Recent Advances in the Detection and Pathophysiology of Steatotic, Alcoholic and Drug-Induced Liver Diseases

A special issue of Livers (ISSN 2673-4389).

Deadline for manuscript submissions: 10 June 2025 | Viewed by 1145

Special Issue Editors


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Guest Editor
Institute for Bioengineering (IBioE), School of Engineering, Faraday Building, The University of Edinburgh, Edinburgh EH9 3JL, UK
Interests: hepatology; liver tissue engineering; drug-induced liver injury; liver disease; synthetic biology; Alzheimer's disease

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Guest Editor
1. NOVA Medical School, Faculty of Medical Sciences, Universidade NOVA de Lisboa, 1099-085 Lisboa, Portugal
2. Research Center for Toxicogenomics and Human Health (ToxOmics), Universidade NOVA de Lisboa, 1099-085 Lisboa, Portugal
Interests: pharmaco-/toxicokinetics; pharmaco-/toxicogenomics; drug metabolism; cytochrome P450; adverse drug reactions (ADRs); drug-induced liver injury (DILI); cancer drug resistance; metabolic liver disease
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Co-Guest Editor
Institute for Bioengineering (IBioE), School of Engineering, Faraday Building, The University of Edinburgh, Edinburgh EH9 3JL, UK
Interests: liver disease modelling; early liver pathogenesis; MASLD/MASH

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Co-Guest Editor
ToxOmics, NOVA Medical School, Faculdade de Ciências Médicas, NMS|FCM, Universidade NOVA de Lisboa, 1169-056 Lisbon, Portugal
Interests: xenobiotic metabolism and toxicogenomics; ADR; DILI; MASLD/MASH

Special Issue Information

Dear Colleagues,

Chronic liver diseases (CLDs) have emerged as a leading cause of hepatic-related morbidity and mortality worldwide. Amongst these, metabolic dysfunction-associated steatotic liver disease (MASLD), metabolic dysfunction-associated steatohepatitis (MASH), alcoholic liver disease (ALD), and drug-induced liver injury (DILI) result from one or a combination of genetic, environmental, and lifestyle-associated factors, such as diet-induced obesity, metabolic dysfunction, alcohol misuse, and drug toxicity. The late detection of CLDs, owing to their insidious nature and heterogeneous pathophysiology, significantly limits the use of therapeutic options that aim to halt or reverse disease progression. A promising avenue for improved patient prognosis lies in the identification of cell-type and disease-specific biomarkers, especially those that can be detected at the early stages of disease. We invite submissions that highlight the latest advancements in pathophysiological and inflammatory mechanisms underlying CLDs (excluding those with viral or autoimmune origins). Contributions that examine novel pathogenic pathways, cellular interactions, biomarker discovery and characterisation, mixed aetiologies (e.g., MASLD-DILI), precision medicine, and the influence of lifestyle and environmental factors on CLD progression are particularly encouraged. This Special Issue aims to compile recent breakthroughs in research that will enhance the early diagnosis and targeted treatment of CLDs, paving the way for improved patient outcomes.

Dr. Leonard Nelson
Dr. Michel Kranendonk
Dr. Anabel Martinez Lyons
Dr. Francisco Esteves
Guest Editors

Manuscript Submission Information

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Keywords

  • acetaminophen-induced hepatotoxicity
  • alcoholic liver disease (ALD)
  • biomarkers and molecular targeting for CLDs
  • chronic liver disease (CLD)
  • drug-induced liver injury (DILI)
  • extracellular microenvironment and cell-cell communication in CLDs
  • genetic variants influencing MASLD-MASH
  • hepatic inflammation
  • in vitro and in vivo CLD modelling
  • lipotoxicity
  • metabolic dysfunction-associated steatohepatitis (MASH)
  • metabolic dysfunction-associated steatotic liver disease (MASLD)
  • multiomics and systems biology
  • new tools and technologies in the study of CLDs
  • novel therapeutic strategies for CLDs and precision medicine

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Published Papers (1 paper)

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9 pages, 1627 KiB  
Case Report
Endogenous Alcohol and Auto-Brewery Syndrome Complicating Liver Transplantation: A Case Report and Literature Review
by Jack C. Drda and Jill P. Smith
Livers 2025, 5(1), 13; https://doi.org/10.3390/livers5010013 - 13 Mar 2025
Viewed by 730
Abstract
Introduction: We describe the first reported case of auto-brewery syndrome complicating liver transplantation, wherein a patient was temporarily removed from a liver transplant list not due to ethanol consumption but rather spontaneous ethanolic fermentation within the gastrointestinal tract. Auto-brewery syndrome (ABS) is a [...] Read more.
Introduction: We describe the first reported case of auto-brewery syndrome complicating liver transplantation, wherein a patient was temporarily removed from a liver transplant list not due to ethanol consumption but rather spontaneous ethanolic fermentation within the gastrointestinal tract. Auto-brewery syndrome (ABS) is a rare metabolic condition where gastrointestinal microbiota dysbiosis leads to spontaneous microbial ethanolic fermentation under anaerobic, high carbohydrate conditions. Because no alcohol is directly consumed by the patient, this alcohol is often referred to as “endogenous”. Methods: We present a case where a patient awaiting orthotopic liver transplantation was removed from the transplant list due to significantly elevated blood alcohol levels. However, an upper endoscopy revealed Candida esophagitis, and the diagnosis of ABS was made. Results: With antifungal fluconazole treatment, the patient’s blood alcohol biomarkers decreased, and the patient underwent a successful liver transplantation. Discerning between patient exogenous alcohol consumption and endogenous alcohol production with ABS remains a significant challenge for clinicians, and this knowledge could have serious implications for a patient awaiting a life-saving liver transplant. Conclusions: This case highlights the importance of listening to the patient and carefully assessing potential liver transplant recipients who consistently deny alcohol consumption, specifically for gut dysbiosis and ABS. Full article
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