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DefinitionHepatic encephalopathy is a reversible neurologic syndrome that results from advanced liver dysfunction or portosystemic shunting. It leads to disturbances in cognition, behavior, and motor function due to the brain’s exposure to gut-derived toxins that the liver fails to detoxify.EtiologyThis condition develops either in the setting of acute fulminant hepatitis or progressively during chronic liver disease, such as cirrhosis and portal hypertension. Portosystemic shunting—including...
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Encephalitis is inflammation of the brain parenchyma caused by direct viral invasion or immune-mediated mechanisms triggered by infections or tumors. Both processes lead to neuronal injury, disrupted neurotransmission, and diverse neurological symptoms, often with overlapping clinical and pathological features.Autoimmune EncephalitisIn autoimmune encephalitis, antibodies target neuronal antigens on cell surfaces, synapses, or within neurons. A key example is anti-NMDAR encephalitis, which can...
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Generation of a Rat Model of Acute Liver Failure by Combining 70% Partial Hepatectomy and Acetaminophen
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Published on: November 27, 2019

Inflammation and hepatic encephalopathy.

Iona Coltart1, Thomas H Tranah, Debbie L Shawcross

  • 1Institute of Liver Studies, King's College London School of Medicine at King's College Hospital, King's College Hospital, Denmark Hill, London SE5 9RS, United Kingdom.

Archives of Biochemistry and Biophysics
|April 16, 2013
PubMed
Summary
This summary is machine-generated.

Hepatic encephalopathy (HE) involves ammonia and inflammation, impacting brain function. This review explores their synergy and potential anti-inflammatory treatments for HE management.

Keywords:
AmmoniaHepatic encephalopathyInfectionInflammationSystemic inflammatory response syndrome

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Area of Science:

  • Neuroscience
  • Hepatology
  • Immunology

Background:

  • Hepatic encephalopathy (HE) is a neuropsychiatric syndrome linked to liver dysfunction.
  • Ammonia is a key factor, but inflammation significantly worsens neurological effects in HE.
  • Inflammation can be intrinsic to the brain or systemic, affecting the brain via mediators.

Purpose of the Study:

  • To review the synergistic relationship between ammonia and inflammation in HE pathogenesis.
  • To discuss sources of inflammation, including liver issues, bacterial translocation, and sepsis.
  • To overview current and emerging treatments targeting inflammation for HE prophylaxis and treatment.

Main Methods:

  • Literature review of studies on HE, ammonia, inflammation, and treatment.

Main Results:

  • Ammonia and inflammation synergistically contribute to HE manifestation.
  • Inflammation originates from liver damage, gut-derived endotoxins, and sepsis.
  • Existing and novel anti-inflammatory therapies show promise for HE.

Conclusions:

  • Inflammation plays a critical role alongside ammonia in HE.
  • Targeting inflammation offers a promising therapeutic strategy for HE.
  • Further research into anti-inflammatory treatments is warranted for clinical application in HE.