Research Topics
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Publications
Advances in the pathogenesis and treatment of type-1 and type-2 hepatorenal syndromeVicente Arroyo
Liver Unit, Institute of Digestive and Metabolic Diseases, Hospital Clinic, University of Barcelona, Barcelona, Spain
J Hepatol 46:935-46. 2007
Pathogenesis and treatment of hepatorenal syndromeVicente Arroyo
Liver Unit, Institute of Digestive and Metabolic Diseases, CIBERehd, Hospital Clinic, University of Barcelona, Spain
Semin Liver Dis 28:81-95. 2008..However, effective treatments of HRS (vasoconstrictors associated with intravenous albumin, transjugular intrahepatic portacaval shunt, albumin dialysis) that can improve survival have recently been introduced...
The liver and the kidney: mutual clearance or mixed intoxicationVicente Arroyo
Liver Unit, Institute of Digestive and Metabolic Diseases, Hospital Clinic, University of Barcelona, Barcelona, Spain
Contrib Nephrol 156:17-23. 2007..In this article new concepts on the pathogenesis of hepatorenal syndrome are reported, the current options for prophylaxis are shown, and the most applicable treatments are described...
Management of hepatorenal syndrome in patients with cirrhosisVicente Arroyo
Liver Unit, Hospital Clinic Barcelona, University of Barcelona, Villarroel 170, Barcelona, Catalonia 08036, Spain
Nat Rev Nephrol 7:517-26. 2011..Albumin dialysis is a potentially effective treatment for type 1 HRS still under investigation. Patients with type 2 HRS are treated with repeated large-volume paracentesis or TIPS...
Pathophysiological basis of albumin use in cirrhosisVicente Arroyo
Liver Unit, Institut de Malalties Digestives i Metaboliques, Hospital Clinic and Institut d Investigacions Biomèdiques August Pi i Sunyer, University of Barcelona, Barcelona, Spain
Ann Hepatol 10:S6-14. 2011..Impairment of albumin function is one of the most characteristic traits of cirrhosis. Administration of exogenous albumin could be beneficial because of its positive effects on microcirculation...
Review article: hepatorenal syndrome--how to assess response to treatment and nonpharmacological therapyV Arroyo
Liver Unit, Institute of Digestive and Metabolic Diseases, Hospital Clinic, University of Barcelona, Spain
Aliment Pharmacol Ther 20:49-54; discussion 55-6. 2004..TIPS is also effective in these patients and the combination of pharmacological treatment followed by TIPS may be the most effective approach...
Renal and neurohormonal changes following simultaneous administration of systemic vasoconstrictors and dopamine or prostacyclin in cirrhotic patients with hepatorenal syndromeJ Salo
Department of Medicine, Hospital Clinic i Provincial, Barcelona, Spain
J Hepatol 25:916-23. 1996..The renal effects of the i.v. infusion of norepinephrine plus prostacyclin in patients with hepatorenal syndrome were also assessed...
Reversibility of hepatorenal syndrome by prolonged administration of ornipressin and plasma volume expansionM Guevara
Liver Unit, Hospital Clinic i Provincial, University of Barcelona, Catalunya, Spain
Hepatology 27:35-41. 1998....
Nitric oxide production and inducible nitric oxide synthase expression in peritoneal macrophages of cirrhotic patientsW Jimenez
Hormonal Laboratory, Hospital Clínic Universitari and Institut d Investigacions Biomèdiques August Pi i Sunyer IDIBAPS, University of Barcelona, Barcelona, Spain
Hepatology 30:670-6. 1999....
In vitro and in vivo activation of rat hepatic stellate cells results in de novo expression of L-type voltage-operated calcium channelsR Bataller
Liver Unit, Hospital Clinic, IDIBAPS, University of Barcelona School of Medicine, Catalunya, Spain
Hepatology 33:956-62. 2001..We conclude that the activation of HSCs is associated with up-regulation of L-type VOCC that mediate Ca2+ influx and cell contraction. These results may be relevant to the pathogenesis of portal hypertension...
Complications of cirrhosis. II. Renal and circulatory dysfunction. Lights and shadows in an important clinical problemV Arroyo
Institute of Digestive Diseases and Hormonal Laboratory, Hospital Clinic Universitari, University of Barcelona, Spain
J Hepatol 32:157-70. 2000..The mechanism of bacterial translocation and of the colonization of bacteria in the ascitic fluid are particularly important to design adequate measures for primary prophylaxis of this severe bacterial infection...
Transjugular intrahepatic portosystemic shunting versus paracentesis plus albumin for refractory ascites in cirrhosisPere Gines
Liver Unit, Hospital Clinic, Institut d Investigacions Biomédiques August Pi Sunyer IDIBAPS, University of Barcelona, Instituto Reina Sofia de Investigacion Nefrologica, Barcelona, Catalunya, Spain
Gastroenterology 123:1839-47. 2002..However, its effect on survival and healthcare costs is still uncertain...
Randomized trial comparing albumin, dextran 70, and polygeline in cirrhotic patients with ascites treated by paracentesisA Gines
Liver Unit, Hospital Clinic i Provincial, Barcelona, Spain
Gastroenterology 111:1002-10. 1996..This study investigated the clinical importance of paracentesis-induced-circulatory dysfunction and compared the efficacy of albumin, dextran 70, and polygeline in preventing this complication...
Human hepatic stellate cells secrete adrenomedullin: potential autocrine factor in the regulation of cell contractilityM N Görbig
Institute of Digestive Diseases, Hospital Clinic, Institut d Investigacions Biomèdiques August Pi Sunyer, University of Barcelona School of Medicine, Catalonia, Spain
J Hepatol 34:222-9. 2001..It is unknown whether human HSCs have receptors for and are able to synthesize the vasodilator peptide adrenomedullin (ADM), a peptide produced by most contractile cells...
Inactivation of extrahepatic vascular Akt improves systemic hemodynamics and sodium excretion in cirrhotic ratsG Fernandez-Varo
Biochemistry and Molecular Genetics Service, Hospital Clinic, Institut d Investigacions Biomediques August Pi i Sunyer IDIBAPS, Centro de Investigacion Biomedica en Red de Enfermedades Hepaticas y Digestivas CIBERehd, University of Barcelona, Barcelona, Spain
J Hepatol 53:1041-8. 2010..Ultimately, we sought to determine whether endothelial transduction of a constitutively inactive mutant of Akt (AA-Akt) improves circulatory function and sodium excretion in cirrhotic rats with ascites...
Long-term aquaretic efficacy of a selective nonpeptide V(2)-vasopressin receptor antagonist, SR121463, in cirrhotic ratsW Jimenez
Hormonal Laboratory, Institut d Investigacions Biomediques August Pi i Sunyer, Hospital Clinic Universitari, University of Barcelona and Instituto Reina Sofia de Investigaciones Nefrológicas, Barcelona, Spain
J Pharmacol Exp Ther 295:83-90. 2000..During the first 6 days of treatment, SR121463 also increased U(Na)V without affecting mean arterial pressure. These data suggest that SR121463 could be of therapeutical value for chronic management of human cirrhosis...
A prognostic model for predicting survival in cirrhosis with ascitesG Fernandez-Esparrach
Liver Unit, Institut de Malalties Digestives, Hospital Clinic, IDIBAPS, Barcelona, Spain
J Hepatol 34:46-52. 2001..The aim of the current study was to develop a prognostic model to estimate survival of patients with cirrhosis and ascites...
Increased plasma levels of neuropeptide Y in hepatorenal syndromeJuan Uriz
Liver Unit, Institut de Malalties Digestives, , Barcelona, Spain
J Hepatol 36:349-55. 2002..CONCLUSIONS: Patients with HRS have increased levels of NPY which are related to circulatory dysfunction and SNS activation and may contribute to renal vasoconstriction...
Renal failure in patients with cirrhosis and sepsis unrelated to spontaneous bacterial peritonitis: value of MELD scoreCarlos Terra
Liver Unit, , Universitat de Barcelona, Barcelona, Spain
Gastroenterology 129:1944-53. 2005..Outcome is poor, even in the setting of reversible renal failure. The MELD score is the best prognostic marker of patients with cirrhosis and sepsis...
Management of cirrhosis and ascitesPere Gines
Liver Unit, Hospital Clinic and University of Barcelona, Institut d Investigacions Biomèdiques August Pi Sunyer, Barcelona, Spain
N Engl J Med 350:1646-54. 2004
New treatments of hepatorenal syndromeVicente Arroyo
Liver Unit, Institut of Digestive and Metabolic Diseases, Hospital Clinic, University of Barcelona, Spain
Semin Liver Dis 26:254-64. 2006....
Norfloxacin vs ceftriaxone in the prophylaxis of infections in patients with advanced cirrhosis and hemorrhageJavier Fernandez
IMDM and IDIBAPS, Liver Unit, Hospital Clinic, University of Barcelona, Villaroel 170, 08036 Barcelona, Spain
Gastroenterology 131:1049-56; quiz 1285. 2006..This randomized controlled trial was aimed to compare oral norfloxacin vs intravenous ceftriaxone in the prophylaxis of bacterial infection in cirrhotic patients with gastrointestinal bleeding...
Terlipressin and albumin vs albumin in patients with cirrhosis and hepatorenal syndrome: a randomized studyMarta Martín-Llahí
Liver Unit, Hospital Clinic, University of Barcelona School of Medicine, Institut d Investigacions Biomédiques August Pi Sunyer IDIBAPS, Centro de Investigacion Biomedica en Red de Enfermedades Hepaticas y Digestivas CIBERehd, Barcelona, Spain
Gastroenterology 134:1352-9. 2008..Hepatorenal syndrome is common in patients with advanced cirrhosis and constitutes a major problem in liver transplantation. There is no effective medical treatment for hepatorenal syndrome...
MELD score and serum sodium in the prediction of survival of patients with cirrhosis awaiting liver transplantationMaria Carlota Londoño
Liver Unit, Hospital Clinic, Universitat de Barcelona, Institut de Investigacions Biomèdiques August Pi Sunyer, CIBER de Enfermedades Hepáticas y Digestivas and Centro de Investigaciones Biomédicas Esther Koplowitz, Barcelona, Spain
Gut 56:1283-90. 2007....
Increased production of vascular endothelial growth factor in peritoneal macrophages of cirrhotic patients with spontaneous bacterial peritonitisP Cejudo-Martin
Hormonal Laboratory, Hospital Clínic Universitari and Institut d Investigacions Biomèdiques August Pi i Sunyer, University of Barcelona, Barcelona, Spain
Hepatology 34:487-93. 2001..These results, therefore, are consistent with the concept that locally released macrophage-derived VEGF may result in increased vascular permeability and plasma leakage in the peritoneal vessels of cirrhotic patients with SBP...
Review article: albumin for circulatory support in patients with cirrhosisP Gines
Liver Unit, Institut de Malalties Digestives, Hospital Clinic, Barcelona, Spain
Aliment Pharmacol Ther 16:24-31. 2002..By contrast, the administration of albumin without vasoconstrictors has marginal or no effects on renal function in this setting...
Use of albumin in the management of patients with decompensated cirrhosis. An independent verdictV Arroyo
Liver Unit, Institut de Malalties Digestives, Hospital Clinic, Villarroel 170, 08036 Barcelona, Spain
Dig Liver Dis 35:668-72. 2003..In consequence, although further studies on this indication are clearly required, with the current data it is advisable to use albumin as a plasma expander in patients with massive ascites treated by paracentesis...
Combined liver-kidney transplantation in patients with cirrhosis and chronic kidney diseaseM E Baccaro
Liver Unit, Hospital Clinic, University of Barcelona, Institut d Investigacions Biomédiques August Pi Sunyer IDIBAPS, Centro de Investigacion Biomedica en Red de Enfermedades Hepaticas y Digestivas CIBERehd, Barcelona, Catalunya, Spain
Nephrol Dial Transplant 25:2356-63. 2010..However, 3-year survival of patients with cirrhosis treated with CLKT is excellent...
Bacterial infections in cirrhosis: epidemiological changes with invasive procedures and norfloxacin prophylaxisJavier Fernandez
Liver Unit, IMD, and Department of Microbiology and IDIBAPS, Hospital Clinic, University of Barcelona, Barcelona, Spain
Hepatology 35:140-8. 2002..Quinolone-resistant spontaneous bacterial peritonitis constitutes an emergent problem in patients on long-term norfloxacin prophylaxis, with trimethoprim-sulfamethoxazole not being a valid alternative...
Hyponatremia in patients treated with terlipressin for severe gastrointestinal bleeding due to portal hypertensionElsa Solá
Liver Unit, Hospital Clinic, University of Barcelona, Barcelona, Catalunya, Spain
Hepatology 52:1783-90. 2010..It develops rapidly after start of therapy, may be severe in some patients and is associated with neurological complications, and is usually reversible after terlipressin withdrawal...
Effects of treatment of hepatorenal syndrome before transplantation on posttransplantation outcome. A case-control studyTea Restuccia
Liver Unit, Institute for Digestive Diseases, Hospital Clinic, University of Barcelona, Villarroel 170, Barcelona 08036, Catalunya, Spain
J Hepatol 40:140-6. 2004..Pretransplant renal function is the major determinant of survival after liver transplantation (LTx). Patients with hepatorenal syndrome (HRS) have a poor outcome after LTx compared with patients transplanted without HRS...
Pathophysiology, diagnosis and treatment of ascites in cirrhosisVicente Arroyo
Liver Unit, Institut de Malalties Digestives Hospital Clinic, University of Barcelona, Spain
Ann Hepatol 1:72-9. 2002..TIPS is more effective in the long term control of ascites but may impair hepatic function and induce chronic hepatic encephalopathy...
[Circulatory support with albumin in liver cirrhosis]V Arroyo
, , , Universidad de Barcelona, Barcelona, Spain
Gastroenterol Hepatol 28:74-9. 2005
[Training of specialists in gastroenterology. Was it time for a review?]J M Pique
Asociación Española de Gastroenterología AEG, Spain
Gastroenterol Hepatol 26:427-36. 2003
[Adrenal insufficiency in cirrhosis]Javier Fernandez
IMDiM, IDIBAPS, Hospital Clinic, Universidad de Barcelona, CIBERehd, Barcelona, Espana
Gastroenterol Hepatol 31:606-11. 2008..This chapter summarizes the main aspects of the physiopathology, diagnosis and treatment of this entity in patients with acute or chronic liver disease...
Effects of contrast media on renal function in patients with cirrhosis: a prospective studyMonica Guevara
Liver Unit, Hospital Clinic, Barcelona, Spain
Hepatology 40:646-51. 2004..Cirrhosis does not appear to be a risk factor for the development of contrast media-induced nephrotoxicity...
Aquaporin-1 and aquaporin-2 urinary excretion in cirrhosis: Relationship with ascites and hepatorenal syndromeChristina Esteva-Font
Molecular Biology Laboratory, , Barcelona, Spain
Hepatology 44:1555-63. 2006..Finally, aquaporin-1 does not appear to play a role in the progressive dysregulation of extracellular fluid volume in cirrhosis...
Effects of celecoxib and naproxen on renal function in nonazotemic patients with cirrhosis and ascitesJoan Claria
DNA Unit, Hospital Clinic, Institut d Investigacions Biomediques August Pi i Sunyer IDIBAPS, University of Barcelona, Barcelona, Spain
Hepatology 41:579-87. 2005..Further studies are needed to evaluate the long-term safety of this drug in cirrhosis...
Adrenal insufficiency in patients with cirrhosis and septic shock: Effect of treatment with hydrocortisone on survivalJavier Fernandez
Liver Unit, Department of Surgery and Centro de Investigaciones Biomédicas Esther Koplowitz, IMDiM, IDIBAPS, Hospital Clinic, University of Barcelona, Spain
Hepatology 44:1288-95. 2006..Hydrocortisone administration in these patients is associated with a high frequency of shock resolution and high survival rate...
A randomized unblinded pilot study comparing albumin versus hydroxyethyl starch in spontaneous bacterial peritonitisJavier Fernandez
Liver Unit, IMDM and IDIBAPS, Hospital Clinic, University of Barcelona, Spain
Hepatology 42:627-34. 2005..This effect is due not only to volume expansion but also to an action on the peripheral arterial circulation...
The long-term results of a randomized clinical trial of laparoscopy-assisted versus open surgery for colon cancerAntonio M Lacy
Department of Surgery, Centro de Investigaciones Biomédicas Esther Koplowitz, IMDiM, IDIBAPS, Hospital Clinic, University of Barcelona, Spain
Ann Surg 248:1-7. 2008..The aim of this study was to compare the long-term outcome of laparoscopy-assisted colectomy (LAC) and open colectomy (OC) for nonmetastatic colon cancer...
Hyponatremia is a risk factor of hepatic encephalopathy in patients with cirrhosis: a prospective study with time-dependent analysisMonica Guevara
Liver Unit, Hospital Clinic, University of Barcelona, Villarroel 170, Barcelona, Spain
Am J Gastroenterol 104:1382-9. 2009..The aim of this study was to investigate whether hyponatremia is a risk factor of overt hepatic encephalopathy (HE) in cirrhosis...
Hyponatremia impairs early posttransplantation outcome in patients with cirrhosis undergoing liver transplantationMaria Carlota Londoño
Liver Unit, Hospital Clinic, Universitat de Barcelona, Barcelona, Spain
Gastroenterology 130:1135-43. 2006..We aimed to assess the effects of hyponatremia at the time of transplantation on posttransplantation outcome in patients with cirrhosis...
Effect of intravenous albumin on systemic and hepatic hemodynamics and vasoactive neurohormonal systems in patients with cirrhosis and spontaneous bacterial peritonitisJavier Fernandez
Liver Unit, IMD, IDIBAPS, Hospital Clinic, University of Barcelona, Barcelona, Spain
J Hepatol 41:384-90. 2004..Albumin administration prevents renal failure and improves survival in spontaneous bacterial peritonitis. This study characterizes the mechanisms of action of albumin in this condition...
Increased carbon monoxide production in patients with cirrhosis with and without spontaneous bacterial peritonitisDara de Las Heras
Liver Unit, Department of Pulmonary Medicine, and Hormonal Laboratory, , University of Barcelona, Catalunya, Spain
Hepatology 38:452-9. 2003..Increased CO production may participate in the disturbance of circulatory function that occurs during severe bacterial infections in cirrhosis...
Risk factors for hepatic encephalopathy in patients with cirrhosis and refractory ascites: relevance of serum sodium concentrationMonica Guevara
Liver Unit Hospital Clínic, Universitat de Barcelona, Barcelona, Spain
Liver Int 30:1137-42. 2010..In conclusion, in patients with refractory ascites, the occurrence of HE is related to the impairment of liver and renal function and presence of hyponatraemia...
Primary prophylaxis of spontaneous bacterial peritonitis delays hepatorenal syndrome and improves survival in cirrhosisJavier Fernandez
Liver Unit, Hospital Clinic Barcelona, Barcelona, Spain
Gastroenterology 133:818-24. 2007..Norfloxacin is highly effective in preventing spontaneous bacterial peritonitis recurrence in cirrhosis, but its role in the primary prevention of this complication is uncertain...
Prostaglandins and other cyclooxygenase-dependent arachidonic acid metabolites and the kidney in liver diseaseJoan Claria
DNA Unit, Institut d Investigacions Biomediques August Pi i Sunyer, Hospital Clinic, Universitat de Barcelona, Barcelona 08036, Spain
Prostaglandins Other Lipid Mediat 72:19-33. 2003
Renal failure after upper gastrointestinal bleeding in cirrhosis: incidence, clinical course, predictive factors, and short-term prognosisA Cardenas
Liver Unit, Institut de Malalties Digestives, Hospital Clinic, University of Barcelona, Spain
Hepatology 34:671-6. 2001..Renal failure is a strong predictor of mortality in patients with cirrhosis and gastrointestinal bleeding...
Matrix metalloproteinase 2 in reduced-size liver transplantation: beyond the matrixS Padrissa-Altés
Experimental Hepatic Ischemia Reperfusion Unit, Institut d Investigacions Biomèdiques de Barcelona Consejo Superior de Investigaciones Científicas, Barcelona, Spain
Am J Transplant 10:1167-77. 2010..Our results open up new possibilities for therapeutic treatments to reduce I/R injury and increase liver regeneration after ROLT, which are the main limitations in living-donor transplantation...
Management of ascites and hepatic hydrothoraxAndres Cardenas
Institut de Malalties Digestives i Metaboliques, University of Barcelona, Hospital Clinic, Villaroel 170, Barcelona 08036, Spain
Best Pract Res Clin Gastroenterol 21:55-75. 2007..This article reviews the most current concepts of pathogenesis, clinical findings, diagnosis, and treatment of these complications of cirrhosis...
Terlipressin therapy with and without albumin for patients with hepatorenal syndrome: results of a prospective, nonrandomized studyRolando Ortega
Liver Unit, Institut de Malalties Digestives, , University of Barcelona, , Catalunya, Spain
Hepatology 36:941-8. 2002..In conclusion, terlipressin therapy reverses HRS in a high proportion of patients. Recurrence rate after treatment withdrawal is uncommon. Albumin appears to improve markedly the beneficial effects of terlipressin...
Effect of the V1a/V2-AVP receptor antagonist, Conivaptan, on renal water metabolism and systemic hemodynamics in rats with cirrhosis and ascitesGuillermo Fernandez-Varo
Hormonal Laboratory, Hospital Clinic Universitari, Institut d Investigacions Biomediques August Pi i Sunyer IDIBAPS, University of Barcelona and Instituto Reina Sofia de Investigaciones Nefrológicas IRSIN, Villarroel 170, 08036, Barcelona, Spain
J Hepatol 38:755-61. 2003..This is important, particularly considering that blockade of V(1a)-AVP receptors could aggravate cardiocirculatory function in decompensated cirrhosis...
Predictors of response to therapy with terlipressin and albumin in patients with cirrhosis and type 1 hepatorenal syndromeAndré Nazar
Liver Unit, Hospital Clinic, University of Barcelona, Barcelona, Catalunya, Spain
Hepatology 51:219-26. 2010..Alternative treatment strategies to terlipressin and albumin should be investigated for patients with type 1 HRS and low likelihood of response to vasoconstrictor therapy...
Sustained aquaretic effect of the V2-AVP receptor antagonist, RWJ-351647, in cirrhotic rats with ascites and water retentionJosefa Ros
Unitat de Cèl lules Troncals, Hospital Clínic Univesitari, Institut d Investigacions Biomediques August Pi i Sunyer, Universitat de Barcelona, Instituto Reina Sofía de Investigaciones Nefrológicas, Barcelona, Spain
Br J Pharmacol 146:654-61. 2005..5 These data suggest that RWJ-351647 could be therapeutically useful in the treatment of water retention in human cirrhosis...
Hepatorenal syndrome-pathogenesis and treatmentAndres Cardenas
Liver Unit, Institut de Malalties Digestives Hospital Clinic, Villarroel 170, 08036 Barcelona, Spain
Curr Gastroenterol Rep 4:1-4. 2002
Gene transduction of an active mutant of akt exerts cytoprotection and reduces graft injury after liver transplantationM Morales Ruiz
Department of Biochemistry and Molelular Genetics, Hospital Clinic, IDIBAPS, University of Barcelona and IRSIN, Spain
Am J Transplant 7:769-78. 2007..In conclusion, myr-Akt gene therapy effectively exerts cytoprotection against hepatic I/R injury regardless of the Akt-dependent eNOS activation...
Origins of cardiac dysfunction in cirrhosisW Jimenez
Hormonal Laboratory, Hospital Clinic, University of Barcelona, Spain
Gut 52:1392-4. 2003
Atorvastatin attenuates angiotensin II-induced inflammatory actions in the liverMontserrat Moreno
Institut de Malalties Digestives i Metaboliques, Hospital Clinic, Institut d Investigacions Biomediques August Pi i Sunyer, Centro de Investigación Biomédica Esther Koplowitz, Barcelona, Catalonia, Spain
Am J Physiol Gastrointest Liver Physiol 296:G147-56. 2009..These results indicate that atorvastatin attenuates the pathogenic events induced by ANG II in the liver both in vivo and in vitro. Therefore, statins could have beneficial effects in conditions characterized by hepatic inflammation...
Hepatorenal syndrome in cirrhosis: pathogenesis and treatmentVicente Arroyo
Liver Unit, Institute of Digestive Disease, Hospital Clinic, University of Barcelona, Villaroel 170, 08036 Barcelona, Spain
Gastroenterology 122:1658-76. 2002
Hypoxia is an inducer of vasodilator agents in peritoneal macrophages of cirrhotic patientsPilar Cejudo-Martin
Hormonal Laboratory, Liver Unit, Institut de Malalties Digestives, Hospital Clínic Universitari and Institut d Investigacions Biomèdiques August Pi i Sunyer and Instituto Reina Sofia de Investigaciones Nefrológicas, University of Barcelona, Spain
Hepatology 36:1172-9. 2002..These data suggest that a local reduction in O(2) tension could enhance the synthesis of macrophage-derived vasodilators, thus aggravating the circulatory disturbance of these patients...
MELD score and clinical type predict prognosis in hepatorenal syndrome: relevance to liver transplantationCarlo Alessandria
Liver Unit, , Universitat de Barcelona, Barcelona, Spain
Hepatology 41:1282-9. 2005..These data can be useful in the management of patients with HRS, particularly for patients who are candidates for liver transplantation...
Ascites and hepatorenal syndrome in cirrhosis: pathophysiological basis of therapy and current managementVicente Arroyo
Liver Unit, Institute of Digestive Diseases, , Villarroel, 170, University of Barcelona, 08036 Barcelona, Spain
J Hepatol 38:S69-89. 2003
Effect of angiotensin II and bradykinin inhibition in rat reduced-size liver transplantationSusagna Padrissa-Altés
Experimental Hepatic Ischemia Reperfusion Unit, Institut d Investigacions Biomediques de Barcelona, Consejo Superior de Investigaciones Cientícas, Barcelona, Spain
Liver Transpl 15:313-20. 2009..Consequently, it may be of clinical interest to apply both treatments simultaneously...
Renal effects of selective cyclooxygenase inhibition in experimental liver diseaseMarta López-Parra
Hospital Clinic, Institut d Investigacions Biomediques August Pi i Sunyer, Universitat de Barcelona, Spain
Adv Exp Med Biol 525:133-6. 2003
High-density lipoproteins reduce the effect of endotoxin on cytokine production and systemic hemodynamics in cirrhotic rats with ascitesMaria Jose Ramirez
Liver Unit, Hospital Clinic Universitari, Institut d Investigacions Biomediques August Pi i Sunyer, University of Barcelona, Villarroel 170, Barcelona 08036, Spain
J Hepatol 40:424-30. 2004..High-density lipoproteins (HDL) have a high capacity to inactivate endotoxin. The aim was to determine if HDL reduces the effect of endotoxin on cytokine production and systemic hemodynamics in experimental cirrhosis...
Cyclooxygenase-1 derived prostaglandins are involved in the maintenance of renal function in rats with cirrhosis and ascitesMarta López-Parra
DNA Unit, Hospital Clinic, Institut d Investigacions Biomediques August Pi i Sunyer IDIBAPS, Universitat de Barcelona, Barcelona 08036, Spain
Br J Pharmacol 135:891-900. 2002..4. These results indicate that despite abundant renal COX-2 protein expression, the maintenance of renal function in cirrhotic rats is mainly dependent on COX-1-derived prostaglandins...
Hepatorenal syndromePere Gines
Liver Unit, Hospital Cli nic, Institut d Investigacions Biomèdiques August Pi Sunyer, University of Barcelona School of Medicine, Barcelona, Catalunya, Spain
Lancet 362:1819-27. 2003..Although these findings need to be confirmed, these two strategies represent innovative approaches to lower the frequency of HRS in clinical practice...
Human myofibroblastic hepatic stellate cells express Ca(2+)-activated K(+) channels that modulate the effects of endothelin-1 and nitric oxideX Gasull
Laboratory of Neurophysiology, University of Barcelona School of Medicine, IDIBAPS, Catalonia, Barcelona, Spain
J Hepatol 35:739-48. 2001..CONCLUSIONS: Activated human HSCs contain BK(Ca) channels that modulate the contractile effect of endothelin-1 and mediate the inhibitory action of NO...
Review article: albumin in the treatment of liver diseases--new features of a classical treatmentV Arroyo
Liver Unit, Institute of Digestive Diseases, Hospital Clinic, University of Barcelona, Spain
Aliment Pharmacol Ther 16:1-5. 2002..Based on this capacity an albumin dialysis system (MARS) has recently been developed. The usefulness of this system in the management of patients with acute and chronic liver failure is, at present, under evaluation...
ERCP in orthotopic liver transplanted patientsAlfredo Mata
Section of GI Endoscopy, Motility and Functional GI Tests, Institut de Malalties Digestives, Hospital Clinic, Barcelona, Spain
Hepatogastroenterology 51:1801-4. 2004..CONCLUSIONS: Because of its availability, diagnostic accuracy, treatment efficacy and safety, ERCP should be used as the first-line procedure for treatment of biliary tract complications after OLT...
Increased anandamide induced relaxation in mesenteric arteries of cirrhotic rats: role of cannabinoid and vanilloid receptorsM Domenicali
Laboratorio Hormonal, Hospital Clinic Universitari, Villarroel 170, Barcelona 08036, Spain
Gut 54:522-7. 2005....
Protection from hepatic lipid accumulation and inflammation by genetic ablation of 5-lipoxygenaseEsther Titos
Department of Biochemistry and Molecular Genetics, Hospital Clinic, IDIBAPS, CIBEK, University of Barcelona, Barcelona 08036, Spain
Prostaglandins Other Lipid Mediat 92:54-61. 2010..These findings confirm at a genetic level that Alox5 plays a pathogenic role in the response of the liver to injury...
Bradykinin attenuates hepatocellular damage and fibrosis in rats with chronic liver injuryPau Sancho Bru
Liver Unit, Institut Clinic de Malalties Digestives i Metaboliques, Barcelona, Catalonia, Spain
Gastroenterology 133:2019-28. 2007..Recent studies have suggested that the kallikrein-kinin system regulates tissue fibrogenesis. We hypothesize that bradykinin (BK), the main effector peptide of this system, regulates hepatic fibrogenesis...
Are angiotensin II receptor antagonists useful strategies in steatotic and nonsteatotic livers in conditions of partial hepatectomy under ischemia-reperfusion?Fernando S Ramalho
Experimental Hepatic Ischemia Reperfusion Unit, Institut d Investigacions Biomèdiques de Barcelona Consejo Superior de Investigaciones Científicas, Barcelona, Spain
J Pharmacol Exp Ther 329:130-40. 2009....
Hecker R, Sherlock S. Electrolyte and circulatory changes in terminal liver failure [Lancet 1956;2:1221-1225]Vicente Arroyo
Liver Unit, Institut de Malalties Digestives, Hospital Clinic, University of Barcelona, Barcelona, Spain
J Hepatol 36:315-20. 2002
The hepatic apelin system: a new therapeutic target for liver diseaseAlessandro Principe
Biochemistry and Molecular Genetics Service, Centro de Investigacion Biomedica en Red de Enfermedades Hepaticas y Digestivas CIBERehd, Hospital Clinic, University of Barcelona, Barcelona, Spain
Hepatology 48:1193-201. 2008....
Effects of losartan on hepatic expression of nonphagocytic NADPH oxidase and fibrogenic genes in patients with chronic hepatitis CJordi Colmenero
Liver Unit, Institut Clinic de Malalties Digestives i Metaboliques, Hospital Clinic, Institut d Investigacions Biomediques August Pi i Sunyer, Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas, University of Barcelona, Catalonia, Spain
Am J Physiol Gastrointest Liver Physiol 297:G726-34. 2009..Controlled studies are warranted to assess the effect of AT1 receptor blockers in chronic liver injury...
Chronology of hemodynamic changes in asymptomatic in vitro fertilization patients and relationship with ovarian steroids and cytokinesDolors Manau
, , Faculty of Medicine, University of Barcelona, Spain
Fertil Steril 77:1178-83. 2002..These hemodynamic changes occur in the absence of variations in the circulating levels of cytokines potentially involved in ovarian hyperstimulation syndrome...
The selective cyclooxygenase-2 inhibitor celecoxib modulates the formation of vasoconstrictor eicosanoids and activates PPARgamma. Influence of albuminMarta López-Parra
DNA Unit, Hospital Clinic, Institut d Investigacions Biomediques August Pi i Sunyer IDIBAPS, Universitat de Barcelona, Villarroel 170, Barcelona 08036, Spain
J Hepatol 42:75-81. 2005..In the current study, we investigated the molecular mechanisms underlying the effects of the selective COX-2 inhibitor, celecoxib, and assessed the influence of albumin on its actions...
Effects of dilutional hyponatremia on brain organic osmolytes and water content in patients with cirrhosisTea Restuccia
Liver Unit, , Barcelona, Spain
Hepatology 39:1613-22. 2004..These findings may be relevant to the pathogenesis of encephalopathy in hyponatremic patients...
Sodium retention in cirrhotic rats is associated with increased renal abundance of sodium transporter proteinsPatrícia Fernández-Llama
Fundacio Puigvert, Renal Unit and Hypertension, Barcelona, Spain
Kidney Int 67:622-30. 2005..Liver cirrhosis with ascites is associated with a decrease in renal sodium excretion and therefore sodium retention...
Ascites from cirrhotic patients induces angiogenesis through the phosphoinositide 3-kinase/Akt signaling pathwayManuel Morales-Ruiz
Hormonal Laboratory, Hospital Clinic and Institut d Investigacions Biomèdiques August Pi i Sunyer, University of Barcelona, Villarroel 170 Barcelona 08036, Spain
J Hepatol 43:85-91. 2005..Ascites in patients with cirrhosis is associated with worsening of systemic hemodynamics. Thus, the aim of this study was to investigate the biological activity of ascites on endothelial cells...
Refractory ascitesAndres Cardenas
Liver Unit, Institute of Digestive Diseases, Hospital Clinic, University of Barcelona, Barcelona, Spain
Dig Dis 23:30-8. 2005..This article will discuss the pathophysiology, clinical features and therapy of refractory ascites in cirrhosis...
Microarray analysis of endothelial differentially expressed genes in liver of cirrhotic ratsSònia Tugues
Hormonal Laboratory, Hospital Clinic and Institut d Investigacions Biomèdiques August Pi i Sunyer, University of Barcelona, Barcelona
Gastroenterology 129:1686-95. 2005..Therefore, the aim of this study was to evaluate differences in gene expression patterns between liver endothelial cells (LECs) from control and cirrhotic rats by using microarrays...
Norepinephrine induces calcium spikes and proinflammatory actions in human hepatic stellate cellsPau Sancho-Bru
Liver Unit, , , Villarroel 170, Barcelona, Spain
Am J Physiol Gastrointest Liver Physiol 291:G877-84. 2006..We conclude that NE stimulates NF-kappaB and induces cell contraction and proinflammatory effects in human HSC. Catecholamines may participate in the pathogenesis of portal hypertension and liver fibrosis by targeting HSC...
Inhibition of 5-lipoxygenase-activating protein abrogates experimental liver injury: role of Kupffer cellsEsther Titos
, , University of Barcelona School of Medicine, Barcelona 08036, Spain
J Leukoc Biol 78:871-8. 2005..These findings support the concept that modulation of the 5-LO pathway by FLAP inhibition may be useful in the prevention of hepatotoxin-induced necro-inflammatory injury...
Docosahexaenoic acid (DHA) blunts liver injury by conversion to protective lipid mediators: protectin D1 and 17S-hydroxy-DHAAna González-Périz
Department of Biochemistry and Molecular Genetics, Hospital Clinic, Institut d Investigacions Biomediques August Pi i Sunyer, University of Barcelona School of Medicine, Barcelona 08036, Spain
FASEB J 20:2537-9. 2006..Taken together, these findings identify a potential role for DHA-derived products, specifically 17S-HDHA and protectin D1, in mediating the protective effects of dietary DHA in necroinflammatory liver injury...
Impaired extracellular matrix degradation in aortic vessels of cirrhotic ratsGuillermo Fernandez Varo
Department of Biochemistry and Molecular Genetics, Hospital Clinic Universitari, Institut d Investigacions Biomediques August Pi i Sunyer IDIBAPS, University of Barcelona, Barcelona, Spain
J Hepatol 46:440-6. 2007..Increased nitric oxide synthase (NOS) activity has been involved in the pathogenesis of this phenomenon. Therefore, we assessed the NO-regulated cell signaling pathways participating in vascular remodeling in cirrhosis...
Diagnosis, prevention and treatment of hepatorenal syndrome in cirrhosisFrancesco Salerno
Department of Internal Medicine, Policlinico IRCCS San Donato, University of Milan, Via Morandi, 30, 20097 San Donato (MI, Italy
Gut 56:1310-8. 2007
Systemic, renal, and hepatic hemodynamic derangement in cirrhotic patients with spontaneous bacterial peritonitisLuis Ruiz-del-Arbol
Liver Hemodynamic Unit, Department of Gastroenterology, Hospital Ramon y Cajal, University of Alcala de Henares, Madrid, Spain
Hepatology 38:1210-8. 2003..This occurs despite rapid resolution of infection and is associated with an extremely poor prognosis...
Transduction of the liver with activated Akt normalizes portal pressure in cirrhotic ratsManuel Morales-Ruiz
Hormonal Laboratory, Hospital Clnic Universitari, Villarroel 170, Barcelona 08036, Spain
Gastroenterology 125:522-31. 2003..For this reason the aims of the present study were to determine whether there is an impaired Akt activation in cirrhotic livers and how this phenomenon relates to the decrease in NO production associated with portal hypertension...
Restricted use of albumin for spontaneous bacterial peritonitisSamuel H Sigal
Gut 56:597-9. 2007
The role of nitric oxide in the pathogenesis of systemic and splanchnic vasodilation in cirrhotic rats before and after the onset of ascitesPaolo Angeli
Department of Clinical and Experimental Medicine, University of Padua, Via Giustiniani 2, Padova 35100, Italy
Liver Int 25:429-37. 2005..The role of nitric oxide (NO) in the pathogenesis of splanchnic arterial vasodilation in cirrhosis has been recently debated by some experimental studies...
Hepatorenal syndromeAndres Cardenas
Division of Gastroenterology and Hepatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA
Ann Hepatol 2:23-9. 2003..Prevention of hepatorenal syndrome with albumin infusion is recommended in patients with spontaneous bacterial peritonitis and with pentoxifylline in patients with acute alcoholic hepatitis...
Circulatory function and hepatorenal syndrome in cirrhosisLuis Ruiz-del-Arbol
Hepatic Hemodynamic Unit, Gastroenterology Department, Hospital Ramon y Cajal, University of Alcala, Ctra de Colmenar Viejo Km 9 1, 28034 Madrid, Spain
Hepatology 42:439-47. 2005..No changes were observed in peripheral vascular resistance. In conclusion, these data indicate that hepatorenal syndrome is the result of a decrease in cardiac output in the setting of a severe arterial vasodilation...
Mechanisms of water and sodium retention in cirrhosis and the pathogenesis of ascitesAndres Cardenas
Division of Gastroenterology and Hepatology, Beth Israel Deaconess Medical Center and Harvard Medical School, 330 Brookline Ave, Dana 501, Boston, MA 02215, USA
Best Pract Res Clin Endocrinol Metab 17:607-22. 2003..The net effect is avid retention of sodium and water as well as renal vasoconstriction. The mechanisms of sodium and water retention and ascites formation in patients with cirrhosis are discussed in this review...
Human hepatic stellate cells show features of antigen-presenting cells and stimulate lymphocyte proliferationOdette Viñas
Laboratory of Immunology, Hospital Clinic, University of Barcelona School of Medicine, Institut d Investigacios Biomèdiques August Pi Sunyer IDIBAPS, Villaroel 170, 08036 Barcelona, Catalonia, Spain
Hepatology 38:919-29. 2003..In conclusion, human activated HSCs express molecules for antigen presentation, internalize macromolecules, and modulate T-lymphocyte proliferation. These results suggest that HSCs may play a role in the immune function of the liver...
Regression of fibrosis after chronic stimulation of cannabinoid CB2 receptor in cirrhotic ratsJavier Muñoz-Luque
Servicio de Bioquímica y Genética Molecular, Hospital Clinic Universitari, Villarroel 170, Barcelona 08036, Spain
J Pharmacol Exp Ther 324:475-83. 2008....
The management of ascites in cirrhosis: report on the consensus conference of the International Ascites ClubKevin P Moore
Centre for Hepatology, Royal Free and University College Medical School, UCL, London, United Kingdom
Hepatology 38:258-66. 2003..Liver transplantation should be considered for all ascitic patients, and this should preferably be performed prior to the development of renal dysfunction to prevent further compromise of their prognosis...
Gene expression profiling of renal dysfunction in rats with experimental cirrhosisMarta López-Parra
Laboratory of Biochemistry and Molecular Genetics, Hospital Clinic, Institut d Investigacions Biomediques August Pi i Sunyer IDIBAPS, University of Barcelona School of Medicine, Barcelona, Spain
J Hepatol 45:221-9. 2006..In this investigation, we used microarrays to monitor global gene expression changes in the kidney of cirrhotic rats...
