Incubations were performed at concentrations indicated in the fig

Incubations were performed at concentrations indicated in the figures and figure legends. Experiments were performed at least in triplicate. CoPP was purchased from Frontier Scientific Europe

MK 2206 Ltd., Carnforth, Lancashire, UK). Methylene chloride (MC), lactoferrin, deferoxamine, and FeCl3 were purchased from Sigma Aldrich GmbH (Steinheim, Germany). Biliverdin was purchased from MP Biomedicals (Heidelberg, Germany). To verify altered gene expression, RNA was transcribed into complementary DNA by using the Verso cDNA Kit (Thermo Fisher Scientific, Waltham, MA). Oligonucleotides for subsequent polymerase chain reaction (PCR) reactions were obtained from Metabion International AG (Martinsried, Germany). Oligonucleotide pairs for real-time reverse transcription (RT)-PCR are summarized in Table 1. Real-time RT-PCR was performed by using

the CFX Real-Time system (BIO-RAD, Munich, Germany) and reagents from Abgene (Thermo Fisher Scientific, Germany). Reactions were performed in a 10-μL volume. To confirm amplification specificity, PCR products were subjected to melting curve analysis and gel electrophoresis. Fifteen micrograms protein were fractionated by 12% sodium dodecyl sulfate polyacrylamide gel electrophoresis and blotted onto nitrocellulose membranes. Western blots were developed using an Acalabrutinib research buy enhanced chemiluminescence system (Amersham, Freiburg, Germany) according to the manufacturer’s instructions. Semiquantitative evaluation was performed using the VersaDoc Imaging System (BioRad Laboratories GmbH, Munich, Germany). Antibodies for western blots were rabbit anti-HO-1 (Stressgen Biomol, Hamburg, Germany), mouse anti-hepatitis

C NS5 (MorphoSys UK Ltd., Oxford, UK), and mouse anti-glyceraldehyde 3-phosphate dehydrogenase selleck chemical (HyTest Ltd., Turku, Finland). Luciferase activity of LucUbiNeo-ET replicon cells was measured using the Luciferase Assay System (Promega, Mannheim, Germany) and normalized to the protein content in the individual samples. For all luciferase assays shown, protein contents in lysates were comparable, indicating that incubations did not affect cell metabolism. The results were analyzed using Student t test if two groups were compared and the Dunnett’s test if more groups were tested against a control group. If variances were not homogeneous in the Student t test, the results were analyzed using the Welsh test. All data in this study are expressed as a mean ± standard error of the mean. P ≤ 0.05 was considered significant. HO-1 overexpression has recently been shown to interfere with HCV replication.25, 26 To define the impact of HO-1 on HCV replication more precisely, Huh-5-15 replicon cells and their parental cell line Huh-7 (Fig. 1), as well as LucUbiNeo-ET replicon cells (Fig. 2), were incubated in the presence of the HO-1 inducer CoPP. Measurement of HCV polyprotein expressions by real-time RT-PCR showed that HCV replication was dose-dependently impaired (Fig.

Plasma pools are then released for further processing only if the

Plasma pools are then released for further processing only if they are non-reactive for serologic markers and nucleic acids for these viruses [75]. These measures, along with viral inactivation procedures such as solvent/detergent treatment, nanofiltration and exposure to heat either as a lyophilized product or in the aqueous phase, have dramatically

improved the safety of pdCFCs [66]. Consequently, there have been no reports of transmission of HIV via a pdCFC since 1986 (based on US data) [74]. The risk of acquiring an infection is affected by the microbial load to which an individual is exposed. The risk posed by known and emerging pathogens has therefore been amplified by the changing patterns in haemophilia treatment – more patients

are being exposed to higher Protein Tyrosine Kinase inhibitor levels of factor concentrate due to the increased use of prophylaxis, high-dose ITI therapy, the longer life span of patients and a higher number of surgical procedures in an ageing population. This increased use of factor concentrate leads to exposure to a wider pool of donors, and therefore to a potential increase in an individual’s risk of infection [76]. Despite the success observed in the prevention of transmission of known lipid-enveloped blood-borne viruses, several issues still remain. The first is that while blood products are safe in reference Midostaurin mouse to the infectious agents that we are currently searching for, it can never be considered to be completely sterile. There are transitory or permanently circulating viruses in the blood that are not selleckchem currently screened for, such as hepatitis E virus, Epstein–Barr virus, parvoviruses, cytomegaloviruses and Torque teno virus [77]. In addition, it is considered likely that certain types of non-lipid-enveloped pathogen may survive current viral inactivation processes [66]. There are also a number of emerging viral and non-viral pathogens which may pose a threat to the safety of pdCFCs [66]; what we do not test for, we cannot say is not present. An emerging pathogen can

be defined as ‘the cause of an infectious disease whose incidence is increasing following its first introduction into a new host population, or whose incidence is increasing in an existing host population as a result of long-term changes in its underlying epidemiology’ [78]. Environmental changes, such as increased international travel, can increase the likelihood of contact with, and transmission of, some pathogens. Complex interactions between a pathogen and its host may affect the pathogen’s ability to infect new hosts and survive in different environments, leading to an emerging zoonotic pathogen [79]. These emerging pathogens threaten the safety of pdCFCs because they cannot be tested for until they are known. Two examples of recently emerged pathogens are parvovirus B19 [80] and the vCJD prion [81, 82].

Conclusion: 15-PGDH expression is downregulated in HCC while the

Conclusion: 15-PGDH expression is downregulated in HCC while the overexpression leads to apoptosis and may function as a relevant tumor suppressor and a potential therapeutic Selleckchem DAPT application in HCC. Disclosures: The following people have nothing to disclose: Luis Castro-Sanchez, Noelia Agra, Cristina Llorente-Izquierdo, Omar Motiño, Marta Casado, Lisardo Bosca, Paloma Martin-Sanz Background/Aims: Although

treatments that inhibit tumor angiogenesis (represented by sorafenib) have improved the prognosis of patients with advanced HCC (hepatocellular carcinoma), some patients do not respond to the current standard therapies. Therefore, Luminespib it is important to develop a therapeutic agent that can suppress tumor progression synergistically or independently of the sorafenib treatment. HDGF (hepatoma-derived growth factor) is a unique molecule which has dual characteristics; it can act as a growth-stimulating factor for hepatoma cells and also as an angiogenic factor. The purpose of this study was to examine whether anti-HDGF treatment can provide a new therapeutic strategy for HCC. Methods: (1) We investigated whether sorafenib affected the expression level of HDGF. (2) We generated HDGF-silenced

hepatoma cell lines by introducing a HDGF sh-RNA plasmid, and examined the effects of the reduced HDGF expression on the proliferation of

hepatoma cells. (3) We examined whether the downregulation of HDGF can enhance the growth-inhibitory effects of sorafenib on hepatoma cells (4) We subcutaneously transplanted the control (mock-transfected) cells or the HDGF-silenced hepatoma cells into nude mice, and then examined the anti-tumor effects of oral sorafenib treatment on the mice that carried the control or HDGF-silenced hepatoma cells. All animal experiments were performed according to the criteria outlined in the “”Guide for the Care and use of Laboratory Animals”". Results: (1) The expression find more levels of HDGF in hepatoma cells (Hep3B, HepG2 and SK-Hep1) were not affected by sorafenib. (2) Two stably HDGF-silenced clones of hepatoma cell lines showed significantly lower proliferative activity compared with the control cells. (3) HDGF-silencing enhanced the growth inhibitory effects of sorafenib treatment in vitro. (4) Xenograft transplant experiments revealed that a reduction of HDGF significantly inhibited the HCC growth in vivo. Furthermore, HDGF reduction promoted the anti-tumor effects of oral sorafenib administration. Conclusions: Although HDGF is involved in HCC proliferation, the growth inhibitory mechanisms associated with the HDGF-silencing were at least partially different from those of the sorafenib treatment.

52), split (6% versus 7%, P = 034), or living donor (6% versus 1

52), split (6% versus 7%, P = 0.34), or living donor (6% versus 15%, P = 0.38). A comparison of the pathological features of HIV+ and HIV− patients did not reveal any differences, except for a trend toward a higher rate of EpCAM+ HCC in HIV+ patients (4/12 versus 5/42, P = 0.07). The number of satellite nodules, the degree of microscopic vascular invasion, and the transplantation rate outside the Milan criteria were all slightly lower among HIV+ patients (Table 4). Intraoperatively, HIV+ patients experienced longer cold ischemia [median period: 527 (range

Saracatinib in vitro = 170-722 minutes) versus 423 minutes (range = 53-712 minutes), P = 0.05]. The median number of blood transfusion units was 6 (range = 0-30) in HIV+ patients and 6 (range = 0-38) in HIV− patients (P = 0.72). The median length of hospitalization was 29 days (range = 24-55) in HIV+ patients and 30

days (range = 13-57) in HIV− patients (P = 0.64). Lastly, one HIV+ patient (5%) and two HIV− patients died after LT (60-day hospital mortality, P = 0.58). The 2-month postoperative mortality rate was 4% (3/74 patients). One HIV+ patient died from a posttransplant hepatic artery rupture, and two HIV− patients died, one from multiple Selleckchem EX-527 organ failure and one from a posttransplant hepatic artery rupture. On an intent-to-treat basis, survival after LT for HCC was impaired by HIV infection because survival after listing was significantly impaired in HIV+ patients. In HIV+ and HIV− patients, the survival rates after listing were 81% and 55% versus 91% this website and 82% at 1 and 3 years, respectively (P = 0.005). In univariate analysis, four preoperative or intraoperative factors exerted an impact on survival after listing: HIV infection (P = 0.008), AFP level at listing (P = 0.03), AFP level at transplantation (P = 0.03), and AFP progression >15 μg/L per month on the waiting list (P = 0.01). The median post-LT follow-up periods

were 26 (range = 1-79 months) and 35 months (range = 1-78 months) in HIV+ and HIV− patients, respectively (P = 0.20). In the two groups, OS after transplantation (Fig. 2) was 81% and 74% versus 93% and 85% at 1 and 3 years, respectively (P = 0.07). In univariate analysis, no preoperative factors (listed in Table 3) were significantly associated with OS. In HIV+ and HIV− patients, the HCC recurrence rates were 31% (5/16) and 15% (9/58), respectively (P = 0.15; Table 5). The median times to onset were 11 (range = 2-71 months) and 18 months (range = 7-36 months), respectively (P = 0.98). After recurrence, four HIV+ patients died with a median survival time of 5 months (range = 1-12 months) after the diagnosis of recurrence, and three HIV− patients (33%) died with a median survival period of 8 months (range = 4-18 months, P = 0.42). Two HIV+ patients experienced early recurrence (2 and 3 months post-LT).

52), split (6% versus 7%, P = 034), or living donor (6% versus 1

52), split (6% versus 7%, P = 0.34), or living donor (6% versus 15%, P = 0.38). A comparison of the pathological features of HIV+ and HIV− patients did not reveal any differences, except for a trend toward a higher rate of EpCAM+ HCC in HIV+ patients (4/12 versus 5/42, P = 0.07). The number of satellite nodules, the degree of microscopic vascular invasion, and the transplantation rate outside the Milan criteria were all slightly lower among HIV+ patients (Table 4). Intraoperatively, HIV+ patients experienced longer cold ischemia [median period: 527 (range

Selleck GS1101 = 170-722 minutes) versus 423 minutes (range = 53-712 minutes), P = 0.05]. The median number of blood transfusion units was 6 (range = 0-30) in HIV+ patients and 6 (range = 0-38) in HIV− patients (P = 0.72). The median length of hospitalization was 29 days (range = 24-55) in HIV+ patients and 30

days (range = 13-57) in HIV− patients (P = 0.64). Lastly, one HIV+ patient (5%) and two HIV− patients died after LT (60-day hospital mortality, P = 0.58). The 2-month postoperative mortality rate was 4% (3/74 patients). One HIV+ patient died from a posttransplant hepatic artery rupture, and two HIV− patients died, one from multiple learn more organ failure and one from a posttransplant hepatic artery rupture. On an intent-to-treat basis, survival after LT for HCC was impaired by HIV infection because survival after listing was significantly impaired in HIV+ patients. In HIV+ and HIV− patients, the survival rates after listing were 81% and 55% versus 91% selleck chemicals and 82% at 1 and 3 years, respectively (P = 0.005). In univariate analysis, four preoperative or intraoperative factors exerted an impact on survival after listing: HIV infection (P = 0.008), AFP level at listing (P = 0.03), AFP level at transplantation (P = 0.03), and AFP progression >15 μg/L per month on the waiting list (P = 0.01). The median post-LT follow-up periods

were 26 (range = 1-79 months) and 35 months (range = 1-78 months) in HIV+ and HIV− patients, respectively (P = 0.20). In the two groups, OS after transplantation (Fig. 2) was 81% and 74% versus 93% and 85% at 1 and 3 years, respectively (P = 0.07). In univariate analysis, no preoperative factors (listed in Table 3) were significantly associated with OS. In HIV+ and HIV− patients, the HCC recurrence rates were 31% (5/16) and 15% (9/58), respectively (P = 0.15; Table 5). The median times to onset were 11 (range = 2-71 months) and 18 months (range = 7-36 months), respectively (P = 0.98). After recurrence, four HIV+ patients died with a median survival time of 5 months (range = 1-12 months) after the diagnosis of recurrence, and three HIV− patients (33%) died with a median survival period of 8 months (range = 4-18 months, P = 0.42). Two HIV+ patients experienced early recurrence (2 and 3 months post-LT).

[19] Aggregation of platelets might, except for inducing migraine

[19] Aggregation of platelets might, except for inducing migraine Torin 1 mw by release of serotonin, cause small sites of ischemia by the shedding of micro-thrombi that travel to distal portions of the cerebral vasculature. The limited size of micro-infarcts makes

it less likely that they would result from diminished blood flow in one of the large cerebral arteries. In conclusion, in the presence of increased platelet aggregability and endothelial dysfunction, an incomplete Circle of Willis might predispose to migraine by elevated wall shear stress in small-diameter anastomotic vessels. “
“(Headache 2011;51:181-187) This section of Headache annually reviews the status of recently completed and ongoing clinical trials involving headache disorders. The review will focus on multicenter trials of new therapies as well as novel formulations of previously approved therapeutics. Table 1 summarizes major migraine therapeutic trials that have been completed recently, according to data obtained from the “ClinicalTrials.Gov” Ganetespib website as well as from corporate press releases. Table 2 summarizes the major therapeutic trials that are ongoing at the present time. “
“Objective.—

The study aimed to explore the impairment of time perception in migraineurs. Background.— Headache is the most common pain syndrome in middle-aged adults, and migraine is highly prevalent and severely disabling. Although the

mechanisms of and the therapies for migraines have long been explored, less is known about the functional impairments associated with them, especially the impairment in time perception, that is, the ability to estimate the passage of time. Methods.— In this study, selleck compound we used a temporal reproduction task to assess the estimation of the duration of visual stimulus in 27 migraine patients. The stimulus was delivered at different intervals over the milliseconds and seconds range. Results.— In the setting of an interstimulus interval for 1 second and an interstimulus interval for 5 seconds in the 600-millisecond-duration reproduction task, the migraineurs showed impairment in time perception, and in that they significantly overestimated the duration, as compared with the healthy subjects. When compared with the healthy controls for the 3-second and 5-second duration reproduction task, migraineurs in the setting of an interstimulus interval for 1 second and an interstimulus interval for 5 seconds did not show impairment in time perception. Conclusions.— This study indicates that not only is time perception impaired in migraineurs, but that this impairment is exhibited for durations in the milliseconds range, and not the seconds range.

[19] Aggregation of platelets might, except for inducing migraine

[19] Aggregation of platelets might, except for inducing migraine check details by release of serotonin, cause small sites of ischemia by the shedding of micro-thrombi that travel to distal portions of the cerebral vasculature. The limited size of micro-infarcts makes

it less likely that they would result from diminished blood flow in one of the large cerebral arteries. In conclusion, in the presence of increased platelet aggregability and endothelial dysfunction, an incomplete Circle of Willis might predispose to migraine by elevated wall shear stress in small-diameter anastomotic vessels. “
“(Headache 2011;51:181-187) This section of Headache annually reviews the status of recently completed and ongoing clinical trials involving headache disorders. The review will focus on multicenter trials of new therapies as well as novel formulations of previously approved therapeutics. Table 1 summarizes major migraine therapeutic trials that have been completed recently, according to data obtained from the “ClinicalTrials.Gov” CX-4945 website as well as from corporate press releases. Table 2 summarizes the major therapeutic trials that are ongoing at the present time. “
“Objective.—

The study aimed to explore the impairment of time perception in migraineurs. Background.— Headache is the most common pain syndrome in middle-aged adults, and migraine is highly prevalent and severely disabling. Although the

mechanisms of and the therapies for migraines have long been explored, less is known about the functional impairments associated with them, especially the impairment in time perception, that is, the ability to estimate the passage of time. Methods.— In this study, selleck products we used a temporal reproduction task to assess the estimation of the duration of visual stimulus in 27 migraine patients. The stimulus was delivered at different intervals over the milliseconds and seconds range. Results.— In the setting of an interstimulus interval for 1 second and an interstimulus interval for 5 seconds in the 600-millisecond-duration reproduction task, the migraineurs showed impairment in time perception, and in that they significantly overestimated the duration, as compared with the healthy subjects. When compared with the healthy controls for the 3-second and 5-second duration reproduction task, migraineurs in the setting of an interstimulus interval for 1 second and an interstimulus interval for 5 seconds did not show impairment in time perception. Conclusions.— This study indicates that not only is time perception impaired in migraineurs, but that this impairment is exhibited for durations in the milliseconds range, and not the seconds range.

To prove this, we created double knockout mice by crossing Plin2−

To prove this, we created double knockout mice by crossing Plin2−/− mice with

Gnmt−/− mice to produce a novel Gnmt−/−/Plin2−/− double knockout mouse model, in which we determined the hepatic SAMe content (Table 1) and the levels of PE and PC (Fig. 5). Furthermore, we also determined the hepatic content of DG and TG (Fig. 5). As shown in Table 1, Plin2 deletion had no effect on hepatic SAMe concentration, as the double knockout mice showed a 40-fold elevation (P < 0.0001) in SAMe, which was similar to that observed in the Gnmt−/− animals. Consistent with this, total liver PE content was reduced 2-fold (P < 0.01) in Gnmt−/−/Plin2−/− mice, whereas PC levels remained normal (Fig. check details AP24534 chemical structure 5A,B), suggesting that PC was rapidly catabolized just as in the Gnmt−/− animals. In contrast to the situation in Gnmt−/− mice, while DG levels in the double knockout mice were significantly elevated (P < 0.01), the TG content actually underwent a 2-fold reduction (P < 0.05) (Fig. 5C,D). As expected, Gnmt−/−/Plin2−/− mice failed to develop hepatic steatosis (Fig. 5E) despite having high hepatic SAMe concentration (Table 1) and reduced PE levels (Fig. 5). Inhibition of lipid sequestration

in Gnmt−/− mice decreased lipogenesis, had a minor effect on secretion of acid-soluble metabolites, decreased serum ketone bodies, yet maintained a higher hepatic TG secretion rate (Fig. 6A-C,E). The finding that the concentration of acid-soluble see more metabolites did not change, whereas serum ketone bodies were reduced, suggests that acetyl-CoA generated via β-oxidation is driven towards the Krebs cycle and gluconeogenesis (Fig. 6B,C). Accordingly, glucose production in the absence or presence of the precursors lactate/pyruvate and glycerol was increased in hepatocytes without GNMT and PLIN2 (Fig. 6D). In keeping with the

lipid tracing studies, a comprehensive lipidomic analysis of livers from control diet Gnmt−/−, MDD-treated Gnmt−/−, and Gnmt−/−/Plin2−/− mice was performed and compared with that of their corresponding WT animals. Increased SAMe is characterized by a marked remodeling of lipid composition (Fig. 7, Supporting Table 1). These changes included an increase in TGs that are rich in PUFA(18:2, 20:2, 20:4, 22:4, 22:5, 22:6), of DG such as DG(18:1+18:1), DG(16:0+20:4), and DG(16:0+18:1), of ceramides such as Cer(d18:1/18:0), and of free unsaturated FA (UFA)(16:1n-x, 18:1n-9, 20:3n-3, and 22:4n-6); and a marked decrease in PE rich in PUFA, and of a variety of sphingomyelins such as SM(d18:1/22:0), SM(d18:1/21:0), and SM(d17:1/22:0). We found that, after MDD treatment, Gnmt−/− mice revealed a lipidomic signature that resembled the signature presented by WT mice (Fig. 7, Supporting Table 1).

The reason is as follows The level of Bifidobacteria and Lactoba

The reason is as follows. The level of Bifidobacteria and Lactobacilli species was lower in IBS patients compared with healthy persons.[13, 14] Also, S. thermophillus showed the reduction of tumor necrosis factor-alpha caused by lipopolysaccharide in the intestinal barrier.[15] Then, several studies showed that the supplement of Lactobacillus, Bifidobacterium species, or mixtures including species of the genera was effective in alleviating

symptoms of IBS.[16] In this study, the multispecies probiotics see more were more effective than the placebo group in terms of the primary efficacy end-point. Secondary end-points were achieved in the probiotics group but not placebo group. This finding is consistent with previous data from multispecies probiotics treatment of IBS.[17-19] Multispecies probiotics may have a variety of different beneficial effects on IBS symptoms because each species act in a particular way on the gastrointestinal tract, and two or more species acting together may have a synergistic effect. However, the changes in stool frequency and consistency in the probiotics group was similar to those in the placebo group. This may be because the patients had three different subtypes Apitolisib cost of IBS (IBS with diarrhea, IBS with constipation, and mixed-type IBS) rather than a single subtype. The changes of IBS symptoms relative to baseline were not significantly greater in the probiotics

group compared with the placebo group. Although the change of abdominal pain was more improved in the probiotics group, it did not reach the selleck statistical significance (−37% vs −9.2%, P = 0.07). This result seems to be caused by the relatively low number of subjects in this study (the sample

size of each arm was 25 patients) because the calculation of sample size was performed based on the primary end-point not the secondary end-points. To investigate the alterations in intestinal microbiota, fecal microflora was analyzed in this study. Interestingly, numbers of B. lactis, L. rhamnosus, and S. thermophilus increased after week 4 in the probiotics group, whereas only the number of B. lactis increased in the placebo group. In other words, only three of the species in the probiotics mixture remained in the gut after 4 weeks even though there were six species in the mixture. Our findings differ from previous observations. Kajander et al. reported that Bifidobacterium species decreased after treatment with a probiotic mixture of L. rhamnosus, B. breve, and Propinibacterium freudenreichii.[20] Firmesse et al. reported no difference in the composition of gut microbiota after treatment with L. rhamnosus.[21] We found no significant change in the E. coli subgroup, C. perfringens, or the Bacteroides group after treatment, whereas Lyra et al. reported elevated levels of C. thermosuccinogenes following multispecies probiotics treatment that included Bifidobacterium and Lactobacillus species.

Wls-LKO showed normal initiation of LR; however, Wls-MKO showed a

Wls-LKO showed normal initiation of LR; however, Wls-MKO showed a significant but temporal deficit in LR that was associated with decreased β-catenin-TCF4 association and diminished Cyclin-D1 expression. Conclusion: Wnt-signaling is the major upstream effector of β-catenin activity in pericentral hepatocytes and during LR. Hepatocytes, cholangiocytes, or macrophages are not the source of Wnts in regulating hepatic zonation. However, Kupffer cells buy Z-VAD-FMK are

a major contributing source of Wnt secretion necessary for β-catenin activation during LR. (Hepatology 2014;60:964–976) “
“Additional markers are required to identify patients on the orthotopic liver transplant (OLT) waiting list at increased risk of death and adverse clinical events. Serum ferritin concentration is a marker of varied pathophysiological events and is elevated with increased liver iron concentration, hepatic necroinflammation, and systemic illness, all of which may cause a deterioration

in liver function and clinical status. The aim of this study was to determine whether serum ferritin concentration is an independent prognostic factor in subjects awaiting OLT. This is a dual-center this website retrospective study. The study cohort consisted of 191 consecutive adults with cirrhosis accepted by the Queensland (Australia) Liver Transplant Service between January 2000 and June 2006 and a validation cohort of 131 patients from University of California Los Angeles see more (UCLA) Transplant Center. In the study cohort, baseline serum ferritin greater than 200 μg/L was an independent factor predicting increased 180-day and 1-year waiting list mortality. This effect was independent of model for end-stage liver disease (MELD), hepatocellular carcinoma, age, and sex.

Subjects with higher serum ferritin had increased frequency of liver-related clinical events. The relationship between serum ferritin and waiting list mortality was confirmed in the UCLA cohort; all deceased patients had serum ferritin greater than 400 μg/L. Serum ferritin greater than 500 μg/L and MELD were independent risk factors for death. Conclusion: Serum ferritin concentration is an independent predictor of mortality-related and liver-related clinical events. Baseline serum ferritin identifies a group of “higher-risk” patients awaiting OLT and should be investigated as an adjunct to MELD in organ allocation. (HEPATOLOGY 2010) Orthotopic liver transplant (OLT) waiting list mortality remains of major concern despite the widespread use of the model for end-stage liver disease (MELD) to allocate deceased donor livers.1-3 The absence of any major foreseeable therapeutic developments means that OLT will remain the only definitive therapy for patients with end-stage liver disease.