scholarly journals The Pathogenesis of Acute on Chronic Hepatitis B Liver Failure

2014 ◽  
Vol 3 (1) ◽  
pp. 31-34
Author(s):  
Zhao-chun Chi ◽  
Quan-jiang Dong ◽  
Chang-xin Geng

Abstract Acute-on-chronic liver failure is a characteristic clinical liver syndrome, which should be differentiated from acute liver failure, acute decompensated liver cirrhosis and chronic liver failure. The pathogenesis of ACLF is not fully understood yet. Viral factors and immune injury have been reported to be the two major pathogenesis. This paper reviewed the researches on the pathogenesis of acute on chronic hepatitis B liver failure in recent years, to provide theoretical basis for prompt and accurate diagnosis and treatment of this syndrome. This would benefit for the prognosis and raise the survival rate of patients.

2018 ◽  
Vol 12 (4) ◽  
pp. 341-350 ◽  
Author(s):  
Rui-Hong Zhao ◽  
Yu Shi ◽  
Hong Zhao ◽  
Wei Wu ◽  
Ji-Fang Sheng

2020 ◽  
Vol 11 ◽  
Author(s):  
Qian Li ◽  
Jun Wang ◽  
Mengji Lu ◽  
Yuanwang Qiu ◽  
Hongzhou Lu

Acute-on-chronic liver failure (ACLF) is an acute syndrome accompanied with decompensation of cirrhosis, organ failure with high 28-day mortality rate. Systemic inflammation is the main feature of ACLF, and poor outcome is closely related with exacerbated systemic inflammatory responses. It is well known that severe systemic inflammation is an important event in chronic hepatitis B (CHB)-ACLF, which eventually leads to liver injury. However, the initial CHB-ACLF events are unclear; moreover, the effect of these events on host immunity as well as that of immune imbalance on CHB-ACLF progression are unknown. Here, we investigate the initial events of ACLF progression, discuss possible mechanisms underlying ACLF progression, and provide a new model for ACLF prediction and treatment. We review the characteristics of ACLF, and consider its plausible immune predictors and alternative treatment strategies.


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