science
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Special topic: Alcoholic liver diseases
The 14th International Symposium on Alcoholic Liver and Pancreatic Diseases and Cirrhosis (ISALPDC)

Hepatic neoplasm

Alcohol and hepatocarcinogenesis
Makiko Taniai
Clin Mol Hepatol 2020;26(4):736-741.
Published online October 1, 2020
DOI: https://doi.org/10.3350/cmh.2020.0203
An excessive alcohol intake may result in fatty liver, acute/chronic hepatitis, cirrhosis, and lead to hepatocellular carcinoma (HCC). The aim of this review is to clarify the present condition and the mechanisms of alcohol-related hepatocarcinogenesis and clinical risk factors for alcohol-related HCC. There are several possible mechanisms through which alcohol may induce hepatocarcinogenesis, including the mutagenic effects of acetaldehyde toxicity through the formation of protein and DNA adducts and the production of reactive oxygen species due to the excessive hepatic deposition of iron, changes to lipid peroxidation and metabolism, inflammation and an impaired immune response and modifications to DNA methylation. Furthermore, it has been reported that alcohol accelerates liver carcinogenesis through several signaling pathways including gut-liver axis. From a clinical perspective, it is well known that alcohol interacts with other factors, such as age, gender, viral hepatitis, obesity, and diabetes leading to an increased risk of HCC.

Citations

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    Qihong Wang, Wen Jia, Jiao Liu, Qian Zhao, Zhuo Yang
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    Medical Oncology.2025;[Epub]     CrossRef
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Alcohol-related liver disease

The lymphatic system in alcohol-associated liver disease
Reiichiro Kondo, Yasuko Iwakiri
Clin Mol Hepatol 2020;26(4):633-638.
Published online September 21, 2020
DOI: https://doi.org/10.3350/cmh.2020.0179
The lymphatic system plays vital roles in interstitial fluid balance and immune cell surveillance. The effect of alcohol on the lymphatic system is poorly understood. This review article explores the role of the lymphatic system in the pathogenesis of alcohol-related disease including alcoholic liver disease (ALD) and the therapeutic potential of targeting hepatic lymphatics for the treatment of ALD.

Citations

Citations to this article as recorded by  Crossref logo
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    Enis Kostallari, Robert F. Schwabe, Adrien Guillot
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    Giada Amodeo, Giulia Galimberti, Paola Sacerdote, Silvia Franchi
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    Massimiliano Cadamuro, Adriana Romanzi, Maria Guido, Samantha Sarcognato, Umberto Cillo, Enrico Gringeri, Giacomo Zanus, Mario Strazzabosco, Paolo Simioni, Erica Villa, Luca Fabris
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  • 171 Download
  • 4 Web of Science
  • Crossref

Reviews

Hepatic neoplasm

Hepatitis C virus-induced hepatocellular carcinoma
Nicolas Goossens, Yujin Hoshida
Clin Mol Hepatol 2015;21(2):105-114.
Published online June 26, 2015
DOI: https://doi.org/10.3350/cmh.2015.21.2.105

Hepatitis C virus (HCV) is a leading etiology of hepatocellular carcinoma (HCC). The interaction of HCV with its human host is complex and multilayered; stemming in part from the fact that HCV is a RNA virus with no ability to integrate in the host's genome. Direct and indirect mechanisms of HCV-induced HCC include activation of multiple host pathways such as liver fibrogenic pathways, cellular and survival pathways, interaction with the immune and metabolic systems. Host factors also play a major role in HCV-induced HCC as evidenced by genomic studies identifying polymorphisms in immune, metabolic, and growth signaling systems associated with increased risk of HCC. Despite highly effective direct-acting antiviral agents, the morbidity and incidence of liver-related complications of HCV, including HCC, is likely to persist in the near future. Clinical markers to selectively identify HCV subjects at higher risk of developing HCC have been reported however they require further validation, especially in subjects who have experienced sustained virological response. Molecular biomarkers allowing further refinement of HCC risk are starting to be implemented in clinical platforms, allowing objective stratification of risk and leading to individualized therapy and surveillance for HCV individuals. Another role for molecular biomarker-based stratification could be enrichment of HCC chemoprevention clinical trials leading to smaller sample size, shorter trial duration, and reduced costs.

Citations

Citations to this article as recorded by  Crossref logo
  • Impact of Direct‐Acting Antivirals Availability on Hepatitis C‐Related Hospitalisations After Eight Years of the Strategic Plan for Tackling Hepatitis C Implementation in Spain
    Macarena Garrido‐Estepa
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Steatotic liver disease

Nonalcoholic fatty liver disease: molecular mechanisms for the hepatic steatosis
Seung-Hoi Koo
Clin Mol Hepatol 2013;19(3):210-215.
Published online September 30, 2013
DOI: https://doi.org/10.3350/cmh.2013.19.3.210

Liver plays a central role in the biogenesis of major metabolites including glucose, fatty acids, and cholesterol. Increased incidence of obesity in the modern society promotes insulin resistance in the peripheral tissues in humans, and could cause severe metabolic disorders by inducing accumulation of lipid in the liver, resulting in the progression of non-alcoholic fatty liver disease (NAFLD). NAFLD, which is characterized by increased fat depots in the liver, could precede more severe diseases such as non-alcoholic steatohepatitis (NASH), cirrhosis, and in some cases hepatocellular carcinoma. Accumulation of lipid in the liver can be traced by increased uptake of free fatty acids into the liver, impaired fatty acid beta oxidation, or the increased incidence of de novo lipogenesis. In this review, I would like to focus on the roles of individual pathways that contribute to the hepatic steatosis as a precursor for the NAFLD.

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Liver fibrosis, cirrhosis, and portal hypertension

The lymphatic vascular system in liver diseases: its role in ascites formation
Chuhan Chung, Yasuko Iwakiri
Clin Mol Hepatol 2013;19(2):99-104.
Published online June 27, 2013
DOI: https://doi.org/10.3350/cmh.2013.19.2.99

The lymphatic system is part of the circulatory system and plays a key role in normal vascular function. Its failure plays a crucial role in the development and maintenance of various diseases including liver diseases. Lymphangiogenesis (the growth of lymphatic vessels) and changes in the properties of lymphatic vessels are associated with pathogenesis of tumor metastases, ascites formation, liver fibrosis/cirrhosis and portal hypertension. Despite its significant role in liver diseases and its importance as a potential therapeutic target for those diseases, the lymphatic vascular system of the liver is poorly understood. Therefore, how the lymphatic vascular system in general and lymphangiogenesis in particular are mechanistically related to the pathogenesis and maintenance of liver diseases are largely unknown. This article summarizes: 1) the lymphatic vascular system; 2) its role in liver tumors, liver fibrosis/cirrhosis and portal hypertension; and 3) its role in ascites formation.

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Original Article

Effects of the knockdown of hypoxia inducible factor-1α expression by adenovirus-mediated shRNA on angiogenesis and tumor growth in hepatocellular carcinoma cell lines
Sung Hoon Choi, Hye Won Shin, Jun Yong Park, Ji Young Yoo, Do Young Kim, Weon Sang Ro, Chae-Ok Yun, Kwang-Hyub Han
Korean J Hepatol 2010;16(3):280-287.
Published online September 30, 2010
DOI: https://doi.org/10.3350/kjhep.2010.16.3.280
Background/Aims

Hypoxia-inducible factor-1α (HIF-1α) is a central transcriptional factor involved in the cellular responses related to various aspects of cancer biology, including proliferation, survival, and angiogenesis, and the metabolism of the extracellular matrix in hypoxia. This study evaluated whether adenovirus-mediated small hairpin RNA (shRNA) against HIF-1α (shHIF-1α) inhibits cell proliferation and angiogenesis in hepatocellular carcinoma (HCC) cell lines.

Methods

Knockdown of HIF-1α expression was constructed by adenovirus-mediated RNA interference tools, and HCC cell lines infected with shHIF-1α coding virus were cultured under a hypoxia condition (1% O2) for 24 hours. Following infection, the expression levels of HIF-1α, angiogenesis factors, and matrix metalloproteinase (MMP) were examined using Western blotting. Cell proliferation and angiogenesis were measured by a cell proliferation assay (MTT assay) and an angiogenesis-related assay (invasion and tube-formation assay), respectively.

Results

Adenovirus mediated inhibition of HIF-1α induced suppression of tumor growth in HCC cell lines. It also down-regulated the expression of angiogenesis factor and MMP proteins. Angiogenesis as well as mobility of vascular cells to tumor was suppressed by adenovirus-mediated shHIF-1α-infected groups in human umbilical vein endothelial cells (HUVECs).

Conclusions

These data suggest that adenovirus-mediated inhibition of HIF-1α inhibits the invasion, tube formation, and cell growth in HUVECs and HCC cells.

Citations

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    Zakaria Mohamed Alghzzawy, Mohammed Hussein Awwad, Tarek Khaled Elmaghraby, Sanaa Abd El‐Hamid Hagag, Azza Elsayed Kayed, Doaa Sabry Ibrahim
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Editorial

Hypoxia-inducible factor 1, hepatocellular carcinoma and angiogenesis
Jin-Wook Kim
Korean J Hepatol 2010;16(3):278-279.
Published online September 30, 2010
DOI: https://doi.org/10.3350/kjhep.2010.16.3.278

Citations

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    Wanfu Lin, Huan Wang, Maofeng Zhong, Shasha Yu, Shasha Zhao, Shufang Liang, Juan Du, Binbin Cheng, Wei Gu, Changquan Ling, Muhammad Nabeel Ghayur
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Review

Molecular targeting for treatment of advanced hepatocellular carcinoma
Il Han Song
Korean J Hepatol 2009;15(3):299-308.
Published online September 30, 2009
DOI: https://doi.org/10.3350/kjhep.2009.15.3.299
Hepatocellular carcinoma (HCC) is a major global health problem, which has a grave morbidity and mortality. Over the past few decades, no effective systemic therapeutic modalities have been established for patients with the unresectable HCC in advanced stage. Sorafenib is a small molecule that blocks cancer cell proliferation by targeting the intracellular signaling pathway at the level of Raf-1 and B-Raf serine-threonine kinases, and exerts an anti-angiogenic effect by targeting the vascular endothelial growth factor receptor-1, 2 and 3, and platelet-derived growth factor receptor-β tyrosine kinases. Recently, two clinical successful applications, SHARP and Asia-Pacific trial, of multikinase inhibitor sorafenib represent a significant advance in the treatment of advanced HCC patients without a curative chance. However, because the results of clinical trials show diverse responses in a subset of HCC patients, a molecular classification of HCC through the excavation of specific biomarkers related to its biological behavior is necessary for sorting HCC patients to each group with a biological homogeneity, ultimately leading to the most suitable individualization of molecular targeted therapy in HCC. (Korean J Hepatol 2009,15:299-308)

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Original Article

Expression of Caveolin in Hepatocellular Carcinoma: Association with Unpaired Artery Formation and Radiologic Findings
Ha Na Choi, M.S., Kyung Ryoul Kim, Ph.D., Ho Sung Park, M.D., Kyu Yun Jang, M.D., Myoung Jae Kang, M.D., Dong Geun Lee, M.D., Young Kon Kim, M.D.1, Baik Hwan Cho, M.D.2, Eun Jung Cha, M.D., Woo Sung Moon, M.D.
Korean J Hepatol 2007;13(3):396-408.
Published online September 20, 2007
DOI: https://doi.org/10.3350/kjhep.2007.13.3.396
Background/Aims
Hepatocellular carcinoma (HCC) is becoming one of the common malignant tumors worldwide, and it is characterized by its high vascularity. Caveolin is the major structural protein in caveolae, which are small omega-shaped invaginations within the plasma membrane. Caveolin has been implicated in mitogenic signaling, oncogenesis and angiogenesis. The expression of caveolin-1 and -2 in HCC and its potential relationship with angiogenesis has not been examined. Methods: Paraffin sections of 35 HCC specimens were immunostained with caveolin-1, caveolin-2, alpha-smooth muscle actin, and CD34 antibodies. In addition, the expression of caveolin-1 and -2 mRNA in HCC was examined. The relationship between the radiological findings and the number of unpaired arteries and microvessel density (MVD) was also investigated. Results: Caveolin-1 and -2 were expressed in the sinusoidal endothelial cells in 20 out of 35, and 18 out of 35 HCC specimens, respectively. Caveolin-1 and -2 were also expressed in the smooth muscle cells of the unpaired arteries in 26 out of 35, and 18 out of 35 HCC specimens, respectively. Increased expression of caveolin-1 and -2 mRNA was detected in 26.7% and 33.3% of the tumor specimens, respectively, compared with the corresponding non-tumorous adjacent liver tissues. There was a significant correlation between expression of caveolin-1, -2 in the smooth muscle cells of unpaired arteries and the number of unpaired arteries. The number of unpaired arteries in HCCs was found to be associated with the degree of contrast enhancement in the arterial phase imaging. However, it did not correlate with the degree of MVD. Conclusions: These findings suggest that the expression of caveolin-1, -2 is associated with the formation of unpaired arteries in HCC. In addition, there is a correlation between the degree of contrast enhancement of the HCC in the arterial phase image and the number of unpaired arteries. (Korean J Hepatol 2007;13:396- 408)

Citations

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Review

The Role of Activated Hepatic Stellate Cells in Liver Fibrosis, Portal Hypertension and Cancer Angiogenesis
June Sung Lee , Jong Hoon Kim
Korean J Hepatol 2007;13(3):309-319.
Published online September 20, 2007
DOI: https://doi.org/10.3350/kjhep.2007.13.3.309
Although hepatic stellate cells, which are liver specific pericytes, have been recognized within the vasculature of the sinusoid for more than one hundred years, the biology and function of these cells is unclear. Recent studies have highlighted the key role of stellate cells in a number of fundamental processes that include wound healing/fibrosis, vasoregulation, and vascular remodeling/angiogenesis. In the liver, these processes are particularly important in the development of cirrhosis, portal hypertension and cancer. This article highlights the recent advances in our understanding of the biology of hepatic stellate cells and discusses some of the recently-ascribed functions that are relevant to liver fibrosis, portal hypertension and cancer angiogenesis. (Korean J Hepatol 2007;13:309-319)

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Original Articles

Periportal Distribution of Diethylnitrosamine - Induced Gamma - GTP Positive Foci in the Liver of Sprague - Dawley Rat
Hong Joo Kim , Soong Hwan Lee , In Gyu Back , Chang Woo Gham , Dong Il Park , Cheol Hun Jung , Yong Hyeon Jo , Seung Woo Nam , Dong Hoo Lee
Korean J Hepatol 1997;3(3):252-263.
Background/Aims
Heterogeneity of liver cell populations within the hepatic lobules can affect xenobiotic reaction. In this study, we attempt to clarify the stereological distribution of the y -GTP positive foci in hepatic lobule initiated by diethylnitrosamine and promoted by phenobarbital. Methods/Materials: To the five Sprague-Dawley rats, one day after birth, diethylnitrosamine (0.15 pmole/pn) was intraperitoneally injected and by the weaning at four weeks of life, 0.035% phenobarbital in drinking water was fed for four weeks, at which time the rats were sacrified to obtain the livers. Livers were fixed in fresh cold ethanol acetic acid. Ihe 200 cotmecutive tissue sections were stained by histochemistry for y-GIP and countastained with toluidine blue ar HkE. Employing Zeiss microprojector, y -GTP foci wae traced. And then the largest cross-sectian (size class: 65-165 pm in diameter) of 52 y-GTP foci were selected. Using microscopic grid, distances fiom center of y-GlP foci to nearest centtal vein and bile ductule was measured. As a control group, out of 52 random points determined by rareken digit table, the distances were measured by the same romr. Result: the diameter Aom the central points of y-GIP positive foci to the neatest bile ductules was measured as 0.234620+0.14899mm (mean+SD) and the diameter from random points to the neatest bile ductules was measured as 0.303080+0.19582mm (mean+SD). Y-GTP positive foci located within 0.3mm diameter fram bile ductules were counted as 73.1% of 52 foci, whereas that of random points were only 55.8%. Accoring to Aequency table analysis by Shapiro-Wilk W test, there was significant difference by W-value (0.812065) and p-value (0.0144866). Conclusion: Stereologically, y -GTP positive foci initiated by diethylnitros;unine, promoted by phaxkarbital in neonatal Spague-Dawley rats were non-rarxlanly distributed in peripcetal atea (Rappaport zone I) in hepatic lobule during hepatocarcinogenesis. (Korean J Hepatol 1997;6:252 263)
  • 3,127 View
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Stereological Analysis of γ - Glutamyl Transpeptidase Positive Foci in Diethylnitrosamine - Induced Hepatocarcinogenesis of Sprague - Dawley Rats
Yong Keol Yoo , Hong Joo Kim , Soong Hwan Lee , Chang Woo Gham , Hee Soo Kim , Jong Cheol Kim , Seung Woo Nam , Sung Woo Kim , Byeong Hoon Kim , Sung Kyu Yang , Dong Il Park , Dong Ho
Korean J Hepatol 1998;4(1):46-58.
Background
/Aim - Hepatocarcinogenesis of microscopically altered foci could be shown to be progressed into a trabecular pattern of hepatocellular carcinoma. And it is reported that down-regulation of TGF beta II receptor and up-regulation of TGF alpha and c-myc reveal the progression of diethylnitrosamine-induced foci into liver cell cancer. Up-regulation of TGF beta II receptor, however, causes apoptosis of foci. To determine characteristic morphology and growth kinetics of putatively precancerous y glutamyl transpeptidase (GGT) positive foci and hyperplastic nodules, a stereological quantification was attempted in the Peraino's neonatal rat model initiated by diethylnitrosamine and promoted by phenobarbital. Materials/Methods - Fifteen Sprague-Dawley rats were I.p. injected with 0.15 pmole/g of body weight of diethylnitrosamine mixed in corn oil at one day after birth. From weaning at 4 weeks of life, the rats were continuously fed 0.035% phenobarbital in drinking water and sacrified 5 rats at each time point of 8 weeks, 16 weeks, and 32 weeks. Teklad standard diet was fed after weaning. The livers obtained were fixed in freshly prepared, cold ethanol-acetic acid (99:1 vo1%). For the GGT histochemical staining, Rutenberg's method was modified, and counterstained with H & E or toluidine blue. For the stereological analysis GGT positive foci and nodules were traced in 200 consecutive tissue sections and quantified the 3 dimensional volumes by computer assisted planimetry. Either spheroidal or non-spheroidal morphology was determined by parabola 2nd degree equation ' y=ax+bx+c (sphere a=-P,). Results - Thirty nine (55.71%) out of 70 representative lesions were nonspheroidal. Especially at 8 weeks, the 28 out of 40 GGT positive foci were irregular, nonspheroidal shape. Later times, however, GGT positive foci and reprogrammed nodular lesions were become spheroidal. Lilliefors probabilities test for spheroidal frequency was statistically significant (p<0.05). Conclusion ' Stereologically non-spheroidal characteristics of the early GGT positive foci limit growth kinetic estimation by 3 dimensional volume quantitation but permit in later times in spheroidal, GGT positive foci and reprogrammed nodules showing fade-out of GGT activity. In other words, GGT positive foci may be clonally selected for growing into hyperplastic nodules and hepatocellular carcinoma or regressed by apoptosis. (Korean J Hepatol 1998;8:46 - 58)
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Autoradiographic Investigation for 3H - Thymidine Labeling Indicies of γ - Glutamyl Transpeptidase Positive Foci during the Rat Liver Carcinogenesis
Kee Woon Kweon , Hong Joo Kim , Soong Hwan Lee , Yeong Jung Cho , Jong Cheol Kim , Sung Woo Kim , Hee Soo Kim , In Gyu Back , Cheol Hun Jung , Yong Hyeon Jo , Chang Woo Gham , Dong Ho
Korean J Hepatol 1998;4(2):162-178.
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Case Report

Agenesis of the Right Lobe of the Liver
Young Jun Ha, M.D., Kyoung Hyun Kim, M.D., Heui Sik Kim, M.D., Jae Seung Lee, M.D., Jae Woong Hur, M.D., Young Ho Sung, M.D., Hyun Han Oh, M.D.*
Korean J Hepatol 2000;6(1):124-128.
Agenesis of the right lobe of the liver is an extremely rare anomaly of the liver, and few cases are reported in the literature. Most of the patients with this anomaly are accompanied by additional anormalies such as retrohepatic or suprahepatic gallbladder and other biliary tract diseases, including cholelithiasis, carcinoma of the gallbladder and portal hypertension. The diagnosis of this rare anatomical variant was established by ultrasonography and computed tomography. The radiological findings, clinical presentation, and differential diagnosis are reviewed.(Korean J Hepatol 2000;6:124-128)
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Editorial

Role of Angiogenic Factors during the Hepatocarcinogenesis
Young Nyun Park
Korean J Hepatol 2001;7(1):12-14.
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Original Article

Implications of Serum Levels of Basic Fibroblast Growth Factor and Vascular Endothelial Growth Factor in Chronic Liver Diseases and Hepatocellular Carcinoma
Sung Jae Yoo, M.D, Sung Moon Jung, M.D, Jong Gwang Kim, M.D, Jin Ok Lee, M.D, Yong Whan Song, M.D, Chul Ju Han, M.D, Sook-Hyang Jung, M.D, You Cheoul Kim, M.D, Chang-Min Kim, M.D, Jhin Oh Lee, M.D, Young Joon Hong, M.D* and Seok Il Hong, M.D*
Korean J Hepatol 2001;7(1):47-54.
Background/Aims
Angiogenesis occurs in response to tissue damage, and is of vital importance for tumor growth and metastasis. Basic fibroblast growth factor (bFGF) and vascular endothelial growth factor (VEGF) are potent angiogenic factors, and have been suggested to be useful diagnostic markers in certain hypervascular tumors. However, little is known of serum bFGF and VEGF in patients with hepatocellular carcinoma (HCC). We attempted to measure serum bFGF and VEGF in patients with chronic liver diseases (CLD) and HCC to assess their pathogenetic role and usability as tumor markers. Methods: Serum bFGF and VEGF were measured in 8 patients with chronic hepatitis (CH), 15 patients with liver cirrhosis (LC), and 49 patients with HCC. bFGF was measured in 33, and VEGF was measured in 50, healthy blood donors. Results: Serum bFGF was 3.8±1.9, 2.0±1.4, 4.2±6.0, 17.4±30.0 pg/mL in normal control, CH, LC, HCC, respectively. The serum bFGF level was significantly increased in patients with HCC when compared with normal control or patients with CLD. No difference, however, was observed in serum VEGF levels among the four groups. The serum levels of bFGF and VEGF were not significantly different in patients with HCC according to tumor type, size and stage. Serum bFGF showed good sensitivity (90%), specificity (87%), and positive predictive value (94%) in differentiating patients with HCC from those with CLD at the cut-off value of 4.6 pg/mL. Conclusions: bFGF might play a role in the growth of HCC and its serum level might be used as a tumor marker. On the other hand, serum VEGF does not seem to be an adequate tumor marker.(Korean J Hepatol 2001;7:47-54)
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Cyber Hepatology

Pathogenesis of Alcoholic Liver Injury and Internet Web Site
Jin Mo Yang
Korean J Hepatol 2001;7(2):216-219.
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Review

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Original Article

The Role of Angiostatin, Vascular Endothelial Growth Factor, Matrix Metalloproteinase 9 and 12 in the Angiogenesis of Hepatocellular Carcinoma
Sook Kim, M.D.1, Ho Sung Park, M.D., Hyun Jin Son, M.D. and Woo Sung Moon, M.D.
Korean J Hepatol 2004;10(1):62-72.
Background/Aims
Tumor angiogenesis, a major requirement for tumor growth and metastasis, is regulated by pro- and anti-angiogenic factors. Hepatocellular carcinoma (HCC) has become a common malignant tumor worldwide. It is characterized by a high vascularity. Methods: We studied the immunohistochemical expression of angiostatin, vascular endothelial cell growth factor (VEGF), matrix metalloproteinase (MMP)-9 and MMP-12, and the relationship between these results and the microvessel density (MVD) in 48 HCC specimens. To determine whether HCC cells express angiostatin per se, we examined the expression of angiostatin, MMP-9 and MMP-12 by Western blotting in four HCC cell lines.
Results
Expression of angiostatin and MMP-12 (but not MMP-9) were strongly correlated with decreased MVD in HCCs (P=0.006, P=0.038, respectively). VEGF positive tumors showed a significantly higher MVD than VEGF negative tumors (P=0.01). We divided the 48 cases into the following four groups: group A, angiostatin (+), MMP-9 or -12 (+), and VEGF (-); group B, angiostatin (-) and VEGF (-); group C, angiostatin (+), MMP-9 or -12 (+), and VEGF (+); group D, angiostatin (-) and VEGF (+). There was a significant correlation with MVD among these groups (P<0.001). Angiostatin was detected by Western blotting in 2 out of 4 HCC cell lines and was associated with plasminogen and MMP expression.
Conclusions
These results indicate that angiogenesis in HCC is a complex process involving multiple factors including angiostatin, VEGF, and MMP. Our results suggest that angiostatin is generated by MMP-mediated proteolysis of plasminogen in HCC cells.(Korean J Hepatol 2004;10:62-72)
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Hepatology Elsewhere

Topics Related to Hepatocellular Carcinoma
Il Han Song
Korean J Hepatol 2004;10(2):174-176.
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Review
Hypoxia in Hepatocellular Carcinoma
Sun Jung Myung , Jung Hwan Yoon
Korean J Hepatol 2007;13(1):9-19.
Hepatocellular carcinoma (HCC) is characterized by hypervascularity, indicating that angiogenesis plays a vital role in HCC growth and progression. A number of anti-angiogenic therapies are being utilized in clinical trials in patients with HCC. However, the therapeutic efficacy of anti-angiogenic monotherapy is still insufficient. While inhibition of angiogenesis results in tumor hypoxia and cell death, this inhibition may also activate hypoxia-induced cell signals that may promote HCC progression. Therefore, an understanding of these signals may be essential in designing efficient anti-angiogenic therapies. This review summarizes the role of hypoxia-induced signals in HCC. (Korean J Hepatol 2007;13:9-19)
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