Liver Regeneration — Mechanisms and Models to Clinical Application

Liver regeneration has been studied for many decades and the mechanisms underlying regeneration of the normal liver following resection or moderate damage are well described. A large number of factors extrinsic (such as bile acids and circulating growth factors) and intrinsic to the liver interact to initiate and regulate liver regeneration. Less well understood, and more clinically relevant, are the factors at play when the abnormal liver is required to regenerate. Fatty liver disease, chronic scarring, prior chemotherapy and massive liver injury can all inhibit the normal programme of regeneration and can lead to liver failure. Understanding these mechanisms could enable the rational targeting of specific therapies to either reduce the factors inhibiting regeneration or directly stimulate liver regeneration. Although animal models of liver regeneration have been highly instructive, the clinical relevance of some models could be improved to bridge the gap between our in vivo model systems and the clinical situation. Likewise, modern imaging techniques such as spectroscopy will probably improve our understanding of whole-organ metabolism and how this predicts the liver's regenerative capacity. This Review describes briefly the mechanisms underpinning liver regeneration, the models used to study this process, and discusses areas in which failed or compromised liver regeneration is clinically relevant.

Key points

• Liver regeneration occurs efficiently in the normal liver to restore architecture, size and function; chronic injury severely impairs liver regeneration through excess inflammation, scarring and epithelial abnormalities, and is less well-studied but clinically important
• New experimental models are emerging; zebrafish are an excellent new tool to study liver regeneration and enable large-scale chemical screening assays
• A gap exists between current animal models of liver regeneration and clinically important scenarios of severe liver injury and impaired liver regeneration
• Understanding and promoting regeneration and repair of the failing liver is a key challenge of major clinical importance
• Modern imaging techniques will enable noninvasive real-time assessment of liver structure and function
• Cell therapies that have been successful in animal models are now being trialled in the more challenging clinical arena

Read more: Liver Regeneration — Mechanisms and Models to Clinical Application

Figure 2: Schematic of normal and abnormal liver regeneration.

Source: NatureReviewsGastroenterology&Hepatology

How Fat Becomes Lethal, Even Without Weight Gain

Recent findings have the potential to help scientists better understand a growing class of often fatal metabolic diseases.

Sugar in the form of blood glucose provides essential energy for cells. When its usual dietary source – carbohydrates – is scarce, the body goes into starvation mode and the liver can produce glucose with the aid of fat.

But new research from Johns Hopkins adds to evidence that other tissues can step in to make glucose, too. The research also found that the liver’s role in breaking down fats is vital to protect the organ from a lethal onslaught of fat.

Read more: How Fat Becomes Lethal, Even Without Weight Gain

Source: scothealthcare

Cancer Breakthrough? Novel Insight into Metastasis Could Offer New Treatments

Researchers from the United Kingdom may have made a breakthrough in cancer treatment, after discovering an unusual mechanism by which cancer cells spread and survive in the body.

In a study published in Nature Communications, researchers reveal how two molecules join forces to help cancer cells survive as they metastasize.

Metastasis is the process by which cancer cells break away from the primary tumor and spread to other parts of the body through the bloodstream or lymph system.

Once cancer has spread, the disease becomes much more challenging to treat Chemotherapy, hormone therapy, radiotherapy, and other treatments can yield success for some metastatic cancers, but for most, the prognosis is poor.

Read more: Cancer Breakthrough? Novel Insight into Metastasis Could Offer New Treatments

Source: medicalnewstoday

Identifying and Treating Inflammation

There are three types of inflammation: acute, chronic and life-threatening.

When basketball star Steph Curry slipped and injured his knee in late April, he reacted by tearing up on the sideline, while fans and media reacted by wondering how many games he would miss. His body? It reacted by inflaming around the outside of the knee, protecting the area as it recovered from a medial collateral ligament sprain.

The word inflammation can conjure up visuals of a swollen, red and throbbing knee or, thanks to some TV ads, a lit match doused by a medicated pad. Conventional public wisdom frames inflammation as being adverse, painful and harmful – something most people want to resolve quickly with medication.

Read more: Identifying and Treating Inflammation

Treat acute inflammation by managing it, not trying to cure it.

Source: Getty Images

Dad's Poor Lifestyle Choices Affect His Sperm, Child's Health

Although we may put a lot of emphasis on how a mother’s lifestyle choices can affect the health of her future children, a recent review has shown that a father’s age and lifestyle may be just as important.

The study, now published online in the American Journal of Stem Cells, has identified the effect that male lifestyle can have on the health of his future offspring. The team reviewed past research that focused on how a man’s lifestyle could cause epigenetic changes in his sperm’s DNA that could eventually affect his offspring’s genome. Among its findings, the study revealed that fathers who are alcoholics could unknowingly influence the organ structure and gene expression in their offspring, causing significant health problems such as fetal alcohol spectrum disorder (FASD).

Read more: Dad's Poor Lifestyle Choices Affect His Sperm, Child's Health

Children can suffer from fathers' poor judgement

Source: Pixabay, Public Domain

Omega-3 Fatty Acids Reduce Risk of Death From Heart Attack

Eating foods rich in omega-3 fatty acids may lower the risk of death from heart attack. This is the finding of new research published in JAMA Internal Medicine.

Each year, around 735,000 people in the United States have a heart attack, which occurs when a section of the heart fails to receive enough oxygen-rich blood.

Adopting a healthy diet is considered a key factor in reducing the risk of heart attack, and many studies have suggested that including omega-3 polyunsaturated fatty acids as part of such a diet is particularly beneficial for heart health.

Other studies, however, have questioned the heart benefits of omega-3s, with some suggesting that fish oil supplements - a major source of the fatty acids - do not lower the risk of heart-related events.

Read more: Omega-3 Fatty Acids Reduce Risk of Death From Heart Attack

Eating foods rich in omega-3 may reduce the risk of death from heart attack, say researchers.

Source: medicalnewstoday

How Red Meat Can Affect Cancer Risk

You may have heard the news recently that researchers have found links between eating red meat and increased risk of certain cancers. But what does this mean for you? Should you say good-bye forever to burgers, steaks and bacon?

These latest concerns are based on an October 2015 report from the World Health Organization (WHO), which had 22 experts in 10 countries review about 800 epidemiological studies to look for a connection between red meat and processed meats and cancer. It found heightened risk between these meats—especially processed meats—and some cancers, particularly colorectal cancer.

WHO didn’t say you should ban red meat or processed meats from your diet completely, but it did advise limiting the amount you eat. Here are some of the key findings from the WHO study.

Read more: How Red Meat Can Affect Cancer Risk

Source: healthgrades

Chronic Fatigue Syndrome: Could Altered Gut Bacteria be a Cause?

What causes chronic fatigue syndrome? The answer to this question continues to baffle researchers, so much so that some have even questioned whether the condition exists. Now, a new study by researchers from Cornell University in Ithaca, NY, may have shed light on a biological cause, after finding that patients with chronic fatigue have an altered gut microbiome.

Senior author Maureen Hanson, of the Departments of Molecular Biology and Genetics and Microbiology at Cornell, and colleagues publish their findings in the journal Microbiome.

Also referred to as myalgic encephalomyelitis (ME), chronic fatigue syndrome (CFS) is a condition characterized by extreme fatigue that does not improve with rest.

Read more: Chronic Fatigue Syndrome: Could Altered Gut Bacteria be a Cause?

Researchers found that people with CFS have abnormalities in their gut microbiome.

Source: medicalnewstoday

Do You Know All The Chemicals In Cigarette Smoke? Most People Don’t

Cigarette smoke is packed with thousands of chemicals, but most people aren’t even aware of them.

There are some 4,800 chemicals in cigarette smoke, many of which are carcinogens — yet the majority of people who smoke don’t realize what they’re inhaling. A new study published in the journal BMC Public Health argues that making information about cigarette smoke more available to consumers could improve public health and awareness about the dangers of smoking.

“The majority of the [United States] public wants easy access to information about chemicals in cigarettes and other tobacco products,” said Marcella Boynton, lead author of the study, in a press release. “Surprisingly, our results reveal that groups one might presume to be the least psychologically motivated to look for this information, young adults and smokers, were more likely to say that they had previously looked for this information.”

Read more: Do You Know All The Chemicals In Cigarette Smoke? Most People Don’t

Source: healthguru

Borderline Diabetes: What You Need to Know

The term borderline diabetes refers to a condition called prediabetes. Prediabetes is a condition in which blood sugar levels are higher than normal but not high enough to be classed as type 2 diabetes.

Prediabetes is to be considered a risk factor for type 2 diabetes. It is estimated that 10 to 23 percent of people with prediabetes will go on to develop type 2 diabetes within 5 years.

Prediabetes can be accompanied by other risk factors. It is associated with conditions such as obesity, especially abdominal obesity, high blood pressure, high blood fat levels and low levels of "good" cholesterol.

When these risk factors "cluster" together in a person, there is a higher risk of not just type 2 diabetes but heart disease and stroke as well.

Read more: Borderline Diabetes: What You Need to Know

Source: medicalnewstoday