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Advances in Molecular Biomarkers in Liver Diseases

A special issue of International Journal of Molecular Sciences (ISSN 1422-0067). This special issue belongs to the section "Molecular Immunology".

Deadline for manuscript submissions: closed (20 February 2025) | Viewed by 4867

Special Issue Editor


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Guest Editor
1. Graduate Institute of Clinical Medical Sciences, Chang Gung University College of Medicine, Taoyuan, Taiwan
2. Liver Transplantation Center, Kaohsiung Chang Gung Memotial Hospital, Kaohsiung, Taiwan
Interests: transplant immunology; liver biology; biomarker discovery; photobiomodulation
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Special Issue Information

Dear Colleagues,

Liver transplantation is widely accepted as an effective therapeutic modality for end-stage liver diseases. The results of liver transplantation have improved due to the improvement of perioperative techniques and the introduction of immunosuppressive drugs. However, post-transplant complications are common in the early and long-term period and contribute to significant morbidity and mortality. Therefore, how we precisely predict/diagnose post-transplant complications such as early allograft dysfunction, biliary complications, infection, acute and chronic rejection, and disease recurrence (fatty liver/NASH, hepatitis, fibrosis, cirrhosis, or hepatocellular carcinoma) is a quite important issue for achieving the road to tolerance in liver transplantation. The scope of the Special Issue is to summarize potential biomarkers for prediction and diagnosis of post-transplant complications both in experimental and clinical liver transplantation, and we discuss the future perspectives for tolerance induction in liver transplantation. Original articles and comprehensive reviews in the topic that focus on molecular research are warmly welcomed.

Topics include but are not limited to:

  • Omics for biomarker discovery in liver transplantation;
  • Current and future diagnostic tools in liver transplantation;
  • Molecular mechanisms of rejection and tolerance in liver transplantation;
  • Molecular mechanisms of disease recurrence after liver transplantation;
  • Strategies for prevention of post-transplant complications in liver transplantation;
  • Strategies for tolerance induction in liver transplantation.

The Special Issue is supervised by Dr. Toshiaki Nakano and assisted by our Topical Advisory Panel Member Dr. Eleni Myrto Trifylli (National and Kapodistrian University of Athens, Greece).

Dr. Toshiaki Nakano
Guest Editor

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Keywords

  • acute rejection
  • animal models
  • biliary complications
  • chronic rejection
  • cirrhosis
  • fatty liver
  • fibrosis
  • hepatitis
  • hepatocellular carcinoma
  • jaundice
  • NASH
  • omics
  • tolerance
 

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Related Special Issue

Published Papers (3 papers)

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Research

17 pages, 2272 KiB  
Article
ACC-1 as a Possible Biochemical Indicator of Lipoapoptosis in In Vivo and In Vitro Models of MAFLD
by David Ibarra Martínez, Israel Alejandro Muñoz Nieto, David Alejandro Hernández Marín, Javier Ventura Juárez, Sandra Luz Martínez Hernández, Esperanza Sánchez Alemán, Raquel Guerrero Alba and Martín Muñoz Ortega
Int. J. Mol. Sci. 2025, 26(8), 3459; https://doi.org/10.3390/ijms26083459 - 8 Apr 2025
Viewed by 318
Abstract
Non-alcoholic fatty liver disease (NAFLD) is an emerging condition with a worldwide prevalence ranging from 6% to 35% and is very frequent among patients with obesity, diabetes, or metabolic syndrome. One of the main challenges in the treatment of this disease is the [...] Read more.
Non-alcoholic fatty liver disease (NAFLD) is an emerging condition with a worldwide prevalence ranging from 6% to 35% and is very frequent among patients with obesity, diabetes, or metabolic syndrome. One of the main challenges in the treatment of this disease is the identification of a reliable and direct biomarker to diagnose the stage of hepatic steatosis before it progresses to steatohepatitis. This is especially important as many patients remain asymptomatic until cirrhosis develops. The aim of this study was to analyze the expression of the enzyme acetyl-CoA carboxylase 1 (ACC-1) in vitro in a model of lipocytotoxicity using HepG2 cells as well as in vivo in Wistar rats. Our results demonstrate an accumulation of lipid inclusions in hepatocytes observed both in vitro and in experimental models of hepatic steatosis, leading to membrane damage. This allows for the detection of ACC-1 enzyme in the extracellular medium at short induction times, in contrast to the appearance of AST and ALT, which become detectable only once the damage becomes more invasive. ACC-1 could potentially serve as a clinical indicator to detect fatty liver disease before it progresses to steatohepatitis and fibrosis, allowing for timely and non-invasive treatment for patients. Full article
(This article belongs to the Special Issue Advances in Molecular Biomarkers in Liver Diseases)
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12 pages, 1625 KiB  
Article
T-Cell Dynamics Predicts Prognosis of Patients with Hepatocellular Carcinoma Receiving Atezolizumab Plus Bevacizumab
by Hye Won Lee, Suebin Park, Hye Jung Park, Kyung Joo Cho, Do Young Kim, Byungjin Hwang and Jun Yong Park
Int. J. Mol. Sci. 2024, 25(20), 10958; https://doi.org/10.3390/ijms252010958 - 11 Oct 2024
Cited by 1 | Viewed by 1568
Abstract
Atezolizumab and bevacizumab show promise for treating hepatocellular carcinoma (HCC), but identifying responsive patients remains challenging, due to tumor heterogeneity. This study explores immune dynamics following this combination therapy. Between 2020 and 2023, 29 patients with advanced HCC who received atezolizumab plus bevacizumab [...] Read more.
Atezolizumab and bevacizumab show promise for treating hepatocellular carcinoma (HCC), but identifying responsive patients remains challenging, due to tumor heterogeneity. This study explores immune dynamics following this combination therapy. Between 2020 and 2023, 29 patients with advanced HCC who received atezolizumab plus bevacizumab at Severance Hospital, Seoul, were enrolled in this study. Peripheral blood mononuclear cells were analyzed using flow cytometry and statistical methods to assess immune alterations and identify biomarkers. Baseline characteristics showed a diverse HCC cohort with a mean age of 64 years and 82.8% male predominance. Absence of extrahepatic metastasis was associated with better overall survival. Immune responses revealed distinct CD4+ T-cell phenotypes between the ‘partial response (PR) + stable disease (SD)’ and ‘progressive disease (PD)’ groups, with an overall increase in CD8+ T-cell phenotypes. Patients with higher frequencies of CD8+PD-1+Ki-67+ T cells experienced significantly improved overall survival, while those with lower frequencies of CD4+Foxp3+PD-1+LAG3+ T cells also had notable survival benefits. These findings enhance the overall understanding of immune responses to this combination therapy, facilitating improved patient stratification and personalized therapeutic approaches for HCC. Full article
(This article belongs to the Special Issue Advances in Molecular Biomarkers in Liver Diseases)
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12 pages, 1449 KiB  
Article
Overexpression of miR-4669 Enhances Tumor Aggressiveness and Generates an Immunosuppressive Tumor Microenvironment in Hepatocellular Carcinoma: Its Clinical Value as a Predictive Biomarker
by Toshiaki Nakano, Chao-Long Chen, I-Hsuan Chen, Hui-Peng Tseng, Kuei-Chen Chiang, Chia-Yun Lai, Li-Wen Hsu, Shigeru Goto, Chih-Che Lin and Yu-Fan Cheng
Int. J. Mol. Sci. 2023, 24(9), 7908; https://doi.org/10.3390/ijms24097908 - 26 Apr 2023
Cited by 12 | Viewed by 2322
Abstract
Accumulating evidence suggests the involvement of tumor-derived exosomes in the development and recurrence of hepatocellular carcinoma (HCC). We previously identified miR-4669 as a highly expressed microRNA in circulating exosomes obtained from patients with post-transplant HCC recurrence. This study aimed to explore how overexpression [...] Read more.
Accumulating evidence suggests the involvement of tumor-derived exosomes in the development and recurrence of hepatocellular carcinoma (HCC). We previously identified miR-4669 as a highly expressed microRNA in circulating exosomes obtained from patients with post-transplant HCC recurrence. This study aimed to explore how overexpression of miR-4669 affects HCC development and recurrence. The impact of miR-4669 overexpression in Hep3B cells on tumor cell behavior and the tumor microenvironment was evaluated in vitro. In addition, the clinical value of exosomal miR-4669 for the prediction of treatment response to HCC downstaging therapies and following post-transplant HCC recurrence was explored. Overexpression of miR-4669 enhanced migration ability and led to acquired sorafenib resistance with an elevation of sirtuin 1 and long noncoding RNA associated with microvascular invasion. Active release of tumor-derived exosomes and glyceraldehyde 3-phosphate dehydrogenase (GAPDH) contributed to generating an immunosuppressive tumor microenvironment through the induction of M2 macrophage polarization. The retrospective analysis demonstrated the clinical value of exosomal miR-4669 for predicting treatment response to HCC downstaging therapies and for risk assessment of post-transplant HCC recurrence. In summary, the present data demonstrate the impact of exosomal miR-4669 on HCC recurrence through the enhancement of tumor aggressiveness and generation of an immunosuppressive tumor microenvironment. Full article
(This article belongs to the Special Issue Advances in Molecular Biomarkers in Liver Diseases)
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