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Dynamic Changes of Lipopolysaccharide Levels in Different Phases of Acute on Chronic Hepatitis B Liver Failure 英文参考文献.docVIP

Dynamic Changes of Lipopolysaccharide Levels in Different Phases of Acute on Chronic Hepatitis B Liver Failure 英文参考文献.doc

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Dynamic Changes of Lipopolysaccharide Levels in Different Phases of Acute on Chronic Hepatitis B Liver Failure 英文参考文献

DynamicChangesofLipopolysaccharideLevelsin DifferentPhasesofAcuteonChronicHepatitisBLiver Failure CalvinPan1.,YurongGu2.,WeiZhang3,YubaoZheng2,LiangPeng2,HongDeng2,YoumingChen2, LubiaoChen2,SuiChen2,MinZhang2,ZhiliangGao2* 1DivisionofLiverDiseases,DepartmentofMedicine,TheMountSinaiMedicalCenter,MountSinaiSchoolofMedicine,NewYork,NewYork,UnitedStatesofAmerica, 2Department of Infectious Disease, The Third Affiliated, Hospital of Sun-Yet-Sen University, Guangzhou, China, 3Department of Infectious Disease, Beijing Youan Hospital,CapitalMedicalUniversity,Beijing,China Abstract Background: High serum levels of lipopolysaccharide (LPS) with LPS-MD-2/TLR4 complex activated NF-kb and cytokine cause hepatic necrosis in animal models. We investigated the dynamic changes of LPS levels in patients with acute on chronichepatitisBliverfailure(ACHBLF). Methods: We enrolled ACHBLF patients for a 12-week study. Patients’ LPS levels were measured along with 10 healthy controls.Patientsonsupportivecareandrecoveredwithoutintervention(s)wereanalyzed.Patients’LPSlevelsduringthe diseaseprogressionphase,peakphase,andremissionphasewerecomparedwithhealthycontrols. Results:Among30patientsenrolled,25whoreceivedinterventionsorexpiredduringthestudyperiodwereexcludedfrom theanalysis,fivepatientsonsupportivecarewhocompletedthestudywereanalyzed.Significantabnormaldistributionsof LPS levels were observed in patients in different phases (0.016860.0101 in progression phase; 0.096060.0680 in peak phase;0.024960.0365inremissionphase;and0.020160.0146incontrols;respectively,p,0.05).ThehighestlevelofLPS wasinthepeakphaseandsignificantlyelevatedwhencomparedtocontrols(0.020160.0146vs.0.096060.0680,p=0.007). There were no statistically significant differences in LPS levels between healthy controls and subjects in the progression phase or remission phase. Dynamic changes of LPS were correlated with MELD-Na in the progression phase (p=0.01, R=0.876)andinthepeakphase(p=0.000,R=21.00). Conclusions:Significantabn

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