Publications by authors named "Elke Roeb"

Chronic liver damage, such as metabolic dysfunction-associated steatotic liver disease (MASLD), viral hepatitis B or C, cholestatic hepatitis (PBC, PSC), toxic damage (alcohol) or genetic alterations (hemochromatosis, Wilson's disease, etc.) usually cause a chronic inflammatory response in liver cells or bile duct epithelial cells. In the long term this chronic inflammatory response can lead to scarring of the liver, a condition known as fibrosis.

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Article Synopsis
  • Schistosomiasis impacts over 250 million people, especially affecting those aged 10-14 years, leading to uncertain liver damage severity based on the host's age.
  • In a study using male mice of different ages, researchers found that older hosts showed improved outcomes in liver-related issues like inflammation and fibrosis after infection compared to younger hosts.
  • The results highlight the importance of understanding how age influences liver damage and response to schistosomiasis, supporting the need for further research in patients.
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  • - Schistosomiasis, caused by parasitic worms, affects over 250 million people and primarily impacts the gastrointestinal tract, triggering a specific immune response linked to the formation of granulomas through its eggs.
  • - A study on hamsters explored the connection between the number of parasitic eggs and the immune response, analyzing egg load and cytokine expression in liver and colon tissues.
  • - Results showed no link between Th1 cytokines and egg load in the liver, while some Th2 cytokines exhibited an unexpected inverse correlation, potentially due to prolonged embryogenesis of eggs in the liver, which didn't occur in the colon.
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Real-world data on the management of patients with primary biliary cholangitis (PBC) are so far scarce in Germany. Therefore, we aimed to establish a nationwide registry and describe the clinical characteristics and therapy of PBC patients.Three different cohorts defined as ursodeoxycholic acid (UDCA) responders, as inadequate responders according to Paris II criteria, and as newly diagnosed patients were prospectively recruited.

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Schistosomiasis is a neglected tropical disease caused by worm parasites of the genus . Upon infection, parasite eggs can lodge inside of host organs like the liver. This leads to granuloma formation, which is the main cause of the pathology of schistosomiasis.

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Schistosomiasis, a widespread neglected tropical disease, presents a complex and multifaceted clinical-pathological profile. Using hamsters as final hosts, we dissected molecular events following infection in the liver-the organ most severely affected in schistosomiasis patients. Employing tandem mass tag-based proteomics, we studied alterations in the liver proteins in response to various infection modes and genders.

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The pleiotropic chemokine chemerin is involved in multiple processes in metabolism and inflammation. The present study aimed to elucidate its regulation in morbid obesity and during therapy-induced rapid weight loss. A total of 128 severely obese patients were enrolled, and their basal anthropometric and clinical parameters were assessed.

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Schistosomiasis is a parasitic disease affecting more than 250 million people worldwide. The transcription factor c-Jun, which is induced in S. mansoni infection-associated liver disease, can promote hepatocyte survival but can also trigger hepatocellular carcinogenesis.

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Background & Aims: Schistosomiasis is one of the most prominent parasite-induced infectious diseases, affecting more than 250 million people. Schistosoma mansoni causes metabolic exhaustion and a strong redox imbalance in the liver, causing parenchymal damage, and may predispose for cancer. We investigated whether oxidative stress provokes hepatocellular proliferation upon S.

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The liver, as a central metabolic organ, is systemically linked to metabolic-inflammatory diseases. In the pathogenesis of the metabolic syndrome, inflammatory and metabolic interactions between the intestine, liver, and adipose tissue lead to the progression of hepatic steatosis to metabolic-dysfunction-associated steatohepatitis (MASH) and consecutive MASH-induced fibrosis. Clinical and animal studies revealed that IL-13 might be protective in the development of MASH through both the preservation of metabolic functions and Th2-polarized inflammation in the liver and the adipose tissue.

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Article Synopsis
  • GI bleeding is a common complication of direct oral anticoagulants (DOAC), requiring immediate assessment of medication history and coagulation status before emergency procedures.
  • Specific antidotes like idarucizumab and andexanet alfa are available for severe bleeding related to certain DOACs and are used after following proper emergency protocols.
  • Resumption of anticoagulation is essential after successful hemostasis, considering the balance between bleeding and thromboembolic risks.
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Drug-induced toxic hepatopathies and drug-induced liver injury, DILI, are characterized by a variety of clinical manifestations and therefore represent a significant diagnostic challenge. This article shows how DILI is diagnosed and what therapy options exist. Current special cases of DILI genesis are also discussed (DOACs, IBD drugs, tyrosine kinase inhibitors).

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Chronic hepatitis B virus (HBV) infection is a global health threat. Mutations in the surface antigen of HBV (HBsAg) may alter its antigenicity, infectivity, and transmissibility. A patient positive for HBV DNA and detectable but low-level HBsAg in parallel with anti-HBs suggested the presence of immune and/or diagnostic escape variants.

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