Liver Transplantation in a Patient With Sitosterolemia and Cirrhosis

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Presentation transcript:

Liver Transplantation in a Patient With Sitosterolemia and Cirrhosis Tatu A. Miettinen, Eric L. Klett, Helena Gylling, Helena Isoniemi, Shailendra B. Patel  Gastroenterology  Volume 130, Issue 2, Pages 542-547 (February 2006) DOI: 10.1053/j.gastro.2005.10.022 Copyright © 2006 American Gastroenterological Association Terms and Conditions

Figure 1 Plasma sitosterol and cholesterol levels of the proband. The sitosterol level falls somewhat after treatment with cholestyramine, but, following liver transplantation, (A) sitosterol levels decline significantly. Cholesterol levels trend down, (B) likely because of worsening liver failure, but remain relatively stable throughout follow up. Gastroenterology 2006 130, 542-547DOI: (10.1053/j.gastro.2005.10.022) Copyright © 2006 American Gastroenterological Association Terms and Conditions

Figure 2 Immunohistochemistry of normal human liver and the proband’s liver. (A) Colocalization of ABCG8 and MRP2 indicating an apical expression of ABCG8 in the normal human liver. (B) The proband’s liver shows the same apical distribution, despite having a mutation in the gene. Gastroenterology 2006 130, 542-547DOI: (10.1053/j.gastro.2005.10.022) Copyright © 2006 American Gastroenterological Association Terms and Conditions