Publications by authors named "Regina Umarova"

Background: Bile acids mediate gut-liver cross-talk through bile acid receptors. Serum, hepatic, and microbial bile acid metabolism was evaluated in HCV-compensated chronic liver disease.

Methods: Patients underwent liver biopsy; portal and peripheral blood were obtained before (HCVi), and 6 months after sustained virologic response (SVR), splenic blood was obtained only after SVR.

View Article and Find Full Text PDF

Background & Aims: Direct-acting antiviral (DAA) therapy has revolutionized treatment for the hepatitis C virus (HCV). While DAA therapy is common, little is known about the intrahepatic immunological changes after sustained virologic response (SVR). We aim to describe transcriptional alterations of the gut microbiome and the liver after SVR.

View Article and Find Full Text PDF

The gut and liver are connected via the portal vein, and this relationship, which includes the gut microbiome, is described as the gut-liver axis. Hepatitis C virus (HCV) can infect the liver and cause fibrosis with chronic infection. HCV has been associated with an altered gut microbiome; however, how these changes impact metabolism across the gut-liver axis and how this varies with disease severity and time is unclear.

View Article and Find Full Text PDF
Article Synopsis
  • * The study involved 15 patients, most of whom were male and had been treated for an average of 8.4 years; results showed that those initially HBeAg-positive almost all experienced virological relapses, while many in the HBeAg-negative group did relatively better.
  • * Findings suggest that withdrawing treatment can lead to long-term remission in HBeAg-negative patients, particularly those with low pre-withdrawal HBsAg levels, while those who were HBeAg-positive tended to have
View Article and Find Full Text PDF
Article Synopsis
  • Obesity poses major health challenges, with the gut microbiome playing a critical role in its development.
  • Research using a mouse model shows that a wild-derived gut microbiome can prevent excessive weight gain and related health issues when exposed during the early weeks of life.
  • The protective effects are linked to enhanced hormone secretion and increased energy use, suggesting potential early-life treatments to combat obesity in humans.
View Article and Find Full Text PDF

Oxidative stress (OS) in non-alcoholic fatty liver disease (NAFLD) promotes liver injury and inflammation. Treatment with vitamin E (α-tocopherol, αT), a lipid-soluble antioxidant, improves liver injury but also decreases steatosis, thought to be upstream of OS, through an unknown mechanism. To elucidate the mechanism, we combined a mechanistic human trial interrogating pathways of intrahepatic triglyceride (IHTG) accumulation and in vitro experiments.

View Article and Find Full Text PDF

Background And Aims: 17-Beta hydroxysteroid dehydrogenase 13 (HSD17B13) is genetically associated with human nonalcoholic fatty liver disease (NAFLD). Inactivating mutations in HSD17B13 protect humans from NAFLD-associated and alcohol-associated liver injury, fibrosis, cirrhosis, and hepatocellular carcinoma, leading to clinical trials of anti-HSD17B13 therapeutic agents in humans. We aimed to study the in vivo function of HSD17B13 using a mouse model.

View Article and Find Full Text PDF

In patients with HBV and HCV coinfection, HBV reactivation leading to severe hepatitis has been reported with the use of direct-acting antivirals (DAAs) to treat HCV infection. Here we studied the molecular mechanisms behind this viral interaction. In coinfected cell culture and humanized mice, HBV replication was suppressed by HCV coinfection.

View Article and Find Full Text PDF