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  • Review
  • Open Access
10 Citations
38,054 Views
25 Pages

Herbal- and Dietary-Supplement-Induced Liver Injury: A Review of the Recent Literature

  • Palak A. Patel-Rodrigues,
  • Lindsey Cundra,
  • Dalal Alhaqqan,
  • Daniel T. Gildea,
  • Stephanie M. Woo and
  • James H. Lewis

13 February 2024

Herbal-induced liver injury (HILI) continues to increase in prevalence each year due to the ongoing popularity of herbal supplements and complementary and alternative medicines. A detailed literature review of case reports and clinical studies publis...

  • Review
  • Open Access
10 Citations
31,344 Views
29 Pages

Principles of Nutritional Management in Patients with Liver Dysfunction—A Narrative Review

  • Essam Mohamed Elsebaie,
  • Alyaa Nasr Abdel-Fattah,
  • Nagwa Awad Bakr,
  • Kadry Mohamed Attalah and
  • Abdel-Hady Ahmed Aweas

4 April 2023

According to studies, the liver’s ability to perform its physiological functions in the body determines the diet of patients with liver diseases. Malnutrition results from the liver’s inability to metabolize nutrients as a result of chron...

  • Review
  • Open Access
16 Citations
22,865 Views
19 Pages

Hidden Dangers: Herbal and Dietary Supplement Induced Hepatotoxicity

  • Jonathan Kwong-Shing Lin and
  • Shannan R. Tujios

31 October 2023

Herbal and dietary supplements represent a multi-billion-dollar industry reportedly used by over half of American adults. However, these products are not regulated by the Federal Drug Agency and contain a wide range of contaminants, leading to over 5...

  • Review
  • Open Access
3 Citations
22,414 Views
53 Pages

25 June 2025

Liver cirrhosis poses major challenges for both individual health and global healthcare systems. Recent studies have challenged the traditional and predictable linear course of cirrhosis, demonstrating marked heterogeneity in the patterns of the firs...

  • Review
  • Open Access
9 Citations
14,632 Views
17 Pages

23 January 2025

Metabolic dysfunction-associated steatotic liver disease (MASLD) is the novel terminology encompassing liver disease associated with metabolic dysfunction, replacing the previous terminology of non-alcoholic fatty liver disease (NAFLD). This disease...

  • Feature Paper
  • Review
  • Open Access
9 Citations
13,675 Views
28 Pages

27 October 2023

Acetaminophen (APAP) is a widely used drug, but overdose can cause severe acute liver injury. The first reports of APAP hepatotoxicity in humans were published in 1966, shortly after the development of alanine aminotransferase (ALT) and aspartate ami...

  • Review
  • Open Access
13,615 Views
20 Pages

2 September 2025

Herbal and dietary supplements (HDS) are used by over half of American adults and represent a multi-billion-dollar industry. More recently, they have gained popularity, in part due to promotion on multiple social media platforms. However, the Food an...

  • Review
  • Open Access
12 Citations
12,771 Views
40 Pages

Unresectable Hepatocellular Carcinoma: A Review of New Advances with Focus on Targeted Therapy and Immunotherapy

  • Bahareh Farasati Far,
  • Dorsa Rabie,
  • Parisa Hemati,
  • Parastoo Fooladpanjeh,
  • Neda Faal Hamedanchi,
  • Nima Broomand Lomer,
  • Arian Karimi Rouzbahani and
  • Mohammad Reza Naimi-Jamal

13 March 2023

With an expected incidence of more than 1 million cases by 2025, liver cancer remains a problem for world health. With over 90% of cases, hepatocellular carcinoma (HCC) is the most prevalent kind of liver cancer. In this review, we presented the rang...

  • Review
  • Open Access
9 Citations
12,570 Views
20 Pages

Advancements in Understanding and Treating NAFLD: A Comprehensive Review of Metabolic-Associated Fatty Liver Disease and Emerging Therapies

  • Jacob Beiriger,
  • Kashyap Chauhan,
  • Adnan Khan,
  • Taha Shahzad,
  • Natalia Salinas Parra,
  • Peter Zhang,
  • Sarah Chen,
  • Anh Nguyen,
  • Brian Yan and
  • Dina Halegoua-DeMarzio
  • + 1 author

7 November 2023

This paper provides a comprehensive review of the current understanding of non-alcoholic fatty liver disease (NAFLD) and its progression to non-alcoholic steatohepatitis (NASH), focusing on key factors influencing its pathogenesis and emerging therap...

  • Review
  • Open Access
8 Citations
11,800 Views
20 Pages

Deciphering the Gut–Liver Axis: A Comprehensive Scientific Review of Non-Alcoholic Fatty Liver Disease

  • Samradhi Singh,
  • Mona Kriti,
  • Roberto Catanzaro,
  • Francesco Marotta,
  • Mustafa Malvi,
  • Ajay Jain,
  • Vinod Verma,
  • Ravinder Nagpal,
  • Rajnarayan Tiwari and
  • Manoj Kumar

12 September 2024

Non-alcoholic fatty liver disease (NAFLD) has emerged as a significant global health issue. The condition is closely linked to metabolic dysfunctions such as obesity and type 2 diabetes. The gut–liver axis, a bidirectional communication pathway...

  • Review
  • Open Access
9 Citations
11,756 Views
21 Pages

28 October 2023

Metabolic dysfunction associated fatty liver disease (MAFLD) has been recently recognized as a new global chronic liver disease entity with non-alcoholic fatty liver disease (NAFLD) associated with overweight/obesity or type 2 diabetes mellitus (T2DM...

  • Feature Paper
  • Review
  • Open Access
1 Citations
11,209 Views
19 Pages

25 April 2025

N-acetyl para-aminophenol was suggested as a safer alternative to other drugs on the market for pain and fever in 1948. It was given the generic name “acetaminophen” in 1951 and the trade name “Tylenol” when it was put on the...

  • Review
  • Open Access
26 Citations
11,067 Views
29 Pages

An Updated Review on Advances in Hydrogel-Based Nanoparticles for Liver Cancer Treatment

  • Bahareh Farasati Far,
  • Ali Attaripour Isfahani,
  • Elnaz Nasiriyan,
  • Ali Pourmolaei,
  • Golnaz Mahmoudvand,
  • Arian Karimi Rouzbahani,
  • Mohammed Namiq Amin and
  • Mohammad Reza Naimi-Jamal

27 March 2023

More than 90% of all liver malignancies are hepatocellular carcinomas (HCCs), for which chemotherapy and immunotherapy are the ideal therapeutic choices. Hepatocellular carcinoma is descended from other liver diseases, such as viral hepatitis, alcoho...

  • Review
  • Open Access
18 Citations
10,631 Views
10 Pages

The Epidemiology of Chronic Hepatitis C: Where We Are Now

  • Cristina Stasi,
  • Caterina Milli,
  • Fabio Voller and
  • Caterina Silvestri

30 March 2024

One of the main objectives of the World Health Organization is the eradication of viral hepatitis by 2030 by identifying subjects before disease progression. In 2019, only 21% of the 58 million people chronically infected with hepatitis C virus (HCV)...

  • Review
  • Open Access
2 Citations
10,126 Views
13 Pages

Lobar and Segmental Atrophy of the Liver: Differential Diagnoses and Treatments

  • Federica Ferraina,
  • Alessandro Fogliati,
  • Mauro Alessandro Scotti,
  • Fabrizio Romano,
  • Mattia Garancini and
  • Cristina Ciulli

15 July 2024

Segmental or lobar liver atrophy is a common but not well-understood clinical condition. Hepatic atrophy can be classified into hepatic atrophy secondary to other pathologies and primary segmental hepatic atrophy, which is a benign intrahepatic lesio...

  • Review
  • Open Access
16 Citations
10,050 Views
33 Pages

Gut Microbiota and Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD): Emerging Pathogenic Mechanisms and Therapeutic Implications

  • Farah Abdelhameed,
  • Attia Mustafa,
  • Chris Kite,
  • Lukasz Lagojda,
  • Alexander Dallaway,
  • Nwe Ni Than,
  • Eva Kassi,
  • Ioannis Kyrou and
  • Harpal S. Randeva

4 March 2025

Non-alcoholic fatty liver disease (NAFLD), recently redefined as metabolic dysfunction-associated steatotic liver disease (MASLD), is the most common cause of chronic liver disease worldwide. Characterized by excessive hepatic fat accumulation, this...

  • Review
  • Open Access
8 Citations
9,827 Views
22 Pages

Crosstalk between Lipids and Non-Alcoholic Fatty Liver Disease

  • Divyavani Gowda,
  • Chandra Shekhar,
  • Siddabasave Gowda B. Gowda,
  • Yifan Chen and
  • Shu-Ping Hui

23 November 2023

Non-alcoholic fatty liver disease (NAFLD), a complex liver disorder that can result in non-alcoholic steatohepatitis, cirrhosis, and liver cancer, is the accumulation of fat in the liver seen in people due to metabolic dysfunction. The pathophysiolog...

  • Review
  • Open Access
2 Citations
9,172 Views
13 Pages

Autoimmune Hepatitis Management: Recent Advances and Future Prospects

  • Rebeca Sierra,
  • Ana Marenco-Flores,
  • Marwan Alsaqa,
  • Romelia Barba,
  • Marcela Cuellar-Lobo,
  • Carla Barberan and
  • Leandro Sierra

15 May 2024

Autoimmune hepatitis (AIH) is a varied inflammatory chronic liver disease. AIH’s prevalence varies and has increased recently. Diagnosis involves the discovery of histologic features following liver biopsy and serologic testing. Clinical featur...

  • Review
  • Open Access
5 Citations
8,764 Views
15 Pages

9 January 2024

Artificial Intelligence (AI) can be a useful tool in the management of disease processes such as hepatocellular carcinoma (HCC) as treatment decisions are often complex and multifaceted. AI applications in medicine are expanding with the ongoing adva...

  • Review
  • Open Access
1 Citations
8,093 Views
18 Pages

Cutaneous Manifestations of Liver Cirrhosis: Clinical Significance and Diagnostic Implications

  • Rita Kamoua,
  • Rebecca Reese,
  • Risha Annamraju,
  • Tian Chen,
  • Colleen Doyle,
  • Adriana Parella,
  • Amelia Liu,
  • Yazan Abboud,
  • Craig Rohan and
  • Jeffrey B. Travers

15 August 2025

Liver cirrhosis, a progressive and often irreversible condition, exerts widespread systemic effects, with the skin frequently serving as a visible window into the extent of hepatic dysfunction. Cutaneous manifestations, such as spider angiomas, palma...

  • Review
  • Open Access
1 Citations
8,036 Views
18 Pages

Peritoneal Immunity in Liver Disease

  • Joseph Delo,
  • Daniel Forton,
  • Evangelos Triantafyllou and
  • Arjuna Singanayagam

26 April 2023

The peritoneum represents a confined microenvironment that has an emerging role as a distinct immunological compartment. In health, this niche is mainly populated by a heterogenous group of macrophages and T lymphocytes but also Natural Killer cells...

  • Review
  • Open Access
4 Citations
7,876 Views
22 Pages

Hepatitis E Virus: Epidemiology, Clinical Aspects, and Its Significance as a Major Pregnancy Risk

  • Sidra Urooj,
  • Sadia Anjum,
  • Fareeha Iqbal,
  • Maisa Siddiq Abduh,
  • Hashaam Akhtar,
  • Sumbal Javed,
  • Salik Javed Kakar,
  • Aamer Ikram,
  • Nabeel Ahmed Maqbool and
  • Tahir Ahmad

15 September 2023

HEV is a single-stranded, positive RNA virus. The hepatitis E virus (HEV) is the causing agent of hepatitis, with a high prevalence rate in low-income countries due to poor sanitary conditions. It can exhibit acute, continuous, or extrahepatic conseq...

  • Review
  • Open Access
7 Citations
7,700 Views
24 Pages

13 September 2024

Metabolic dysfunction-associated steatotic liver disease (MASLD) encompasses metabolic dysfunction-associated fatty liver (MASL) and metabolic dysfunction-associated steatohepatitis (MASH), with MASH posing a risk of progression to cirrhosis and hepa...

  • Review
  • Open Access
3 Citations
7,670 Views
16 Pages

Nutrition Therapy in Critically Ill Patients with Liver Disease: A Narrative Review

  • Miguel Ángel Hidalgo-Blanco,
  • Juan Carlos Lopez-Delgado and
  • José Antonio Sarria-Guerrero

21 September 2023

Nutrition therapy in critically ill patients with liver disease represents a challenge for Intensive Care Units (ICUs). Nutritional status is correlated with the degree of hepatic dysfunction and the presence of malnutrition worsens outcomes in these...

  • Review
  • Open Access
5 Citations
7,619 Views
10 Pages

High-Dose Acetaminophen as a Treatment for Cancer

  • Jeffrey Wu,
  • Bradley Maller,
  • Rujul Kaul,
  • Andrea Galabow,
  • Allyn Bryan and
  • Alexander Neuwelt

31 January 2024

The use of high-dose acetaminophen (AAP) with n-acetylcysteine (NAC) rescue was studied as an anti-cancer treatment in phase I trials with promising signals of anti-tumor efficacy. Correlative analysis suggested that AAP has a free-radical-independen...

  • Review
  • Open Access
8 Citations
7,577 Views
19 Pages

Role of Mitochondrial Iron Uptake in Acetaminophen Hepatotoxicity

  • Jiangting Hu,
  • Anna-Liisa Nieminen,
  • Zhi Zhong and
  • John J. Lemasters

30 July 2024

Overdose of acetaminophen (APAP) produces fulminant hepatic necrosis. The underlying mechanism of APAP hepatotoxicity involves mitochondrial dysfunction, including mitochondrial oxidant stress and the onset of mitochondrial permeability transition (M...

  • Review
  • Open Access
5 Citations
7,239 Views
12 Pages

Sarcopenia and Metabolic Dysfunction-Associated Steatotic Liver Disease: A Narrative Review

  • Ludovico Abenavoli,
  • Michael Statsenko,
  • Giuseppe Guido Maria Scarlata,
  • Domenico Morano,
  • Roman Myazin and
  • Dmitriy Emelyanov

30 September 2024

The primary objective of modern medicine is to extend human life expectancy. Currently, the majority of hospital patients across various clinical settings are elderly or advanced-age individuals, often with multiple comorbidities and age-related alte...

  • Review
  • Open Access
7,208 Views
23 Pages

28 November 2024

Long regarded as illicit substances with no clinical value, N-dimethylated tryptamines—such as N,N-dimethyltryptamine, 5-methoxy-N,N-dimethyltryptamine, and bufotenine—have been found to produce naturally in a wide variety of species, inc...

  • Review
  • Open Access
11 Citations
7,189 Views
31 Pages

5 September 2023

Imaging-based body composition analysis can quantify visceral fat, which is an important feature of lean non-alcoholic fatty liver disease (NAFLD) patients. This review assesses current evidence of the relationship between NAFLD, particularly hepatic...

  • Review
  • Open Access
3 Citations
7,100 Views
15 Pages

Transplant Immunology in Liver Transplant, Rejection, and Tolerance

  • Masaya Yokoyama,
  • Daisuke Imai,
  • Samuel Wolfe,
  • Ligee George,
  • Yuzuru Sambommatsu,
  • Aamir A. Khan,
  • Seung Duk Lee,
  • Muhammad I. Saeed,
  • Amit Sharma and
  • David A. Bruno
  • + 3 authors

9 September 2024

Liver transplantation is the most effective treatment for end-stage liver disease. Despite improvements in surgical techniques, transplant rejection remains a significant concern. The liver is considered an immune-privileged organ due to its unique m...

  • Article
  • Open Access
8 Citations
6,854 Views
11 Pages

Prevalence and Trends in Hepatitis B & C Virus among Blood Donors in Pakistan: A Regional Transfusion Center Study

  • Tehreem Zorob,
  • Muhammad Awais Farooqi,
  • Ali Ahsan,
  • Abdullah Zaki,
  • Muhammad Ali Rathore and
  • Hafiz Muhammad Umer Farooqi

17 May 2023

Around 118.5 million blood donations are collected annually to save precious lives. The donated blood may also be associated with blood-borne infections. With around 247 million population, Pakistan is an endemic country for viral hepatitis, and ther...

  • Review
  • Open Access
6 Citations
6,841 Views
16 Pages

23 September 2024

Intestinal mucus serves as the first line barrier within the mucosa to protect against microbiota attack due to its water-repellent properties, which are the result of the high abundance of phosphatidylcholine bound to mucins. A deficiency of mucus p...

  • Review
  • Open Access
2 Citations
6,774 Views
27 Pages

Exploring the Potential Hepatoprotective Properties of Cactus (Cactaceae) in Liver Health and Disease Management: A Brief Review

  • Anne Caroline Alves Vieira,
  • Fabrícia de Souza Ferreira,
  • Januse Míllia Dantas de Araújo,
  • Larissa Maria Gomes Dutra,
  • Kamila Sabino Batista,
  • Angela Maria Tribuzy de Magalhães Cordeiro and
  • Jailane de Souza Aquino

16 June 2024

Cacti are renowned for their resilience in arid environments and have been utilized as a valuable food source in various cultures for centuries. The potential effects of cactus (Cactaceae) consumption on liver health have garnered significant scienti...

  • Review
  • Open Access
1 Citations
6,177 Views
42 Pages

An Integrated Pathogenetic Model of Primary Biliary Cholangitis

  • Elias Kouroumalis,
  • Ioannis Tsomidis and
  • Argyro Voumvouraki

28 March 2025

The pathogenesis of primary biliary cholangitis (PBC) is not fully understood. Despite recent progress, many aspects require further clarification. Thus, PBC is regarded as an autoimmune disease, but immunosuppressive treatment, which is effective in...

  • Review
  • Open Access
48 Citations
6,143 Views
15 Pages

Perspective on Quantitative Structure–Toxicity Relationship (QSTR) Models to Predict Hepatic Biotransformation of Xenobiotics

  • Mansi Rai,
  • Namuna Paudel,
  • Mesevilhou Sakhrie,
  • Donato Gemmati,
  • Inshad Ali Khan,
  • Veronica Tisato,
  • Anurag Kanase,
  • Armin Schulz and
  • Ajay Vikram Singh

30 August 2023

Biotransformation refers to the metabolic conversion of endogenous and xenobiotic chemicals into more hydrophilic substances. Xenobiotic biotransformation is accomplished by a restricted number of enzymes with broad substrate specificities. The biotr...

  • Article
  • Open Access
2 Citations
6,015 Views
17 Pages

The Computed Sinusoid

  • Matteo Boninsegna,
  • Peter A. G. McCourt and
  • Christopher Florian Holte

11 November 2023

Hepatic sinusoids are lined with thin endothelial cells with transcellular pores, termed fenestrations. These fenestrations are open channels that connect the sinusoidal lumen to the underlying Space of Disse (SoD) and the hepatocytes of the liver pa...

  • Review
  • Open Access
6 Citations
5,993 Views
58 Pages

Immune Checkpoints and the Immunology of Liver Fibrosis

  • Ioannis Tsomidis,
  • Argyro Voumvouraki and
  • Elias Kouroumalis

27 January 2025

Liver fibrosis is a very complicated dynamic process where several immune cells are involved. Both innate and adaptive immunity are implicated, and their interplay is always present. Multi-directional interactions between liver macrophages, hepatic s...

  • Review
  • Open Access
20 Citations
5,883 Views
13 Pages

10 April 2023

Mitochondria are critical organelles responsible for the maintenance of cellular energy homeostasis. Thus, their dysfunction can have severe consequences in cells responsible for energy-intensive metabolic function, such as hepatocytes. Extensive res...

  • Review
  • Open Access
1 Citations
5,883 Views
14 Pages

Unveiling the Multifaceted Role of CIDEB: From Apoptosis to Lipid Metabolism and Liver Health

  • Louise Wutsdorff,
  • Julienne Mougnekabol,
  • Peter Tang,
  • Anja Reutzel-Selke,
  • Igor M. Sauer and
  • Nils Haep

27 August 2024

Cell-death-inducing DNA fragmentation factor-alpha (DFFA)-like effector b (CIDEB) was first identified as an apoptosis-inducing protein. Further research revealed a pivotal role in lipid metabolism, regulating very-low-density lipoprotein (VLDL), lip...

  • Review
  • Open Access
7 Citations
5,812 Views
16 Pages

Metabolic Syndrome, Hepatic Steatosis and Testosterone: A Matter of Sex

  • Elena Gangitano,
  • Francesca Scannapieco,
  • Carla Lubrano and
  • Lucio Gnessi

17 October 2024

Hepatic steatosis is considered the hepatic manifestation of metabolic disorders. Its global prevalence is a growing public health concern, estimated to affect over 30% of the population. Steatosis is strictly linked to metabolic dysfunction, leading...

  • Review
  • Open Access
3 Citations
5,790 Views
14 Pages

Dysfunctions of Circulating Adaptive Immune Cells in End-Stage Liver Disease

  • Tong Liu,
  • Yasmina Chouik,
  • Fanny Lebossé and
  • Wafa Khamri

4 August 2023

End-stage liver disease (ESLD) from acute liver failure to compensated advanced chronic liver disease and decompensated cirrhosis at different stages (chronic decompensation, acute decompensation with or without acute-on-chronic liver failure) has hi...

  • Article
  • Open Access
5,779 Views
15 Pages

Understanding the Liver’s Role in the Clearance of Aβ40

  • Glen P. Lockwood,
  • Nicholas J. Hunt,
  • Maaike Kockx,
  • Sun Woo Sophie Kang,
  • David G. Le Couteur and
  • Victoria C. Cogger

23 May 2024

The clearance of peripheral beta amyloid (Aβ) is a potential target for the treatment of Alzheimer’s disease (AD). The liver has been implicated in the elimination of Aβ from the peripheral circulation. Here, the single-pass uptake of...

  • Article
  • Open Access
1 Citations
5,220 Views
12 Pages

Single Center Experience of Oral Vancomycin Therapy in Young Patients with Primary Sclerosing Cholangitis: A Case Series

  • Amala J. Alenchery,
  • Sophia Patel,
  • Lori Mahajan,
  • Jacob A. Kurowski,
  • Sarah Worley,
  • Vera Hupertz,
  • Kaddakal Radhakrishnan and
  • Mohammad Nasser Kabbany

6 March 2023

There is no single proven therapy that prolongs hepatic transplant-free survival in patients with primary sclerosing cholangitis (PSC). Oral vancomycin (OV) has shown some benefit in small pediatric and adult series. We describe the effect of OV on p...

  • Review
  • Open Access
1 Citations
5,081 Views
32 Pages

Intrinsic Immune Response of HBV/HDV-Infected Cells and Corresponding Innate (Like) Immune Cell Activation

  • Christopher Groth,
  • Svea Wupper,
  • Gnimah Eva Gnouamozi,
  • Katrin Böttcher and
  • Adelheid Cerwenka

4 November 2024

Infection of hepatitis B (HBV) patients with hepatitis D (HDV) can cause the most severe form of viral hepatitis, leading to liver fibrosis, liver failure, and hepatocellular carcinoma. HDV relies on simultaneous infection with HBV for the generation...

  • Case Report
  • Open Access
3 Citations
5,032 Views
9 Pages

13 March 2025

Introduction: We describe the first reported case of auto-brewery syndrome complicating liver transplantation, wherein a patient was temporarily removed from a liver transplant list not due to ethanol consumption but rather spontaneous ethanolic ferm...

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Livers - ISSN 2673-4389