10. Role of extracorporeal liver support methods in the treatment of acute liver failure: a clinical case and a literature review

Authors

  • V. Kuandykov T. Mutagirov Syzganov National Scientific Center of Surgery Almaty, Kazakhstan
  • Z. Zhorabekov Syzganov National Scientific Center of Surgery Almaty, Kazakhstan
  • M. Zhumabekova Syzganov National Scientific Center of Surgery Almaty, Kazakhstan

Downloads

Abstract

The liver is an essential organ in the human body, responsible for a multitude of critical tasks. Diseases affecting the liver can be incredibly serious, often endangering life. At present, liver transplantation stands as the only demonstrated successful remedy for these acute ailments. Early investigations explored non-biological treatments, employing conventional deto[Lʖcation techniques such DV ʖltration and dialysis The absence RI liver cells LQ these methods limited patient survival and failed WR sufʖciently provide essential liver speciʖF functions This prompted increasing interest LQ GHYHORSing biological therapy-based extracorporeal liver support systems, intended as a temporary measure leading to liver transplantation or as a supportive approach for a failing liver $ bioartiʖcial liver support system involves DQ H[tracorporeal device circulating plasma over living and actively functioning hepatocytes within a bioreactor. This system is designed to assist the diseased liver until it either recovers on its own or until a suitable transplant organ becomes available. This review presents a concise summary of the effectiveness of currently available liver support systems. Furthermore, it explores the progression of advanced liver support systems, assessing enhancements to critical elements like the cell source, along with culture and circulation conditions, for the maintenance RI crucial liver speciʖF functionalities '2, %6. ,, Kuandykov T.

Keywords

liver, failure, plasmasorbtion, extracorporeal, detoxiɐcation, liver, support, bioartiɐcial, liver

References

  1. Grafe C, Paal M, Winkels M, Irl-beck M, Liebchen U, Scharf C. Correlation between Bilirubin Elimination with the Cytokine Adsorber CytoSorb(R) and Mor-tality in Critically Ill Patients with Hyperbilirubinemia. Blood 3XULI GRL
  2. Jimenez-Esquivel N, Pineiro G, Carpio A, et al. Bilirubin Re-moval with Therapeutic Plas-ma Exchange or Molecular Ad-sorbent Recirculating System as Treatment for Cholemic Ne-phropathy in Patients with Cir-rhosis and Acute-on-Chronic /LYHU )DLOXUH $ &DVH 6HULHV %ORRG 3XULI GRL
  3. Hagenbuch B, Stieger B, Locher KP. Organic anion transporting SROSHSWLGHV3KDUPDFRORJWR[-icology, structure, and transport mechanisms. Pharmacol Rev. Mar GRLM pharmr.2024.100023
  4. Cui Y, Konig J, Leier I, Buchholz U, Keppler D. Hepatic uptake of bilirubin and its conjugates by the human organic anion trans-porter SLC21A6. J Biol Chem. 0DU GRLMEF0
  5. McRae MP, Kittelson J, Helm-ke SM, Everson GT. Advances in noninvasive measurement of liver function and physiol-RJ 7KH +HS4XDQW 'X2 WHVW Basic Clin Pharmacol Toxi-FRO 0DU GRLEFSW
  6. Liu J, Man K. Mechanistic In-sight and Clinical Implications RI ,VFKHPLD5HSHUIXVLRQ ,Q-jury Post Liver Transplanta-tion. Cell Mol Gastroenterol +HSDWRO GRLMMFPJK
  7. Saliba F, Banares R, Larsen FS, et al. Artificial liver support in SDWLHQWVZLWKOLYHUIDLOXUHDPRG-ified DELPHI consensus of inter-national experts. Intensive Care 0HG 2FW GRLV
  8. Ibrahim S, Dayoub R, Saberi V, Buchner M, Melter M, Weiss TS. Augmenter of Liver Regener-ation (ALR) regulates bile acid synthesis and attenuates bile acid-induced apoptosis via gly-cogen synthase kinase-3beta (GSK-3beta) inhibition. Exp Cell 5HV 'HF GRLMH[FU %8//(7,12)685*(5<,1.$=$.+67$1ɫ 99 OF ACUTE LIVER FAILURE: A CLINICAL CASE AND A LITERATURE REVIEW
  9. Papamichalis P, Oikonomou KG, Valsamaki A, et al. Liver replace-ment therapy with extracorpore-al blood purification techniques current knowledge and future directions. World J Clin Cases. -XQ GRL ZMFFYL
  10. Alsabbagh Alchirazi K, Bhavsar-Burke I, Syed H, et al. Mo-lecular Adsorbent Recircu-lating System in Acute Liver Failure. ACG Case Rep J. Jul H GRL crj.0000000000001389
  11. Baker DR, Mac H, Steinman B, et al. Molecular Adsorbent Recir-culating System for Acute Liver Failure in a New Pediatric-Based Extracorporeal Liver Support Program. Crit Care Explor. Nov H GRL CCE.0000000000001002
  12. Liu H, Yang Z, Luo Q, Lin J. Extra-corporeal liver support systems in patients with acute-on-chronic OLYHUIDLOXUH$QXSGDWHGVVWHP-atic review and meta-analysis. $UWLI2UJDQV0D GRLDRU
  13. Balzan SMP, Gava VG, Magalhaes MA, Dotto ML. Extreme liver re-sections with preservation of seg-ment 4 only. World J Gastroenter-RO-XO GRLZMJYL
  14. Sparrelid E, Gilg S, van Gu-lik TM. Systematic review of MARS treatment in post-hepa-tectomy liver failure. HPB (Ox-IRUG -XO GRLMKSE

Published

2025-06-30

Section

Статьи