Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0023890 (cirrhosis)
 42,195 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

In well defined liver diseases in 69 alcoholics and in 71 patients without history of alcoholism the enzymatic findings were compared. Also a group of 43 alcoholics with praedelirium or delirium tremens were examined. In steatosis due to alcohol, the average of GGTP (145 U/l) attains values two times higher than in comparable cases of non-alcoholic origin (73 U/l). In cirrhotics with alcoholism, the average GGTP levels (477 U/l) exceed those obtained in patients with cirrhosis of other origin (110 U/l), four times more. Similar or higher GGTP values were found only in primary biliary cirrhosis. After a period of at least 3 months of abstinence, GGTP values had decreased (to 68 U/l) in the average). The highest values of GGTP were found in acute alcoholic hepatitis and in chronic alcoholics with praedelirium or delirium tremens. GGTP accords diagnostic hints in comparison with other enzymes, as shown by a quotient of GGTP-GPT. GGTP is very helpful for differentiation and long time observation of alcoholic liver disease, especially with regards controlling abstinence of alcohol.
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PMID:[Gamma-glutamyl-transpeptidase in alcoholic liver diseases]. 1 29

The AA. have observed some patients suffering from persistent chronic hepatitis, aggressive chronic hepatitis, severe virus hepatitis, hepatic cirrhosis, hepatic metastasis, cholecystolithiasis, hepatic abscess, congestic heart disorder, alcoholism also patients treated with barbiturics and benzodiazepine, comparising in the meanwhile gamma-glutamyl-transaminase. They would suggest a new interpretation: the observed enzyme was higher in the obstructive diseases, gamma-GT also notable higher in the cellular hepatic diseases (hepatitis, cirrhosis and so on). In their opinion gamma-GT should be a regular enzymatic screening for liver diseases, but should not anyway eliminate the till now used enzymes.
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PMID:[New views referred to gamma-glutamyl-transpeptidase (author's transl]. 1 13

Serum activity of 5-H studied in 178 patients with chronic liver bile diseases: chronic hepatitis, liver cirrhosis, neoplasms of the liver and bile ducts, benign biliary diseases, chronic alcoholism, liver enzymopathies. Enzyme activity is elevated in all diseases but reaches its highest in the presence of biliary stasis. In comparison with APh, gamma-GTP, LAP and cholesterol the deviations of 5-H in biliary stasis are quantitatively better manifested. The diagnostic value (reliability) of six indices for the differential diagnosis of biliary stasis was studied. APh, 5-H, gamma-GTP have a high diagnostic sensitivity, whereas Lp-H, cholesterol and 5-H revealed a high specificity and the highest "predicting" value. The method used for the assessment of 5-H activity is distinguished for its reliable analytical qualities and is appropriate for routine labour diagnostics.
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PMID:[Serum 5-nucleotidase activity in chronic hepatobiliary diseases]. 3 31

The symptoms of cirrhosis are inconsistent and appear late in the course of the disease. Laboratory tests are also of variable value; generally speaking, cytolysis is observed infrequently. The gamma-GT test is the most sensitive in alcoholic cirrhosis, but may be more an expression of the degree of alcoholism than of the hepatic lesion per se. In cirrhosis, the best diagnostic method is a combination of laparoscopy and puncture biopsy. Endoscopy permits diagnosis not only of the hepatic lesion but also of the complications which may ensure, such as portal hypertension and ascites. Alcoholic abstinence appears to improve the prognosis of alcoholic cirrhosis. The prognosis in this condition may, in fact, be better than has been suspected.
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PMID:[Liver cirrhosis. Clinical and biological aspects]. 3 99

Pi (protease inhibitor) genotype was determined in 394 healthy blood-donors, 132 adult patients with alcoholic cirrhosis, and 37 adult patients with cryptogenic cirrhosis. The frequency of the heterozygous genotype with a single allele Pi Z (heterozygous alpha 1-antitrypsin deficiency) was not different in blood-donors and in patients with cirrhosis. This finding suggests that the association of this heterozygous genotype with cirrhosis is not causal but fortuitous and that this heterozygous genotype does not increase susceptibility to cirrhosis due to other causes, in particular alcoholism.
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PMID:Heterozygous alpha 1-antitrypsin deficiency and cirrhosis in adults, a fortuitous association. 4 89

The earliest and most reproduceable lesion associated with chronic alcohol abuse is fatty liver. In some alcoholics this may be superseded by alcoholic hepatitis, which may represent the link between the early lesion and cirrhosis. Alcoholic cirrhosis usually begins as a regular, monolobular variety, but is eventually transformed into an irregular, multilobular type. All stages of alcoholic liver injury have now been produced in the baboon, despite high protein and vitamin supplemented diets. Alcohol may therefore now be regarded as a direct hepatotoxin. Epidemiological studies have indicated that alcoholic liver injury begins with an intake of more than 80 g ethanol a day, and that cirrhosis is generally not seen with an intake of less than 160 g per day. The development of cirrhosis correlates with the total duration and amount of alcohol ingested. Complications of alcoholic cirrhosis include iron overload and primary hepatic carcinoma.
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PMID:Relation of alcoholic liver injury to cirrhosis. 4 93

Mononuclear-cell responses to liver extracts were studied by a migration-inhibition assay in patients with alcoholic liver disease, viral hepatitis, chronic alcoholism without evidence of liver disease, and in healthy individuals. Patients with acute alcoholic hepatitis demonstrated liver-antigen-induced inhibition of migration (migration index [M.I]equal 0-58 plus or minus 0-08, mean plus or minus S.D.), while patients with cirrhosis, alcoholism, and acute viral hepatitis, as well as healthy volunteers, did not demonstrate such a response (M.I. 0-92 plus or minus 0-13, 0-90 lus or minus 0-10, 0-86 plus or minus 0-18, 0-99 plus or minus 0-04, respectively). It is concluded that cell-mediated immunity to normal or damaged liver tissue may act to perpetuate alcoholic hepatitis and thereby contribute to the development of cirrhosis.
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PMID:Cell-mediated immunity to liver in patients with alcoholic hepatitis. 4 24

Patients attending a clinic for diseases of the liver were tested for blood-ethanol by a gas chromatographic technique sensitive to about 5 mg/dl (1 mmol/1). Of 172 patients (51 men, 121 women) 36% gave a history of heavy drinking (greater than 80 g ethanol/day; equivalent to 8 fl oz of whisky or 1 litre of wine) and 13% had ethanol in the bloodstream at values of 8-400 mg/dl. 42 patients (24%) had the liver-biopsy changes of alcoholic liver disease, and 17 of these had ethanol in the blood at one time or another. Nearly half (22/49) of all patients admitting heavy drinking also had detectable blood-ethanol. In all cases but 1 where blood-ethanol was found, a drinking history was admitted on first attendance, and alcoholic liver disease was nearly always found on subsequent biopsy. Blood-ethanol and admission of drinking were most constantly found in association with alcoholic steatosis and hepatitis. Both features were less commonly present in cases of alcoholic cirrhosis. Only 1 patient of 22 with "cryptogenic" cirrhosis on biopsy was found to have both ethanol in the blood and an alcoholic history, although 5 had an alcoholic history alone. The value of serial blood-ethanol estimations in the treatment of alcoholics and the detection of relapses is demonstrated. The findings confirm the relatively low frequency of alcoholism as a contributor to cirrhosis in the United Kingdom. Alcohol does not seem a major cause of cryptogenic cirrhosis. Casual blood-ethanol estimation is a useful and objective adjunct to techniques of investigating diseases of the liver.
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PMID:Casual blood-ethanol estimations in patients with chronic liver disease. 5 Nov 46

Alcoholism was the major aetiological factor in 65% of 78 patients presenting with cirrhosis to a hospital in Central London during 1968-74. It is suggested that in the U.K. the importance of alcoholism in patients with cirrhosis has been underestimated.
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PMID:Cirrhosis in South London. 5 84

Bone marrow smears show vacuoles in the cytoplasm of haematopoietic cells due to alcoholism, liver cirrhosis and anemias different origin, for example in acute leukemias, in proportion to the decreased content of haemoglobin. The cell doubling rat in vivo is not obviously impaired by the vacuolisation of the cytoplasm exactly as is the case with proliferation in vitro, although the vacuolation increases in vitro. Phase contrast observation makes visible the vacuoles without membranes and content as they appear transitorily in pinocytosis, and not as secondary lysosomes. The common cause for the formation of the vacuoles without membranes in the cytoplasm in all these pathological states could be intracellular hypoxia and acidosis.
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PMID:[Cytoplasmic vacuoles and kinetics of bone marrow cells in alcoholism, liver cirrhosis and anemia]. 7 25


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