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  1. Article: Autoimmune liver disease in gastrointestinal conditions.

    Nassar, Raouf / Waisbourd-Zinman, Orith

    Clinical liver disease

    2022  Volume 20, Issue 4, Page(s) 108–110

    Abstract: Content available: Audio Recording. ...

    Abstract Content available: Audio Recording.
    Language English
    Publishing date 2022-05-30
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2657644-2
    ISSN 2046-2484
    ISSN 2046-2484
    DOI 10.1002/cld.1223
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Reply to: Severe Hepatitis in Children Likely Caused by HAdV-41 Following SARS-CoV-2.

    Cooper, Shiri / Waisbourd-Zinman, Orith

    Journal of pediatric gastroenterology and nutrition

    2022  Volume 76, Issue 3, Page(s) e70

    MeSH term(s) Humans ; Child ; SARS-CoV-2 ; COVID-19 ; Respiratory Tract Infections ; Hepatitis
    Language English
    Publishing date 2022-12-27
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 603201-1
    ISSN 1536-4801 ; 0277-2116
    ISSN (online) 1536-4801
    ISSN 0277-2116
    DOI 10.1097/MPG.0000000000003689
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Tissue markers may predict treatment response to antitumor necrosis factor-α agents in children with Crohn's disease.

    Krauthammer, Alexander / Cozacov, Tal / Fried, Sophia / Har-Zahav, Adi / Shamir, Raanan / Assa, Amit / Waisbourd-Zinman, Orith

    Journal of pediatric gastroenterology and nutrition

    2024  Volume 78, Issue 3, Page(s) 662–669

    Abstract: Objectives: Patients with moderate-severe Crohn's disease (CD) who are treated with antitumor necrosis factor alpha (TNF-α) agents may be subjected to primary nonresponse or partial response. We aimed to identify tissue markers that may predict response ...

    Abstract Objectives: Patients with moderate-severe Crohn's disease (CD) who are treated with antitumor necrosis factor alpha (TNF-α) agents may be subjected to primary nonresponse or partial response. We aimed to identify tissue markers that may predict response to these agents.
    Methods: Pediatric patients (6-18 years) with either ileal or ileo-colonic CD who were treated with anti-TNF-α were stratified into three different groups based on their overall response to therapy at the end of induction including clinical and laboratory parameters (group 1-full responders [FR], group 2-partial responders [PR], group 3-nonresponders [NR]). Seven tissue markers (fibronectin, interleukin [IL]-23R, IL-23, TNF-α, collagen-III, IL-13R, and hypoxia-inducible factors [HIF]-1α) were evaluated. Immunofluorescence (IF) analyses were performed on biopsies from the terminal ileum, which were retrieved up to 6 months before treatment initiation.
    Results: Twenty-six CD patients (16 [61.5%] males; age 13.9 ± 2.9 years), including 8 (30.8%) with ileal disease and 18 (69.2%) with ileo-colonic disease, were enrolled. Terminal ileum biopsies from nine patients from group 1, nine from group 2, and eight from group 3 were evaluated. Three antibodies were found to be significantly different between NR and FR groups; Collagen III and fibronectin stains were significantly more prominent in NR patients, while TNF-α stain was significantly more pronounced in FR, p < 0.05 for each. PR could not have been predicted with neither of markers.
    Conclusions: Decreased tissue IF intensity of fibronectin and collagen III and increased intensity of TNF-α may predict response to anti-TNF-α treatment.
    MeSH term(s) Male ; Humans ; Child ; Adolescent ; Female ; Crohn Disease/drug therapy ; Tumor Necrosis Factor-alpha/therapeutic use ; Infliximab/therapeutic use ; Fibronectins/therapeutic use ; Tumor Necrosis Factor Inhibitors/therapeutic use ; Antineoplastic Agents/therapeutic use ; Necrosis ; Collagen ; Treatment Outcome
    Chemical Substances Tumor Necrosis Factor-alpha ; Infliximab (B72HH48FLU) ; Fibronectins ; Tumor Necrosis Factor Inhibitors ; Antineoplastic Agents ; Collagen (9007-34-5)
    Language English
    Publishing date 2024-02-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 603201-1
    ISSN 1536-4801 ; 0277-2116
    ISSN (online) 1536-4801
    ISSN 0277-2116
    DOI 10.1002/jpn3.12146
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  4. Article ; Online: Biliary strictures post pediatric liver transplantation-incidence and risk factors in a single tertiary referral transplant center.

    Vingrovich, Odelia / Cooper, Shiri / Gurevich, Michael / Cohen, Aenov / Mozer-Glassberg, Yael / Bar-Lev, Michal Rosenfeld / Shamir, Raanan / Waisbourd-Zinman, Orith

    Pediatric transplantation

    2024  Volume 28, Issue 3, Page(s) e14727

    Abstract: Background: Biliary strictures are a significant cause of morbidity and graft loss in pediatric liver transplant recipients. Risk factors for the development of biliary strictures are not fully established. We aimed to evaluate the incidence of biliary ... ...

    Abstract Background: Biliary strictures are a significant cause of morbidity and graft loss in pediatric liver transplant recipients. Risk factors for the development of biliary strictures are not fully established. We aimed to evaluate the incidence of biliary strictures and treatment modalities outcomes and to identify potential risk factors for occurrence.
    Methods: Pediatric patients who underwent liver transplantation in the single tertiary pediatric liver transplant center in Israel were evaluated. We compared demographics, presentation, laboratory results, imaging, treatment, and outcomes between patients with and without biliary stricture. Multivariate regression analyses were used to identify risk factors for biliary strictures.
    Results: Among 121 pediatric liver transplant patients, 65 (53.7%) were males; the median age at the time of liver transplantation was 43 (3-215) months. Fifteen patients (12.4%) had biliary strictures following transplantation. One (7%) patient with biliary stricture was treated via endoscopic retrograde cholangiopancreatography, and 12 patients (80%) underwent interventions via a percutaneous transhepatic approach. Nine of the 12 patients were treated successfully, requiring one or multiple procedures, while the remaining had surgery or laser therapy. Risk factors for the development of biliary strictures were biliary leak, acute cellular rejection, and the presence of two biliary anastomoses.
    Conclusions: In our cohort, the presence of two biliary anastomoses and post-transplant complications including acute cellular rejection and early biliary leaks were associated with biliary strictures in pediatric liver transplantation recipients. Percutaneous transhepatic interventions result in good outcomes in most patients.
    MeSH term(s) Male ; Humans ; Child ; Child, Preschool ; Female ; Liver Transplantation/adverse effects ; Constriction, Pathologic/epidemiology ; Constriction, Pathologic/etiology ; Constriction, Pathologic/therapy ; Incidence ; Risk Factors ; Referral and Consultation
    Language English
    Publishing date 2024-04-13
    Publishing country Denmark
    Document type Journal Article
    ZDB-ID 1390284-2
    ISSN 1399-3046 ; 1397-3142
    ISSN (online) 1399-3046
    ISSN 1397-3142
    DOI 10.1111/petr.14727
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: The Impact of the COVID-19 Pandemic on Biliary Atresia Incidence in a Tertiary Referral Center in Israel.

    Nassar, Raouf / Mozer-Glassberg, Yael / Rosenfeld Bar-Lev, Michal / Shamir, Raanan / Gurevich, Michael / Waisbourd-Zinman, Orith

    The Pediatric infectious disease journal

    2024  

    Language English
    Publishing date 2024-03-25
    Publishing country United States
    Document type Journal Article
    ZDB-ID 392481-6
    ISSN 1532-0987 ; 0891-3668
    ISSN (online) 1532-0987
    ISSN 0891-3668
    DOI 10.1097/INF.0000000000004338
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Elevated Alpha-Fetoprotein in Infantile-Onset Niemann-Pick Type C Disease with Liver Involvement.

    Kraus, Dror / Abdelrahim, Huda / Waisbourd-Zinman, Orith / Domin, Elena / Zeharia, Avraham / Staretz-Chacham, Orna

    Children (Basel, Switzerland)

    2022  Volume 9, Issue 4

    Abstract: Niemann-Pick disease type C (NPC) is a rare autosomal recessive neuro-visceral lipid storage disease. We describe nine cases of infantile-onset NPC with various genetic mutations in the NPC1 gene, which presented with neonatal cholestasis. Serum alpha- ... ...

    Abstract Niemann-Pick disease type C (NPC) is a rare autosomal recessive neuro-visceral lipid storage disease. We describe nine cases of infantile-onset NPC with various genetic mutations in the NPC1 gene, which presented with neonatal cholestasis. Serum alpha-fetoprotein (AFP) levels were obtained as part of their workup during the first four months of life. In eight of nine (89%) patients, serum AFP demonstrated elevated levels. Seven infants displayed marked elevations, ranging from 4 to 300 times the upper limit for age-adjusted norms. In most patients, AFP levels peaked during the initial test and declined over time as cholestasis resolved. We conclude that elevated AFP levels are a common, although non-specific, marker for NPC-associated liver disease. These findings demonstrate the benefit of including AFP levels in the workup of neonatal liver disease, especially if there is accompanied cholestasis and if NPC is suspected.
    Language English
    Publishing date 2022-04-12
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2732685-8
    ISSN 2227-9067
    ISSN 2227-9067
    DOI 10.3390/children9040545
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  7. Article ; Online: Clinical profile of re-hospitalizations in pediatric kidney and liver transplant recipients.

    Shohet, Adi / Ziv, Noa / Gavish, Rachel / Haskin, Orly / Alfandary, Hadas / Waisbourd-Zinman, Orith / Mozer-Glassberg, Yael / Krause, Irit

    Pediatric transplantation

    2023  Volume 28, Issue 1, Page(s) e14658

    Abstract: Background: Solid organ transplantation has evolved in recent decades, resulting in a rise in patient and graft survival. Frequent hospitalizations affect graft function, patients' health, and quality of life. This study characterizes the frequency and ... ...

    Abstract Background: Solid organ transplantation has evolved in recent decades, resulting in a rise in patient and graft survival. Frequent hospitalizations affect graft function, patients' health, and quality of life. This study characterizes the frequency and causes of post-transplant hospitalizations among pediatric recipients.
    Methods: This is a retrospective observational study evaluating pediatric kidney transplant recipients (KTR) and liver transplant recipients (LTR) aged 0-21 years, followed at a tertiary pediatric center in Israel from 2012 to 2017. Data were collected starting at 60 days post-transplantation. Diagnoses of admissions were based on clinical, laboratory, and radiographic findings.
    Results: Forty-nine KTR experienced 199 all-cause re-hospitalizations (median number of re-hospitalizations per patient - 3 (IQR [interquartile range] 1-5.5), while 351 re-hospitalizations were recorded in 56 LTR (median - 5 [IQR 2-8.8]). Median follow-up time was 2.2 years for KTR (IQR 1-3.9) and 3 years for LTR (IQR 2.1-4.1). The most common cause for hospitalization for both cohorts was infection (50.8% and 62%, respectively). Gram-negative bacteria were the most common pathogens identified in KTR, while viral pathogens were more common in LTR (51% and 57% of pathogen-identified cases, respectively).
    Conclusions: This is the largest study to describe rehospitalizations for pediatric solid organ recipients. The hospital admission rate was higher in LTR in comparison to KTR. Infections were the most common cause of hospitalization throughout the whole study period in both populations. Frequent hospitalizations impose a heavy burden on patients and their families; better understanding of hospitalization causes may help to minimize their frequency.
    MeSH term(s) Child ; Humans ; Hospitalization ; Kidney ; Kidney Transplantation ; Liver Transplantation ; Quality of Life ; Retrospective Studies ; Transplant Recipients ; Infant, Newborn ; Infant ; Child, Preschool ; Adolescent ; Young Adult
    Language English
    Publishing date 2023-11-27
    Publishing country Denmark
    Document type Observational Study ; Journal Article
    ZDB-ID 1390284-2
    ISSN 1399-3046 ; 1397-3142
    ISSN (online) 1399-3046
    ISSN 1397-3142
    DOI 10.1111/petr.14658
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  8. Article ; Online: Recent advances in understanding biliary atresia.

    Wehrman, Andrew / Waisbourd-Zinman, Orith / Wells, Rebecca G

    F1000Research

    2019  Volume 8

    Abstract: Biliary atresia (BA) is a neonatal liver disease characterized by progressive obstruction and fibrosis of the extrahepatic biliary tree as well as fibrosis and inflammation of the liver parenchyma. Recent studies found that infants who will go on to ... ...

    Abstract Biliary atresia (BA) is a neonatal liver disease characterized by progressive obstruction and fibrosis of the extrahepatic biliary tree as well as fibrosis and inflammation of the liver parenchyma. Recent studies found that infants who will go on to develop BA have elevated direct bilirubin levels in the first few days of life, suggesting that the disease starts
    MeSH term(s) Biliary Atresia/physiopathology ; Humans ; Infant ; Inflammation/physiopathology ; Liver Cirrhosis/physiopathology
    Language English
    Publishing date 2019-02-25
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 2699932-8
    ISSN 2046-1402 ; 2046-1402
    ISSN (online) 2046-1402
    ISSN 2046-1402
    DOI 10.12688/f1000research.16732.1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Low-dose biliatresone treatment of pregnant mice causes subclinical biliary disease in their offspring: Evidence for a spectrum of neonatal injury.

    Gupta, Kapish / Xu, Jimmy P / Diamond, Tamir / de Jong, Iris E M / Glass, Andrew / Llewellyn, Jessica / Theise, Neil D / Waisbourd-Zinman, Orith / Winkler, Jeffrey D / Behrens, Edward M / Mesaros, Clementina / Wells, Rebecca G

    PloS one

    2024  Volume 19, Issue 4, Page(s) e0301824

    Abstract: Biliary atresia is a neonatal disease characterized by damage, inflammation, and fibrosis of the liver and bile ducts and by abnormal bile metabolism. It likely results from a prenatal environmental exposure that spares the mother and affects the fetus. ... ...

    Abstract Biliary atresia is a neonatal disease characterized by damage, inflammation, and fibrosis of the liver and bile ducts and by abnormal bile metabolism. It likely results from a prenatal environmental exposure that spares the mother and affects the fetus. Our aim was to develop a model of fetal injury by exposing pregnant mice to low-dose biliatresone, a plant toxin implicated in biliary atresia in livestock, and then to determine whether there was a hepatobiliary phenotype in their pups. Pregnant mice were treated orally with 15 mg/kg/d biliatresone for 2 days. Histology of the liver and bile ducts, serum bile acids, and liver immune cells of pups from treated mothers were analyzed at P5 and P21. Pups had no evidence of histological liver or bile duct injury or fibrosis at either timepoint. In addition, growth was normal. However, serum levels of glycocholic acid were elevated at P5, suggesting altered bile metabolism, and the serum bile acid profile became increasingly abnormal through P21, with enhanced glycine conjugation of bile acids. There was also immune cell activation observed in the liver at P21. These results suggest that prenatal exposure to low doses of an environmental toxin can cause subclinical disease including liver inflammation and aberrant bile metabolism even in the absence of histological changes. This finding suggests a wide potential spectrum of disease after fetal biliary injury.
    MeSH term(s) Pregnancy ; Female ; Animals ; Mice ; Biliary Atresia/metabolism ; Liver/metabolism ; Bile Ducts/pathology ; Gallbladder Diseases/complications ; Inflammation/pathology ; Fibrosis ; Bile Acids and Salts ; Benzodioxoles
    Chemical Substances biliatresone ; Bile Acids and Salts ; Benzodioxoles
    Language English
    Publishing date 2024-04-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0301824
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Reply.

    Wehrman, Andrew / Waisbourd-Zinman, Orith / Rand, Elizabeth B

    The Journal of pediatrics

    2019  Volume 210, Page(s) 243–244

    MeSH term(s) Child ; Hepatitis, Autoimmune ; Humans
    Language English
    Publishing date 2019-04-17
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 3102-1
    ISSN 1097-6833 ; 0022-3476
    ISSN (online) 1097-6833
    ISSN 0022-3476
    DOI 10.1016/j.jpeds.2019.03.019
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