Following intranasal

Following intranasal Erlotinib clinical trial infection with C. pneumoniae, iNKT cells accumulate in the lungs during the early phase (day 3 post infection) and express intracellular IFNγ (24, 25). CD8α+ DCs from Jα18 deficient mice show lower CD40 expression and intracellular IL-12 compared to wild type mice, which results in decreased IFNγ production by CD4+ and CD8+ T cells (26). IL-12 production by CD8α+ DCs is dependent on IFNγ and CD40-CD40L interaction (26). These findings suggest that iNKT cells enhance the Th1 response by stimulating DCs via IFNγ and co-stimulatory molecules during certain microbial infections (Fig. 3). Natural killer T cells expressing an invariant T cell antigen receptor also participate in the response

to viruses. Jα18 deficient mice and CD1d deficient mice are highly susceptible to influenza A virus, showing high virus titers and

high mortality (27). In iNKT cell deficient mice, MDSCs expand and IAV specific CD8 T cells are suppressed (27). Adoptively transferring iNKT cells into Jα18 deficient mice, but not into CD1d deficient mice, restores IAV specific CD8 T cells and increases the survival rate by diminishing the suppressive function of MDSCs (27). In addition, in vitro experiments have shown that CD1d and CD40-CD40L interaction inhibit MDSC function (27). These data show that iNKT cells play an important role in the development of an effective IAV specific immune response by directly inhibiting the suppressive function of MDSCs (Fig. 4). MDSCs are present in the peripheral blood of IAV infected patients. INCB018424 in vitro However,

suppression of the human T cell response by MDSCs from IAV infected patients is reduced by iNKT cell activation (27). These results indicate that iNKT cells may play a role in the response find more to certain microbial pathogens in humans. Natural killer T cells expressing an invariant T cell antigen receptor have been shown to participate in the pathogenesis of infection induced inflammation in a mouse model of chronic inflammatory lung disease that resembles asthma and COPD. Mice infected with Sendai virus exhibit chronic airway disease that manifests as mucous cell metaplasia and airway hyper-reactivity (28). IL-13 production by macrophages is necessary in this response. The interaction of iNKT cell TCRs with CD1d on macrophages and IL-13 derived from iNKT cells is necessary to activate macrophages to produce IL-13 (28). Importantly, lung tissue from patients with severe COPD exhibits mucous cell metaplasia and an increased number of IL-13+ CD68+ macrophages compared to non-COPD controls (28). Moreover, Vα24iNKT cells are increased in COPD subjects (28). This study suggests that iNKT cells are involved in chronic inflammation in certain viral infections. Natural killer T cells expressing an invariant T cell antigen receptor participate in the response to various microbial pathogens.

Chai et al [12] demonstrated that AngII, acting on both AT1R and

Chai et al. [12] demonstrated that AngII, acting on both AT1R and AT2R, regulates basal skeletal muscle perfusion, glucose metabolism, and oxygenation in rats. Basal AT1R tone restricts muscle microvascular blood volume, a measure of microvascular surface area and perfusion and glucose extraction,

whereas basal AT2R activity increases muscle microvascular blood volume and glucose uptake via an NO-dependent mechanism. Interestingly, administration of the AT1R blocker losartan increased muscle microvascular blood volume by more than threefold and hindleg glucose extraction simultaneously increased by two- to threefold. Human data examining the effects of AngII and AT1R blockers on microvascular function are scarce. Using the microdialysis technique, AngII has been shown to decrease local blood flow in a STA-9090 in vitro dose-dependent manner in skeletal muscle tissue [33]. Recently, it has been demonstrated that acute infusion of AngII

impairs insulin-induced capillary recruitment, as assessed with capillary microscopy, but enhances insulin stimulated whole-body glucose disposal [55]. Moreover, acute AT1R blockade with irbesartan, but not acute calcium channel PLX3397 nmr blockade with felodipine, increased functional capillary density during hyperinsulinemia in mildly hypertensive individuals despite similar blood pressure reductions [54]. This beneficial effect of irbesartan Paclitaxel cost on microvascular perfusion was, however, not associated with increased insulin-mediated glucose uptake. In contrast, a 26-week treatment with the AT1R blocker valsartan improved whole body glucose uptake, but had no effect on capillary density in fasting conditions (i.e., fasting insulin levels) [109]. The latter study did not assess insulin-induced capillary recruitment. The human data, therefore, are not unequivocal. It should be realized

that there is cross talk between the RAS and insulin signaling at multiple levels, and it remains possible that AngII may have simultaneous direct vascular and metabolic effects that may not necessarily be coupled. Vascular insulin resistance and inflammation.  In parallel with the perturbations in fatty acid metabolism, adipocyte microhypoxia and ER stress precipitate a series of events that result in the recruitment of a specific population of pro-inflammatory, M1-like macrophages into adipose tissue [95]. Activation of these macrophages leads to the release of a variety of chemokines (which recruit additional macrophages) and pro-inflammatory cytokines by the adipocytes. In turn, these cytokines change the milieu of secreted circulating adipokines, which then have endocrine or paracrine effects on the vasculature [83]. In the past years, several adipokines have been shown to alter vascular tone and vessel wall inflammation. Adipokines that act directly on vascular endothelium include TNF-α, IL-6, leptin, and adiponectin [83].

enterica serovar Typhimurium expressing swIL-18 and swIFN-α showe

enterica serovar Typhimurium expressing swIL-18 and swIFN-α showed the lowest severity of clinical signs. In particular, selleck chemicals the clinical score of piglets co-administered Salmonella vaccine expressing swIL-18 and swIFN-α was lower than that of piglets administered Salmonella vaccine expressing either swIL-18 or swIFN-α, with apparent differences at seven days post-challenge

(Table 1). Cumulative daily weight gain was measured to more precisely quantify the alleviation of clinical signs. Consistently, piglets co-administered S. enterica serovar Typhimurium expressing swIL-18 and swIFN-α displayed a significantly increased weight gain, compared to groups that received S. enterica serovar Typhimurium expressing either swIL-18 or swIFN-α (Fig. 4a). However, when changes in body temperature of PrV-infected piglets were monitored, there were no significant differences between the group co-administered with S. enterica serovar Typhimurium expressing swIL-18 and swIFN-α, and the learn more group that received S. enterica serovar Typhimurium expressing either swIL-18 or swIFN-α (Fig. 4b). Taken together, these results indicate that co-administration

of S. enterica serovar Typhimurium expressing swIL-18 and swIFN-α results in the enhanced alleviation of clinical severity caused by PrV infection, compared to individual administration of S. enterica serovar Typhimurium expressing either swIL-18 or swIFN-α. To evaluate the effect of orally co-administered S. enterica serovar Typhimurium expressing swIL-18 and swIFN-α on virus shedding from PrV-infected piglets, the amount of PrV in nasal swabs was determined Niclosamide daily in all groups by the use of a

conventional plaque assay from 3 to 14 days post-challenge. PrV shedding was detected from 3 days after PrV infection and peaked at 6 days (Fig. 5). Piglets that received S. enterica serovar Typhimurium expressing either swIL-18 or swIFN-α had lower peak levels of PrV shedding at 6 days post-inoculation, when compared to piglets that received no treatment and S. enterica serovar Typhimurium harboring pYA3560. Furthermore, piglets orally co-administered with S. enterica serovar Typhimurium expressing swIL-18 and swIFN-α showed significantly reduced PrV shedding at 6 days post-challenge compared to those administered S. enterica serovar Typhimurium expressing either swIL-18 or swIFN-α. In addition, the co-administration of S. enterica serovar Typhimurium expressing swIL-18 and swIFN-α provided a shortened duration of virus shedding. These results indicate that co-administration of S. enterica serovar Typhimurium expressing swIL-18 and swIFN-α produced enhanced inhibition of virus shedding from PrV-infected piglets. The present study demonstrates that the co-administration of S.

We also detected a small, yet reproducible, population of IL-13+,

We also detected a small, yet reproducible, population of IL-13+, IL-17A+, and IFN-γ+ “triple-positive” cells, thereby demonstrating that, in some inflammatory settings, IL-13 can be produced by unorthodox T-cell “subsets” (Fig. 1E and F). To confirm our flow cytometry studies, we purified donor T cells from immunized Balb/c and sOva Rag2−/− hosts, then measured cytokines and TFs by PCR. Consistent with our protein measurements, we found that ABT-263 chemical structure both groups expressed high levels of IL-13, IFN-γ, and IL-17A mRNA. T-bet and RORγT, the signature TFs for Th1 and Th17 cells, were similarly

abundant in both groups, but GATA-3 and IL-4 were much more abundant in the immunized group, thus highlighting the atypical nature of the IL-13 response in sOva Rag2−/− hosts. To further explore the role of TFs in IL-13-producing Th1, Th2, and Th17 cells, we turned to the DSS colitis model. First, we used flow cytometry to measure TF levels in CD4+ TCRβ+ IL-13+ T cells, finding that many coexpressed high levels of GATA-3, T-bet, or RORγT (Fig. 1F). Next, we did the converse experiment and measured IL-13 and TFs within IL-4+, IFN-γ+, or IL-17+ cells. As expected, we found that a large percentage of IL-4+ cells expressed high levels of IL-13 and GATA-3, thus representing “classical” Th2-type effectors. We could also detect IFN-γ+ Cilomilast cell line cells capable producing IL-13. These were largely

T-betlow, which suggests they could be in a transitional state, either coming from or moving toward Tbethigh Th1 effectors. A smaller population of IL-17A/IL-13 double-positive cells was observed but, in this case, they were RORγThigh, leading us to conclude that IL-13 can be produced by bonafide Th17-type effectors (Fig. 2B and Supporting Information Fig. 4). To ask whether canonical Th2-type signals are required for the development

of IL-13-producing Th1 and Th17 cells, we transferred IL-4Rα- or STAT6-deficient donor T cells into sOva Rag2−/− hosts. Consistent with the known ability of Th2-type cytokines to suppress Th1 and Th17 responses [2], we found that IL-4Rα−/− and STAT6−/− donors produced Buspirone HCl more IFN-γ and IL-17 than WT counterparts. More importantly, despite a slight reduction in total IL-13+ cells, IL-13-producing Th1 and Th17 cells, we still generated, using IL-4Rα−/− or STAT6−/−, donors, which demonstrates that, under conditions of acute inflammation, Th1 and Th17 cells can produce IL-13 in the absence of IL-4Rα or STAT6 (Fig. 2C). To investigate the function of IL-13 and Th2-type cytokines in the context of Th1- and Th17-mediated inflammation, we paired WT and IL-4Rα-deficient donors together with WT and IL-4Rα-deficient sOva Rag2−/− hosts, creating a system where either the T cells (donor) or non-T cells (host) were lacking IL-4Rα. As expected, we found that the pairing of WT donors and WT hosts resulted in lethal autoimmune disease between 7 and 10 days posttransfer.

For example, the pachycephalosaurs Dracorex, Stygimoloch and Pach

For example, the pachycephalosaurs Dracorex, Stygimoloch and Pachycephalosaurus are now known to be ontogenetic stages of the same species, even though their cranial ornamentations are grossly different (Horner & Goodwin, 2009). As noted above, the 17 named species of Triceratops now appear to be reducible to one species with two anagenetic morphs that succeed each other through time; in addition, the genus Torosaurus

now appears to be the adult form of Triceratops (Scannella & Horner, 2010). No living vertebrates do anything like this, and it testifies to the complex social structure of these dinosaurs. If we try to explain their biology using untested or untestable analogies to living Kinase Inhibitor Library price forms, or to accept a proposed function of a structure simply on the basis of what it ‘looks like’ it might do, we should expect to overlook important insights into some of the most marvelous animals ever to have walked the Earth. We are grateful to Knell and Sampson for their stimulating arguments, to Randall B. Irmis and David B. Wake for reviewing the manuscript, and to Katie Brakora, John Scannella and Denver Fowler for helpful discussion, without of course implying their agreement with us. “
“School of Marine

and Tropical Biology, Faculty of Science and Engineering, James Cook University, Cairns, Australia Sociality is environmentally and phylogenetically determined and can vary intraspecifically GPCR Compound Library cost and interspecifically. We investigated the reasons for group living in the African ice rat Otomys sloggetti robertsi, a diurnal, herbivorous, non-hibernating murid rodent, endemic to the sub-alpine and alpine regions of the southern African Drakensberg and Maluti mountains. We expected ice rats to be group

living, nesting communally in underground burrows. We documented the spatial organization and social behaviour of free-living ice rats through direct observations and experimental manipulations. Colonies comprised 4–17 adults of both sexes. Tau-protein kinase Members of a colony had a high degree of spatial home-range overlap but no temporal overlap because interactions between members were rare aboveground. Individuals experimentally displaced within their own colony were attacked by members of their own colony and were treated in the same way as strangers from other colonies. Members of a colony competed aggressively for prized food, particularly in winter. Ice rats displayed a vertical spatial separation in social behaviour, from huddling and tolerance belowground to solitary foraging and mutual avoidance aboveground. Such a dichotomy in sociality reflects the compromise between the benefits of social thermoregulation and burrow sharing on the one hand and the constraints of competing for resources, mainly food, on the other.

” It would be nice to have something to tell them “
“Object

” It would be nice to have something to tell them. “
“Objective.— To demonstrate that occipital nerve injury is associated with

chronic postoperative headache in patients who have undergone acoustic neuroma excision and to determine whether occipital nerve excision is an effective treatment for these headaches. Background.— Few previous reports have discussed the role of occipital nerve injury in the pathogenesis of the postoperative headache noted to commonly occur following the retrosigmoid approach to acoustic neuroma resection. No studies have supported a direct etiologic link between the two. The authors report on a series of acoustic neuroma patients with postoperative headache presenting as occipital neuralgia who were found to have occipital nerve injuries and were treated Selleck Nutlin3a for chronic headache by excision of the injured nerves. Methods.— Records were reviewed to identify patients who had undergone surgical excision of the greater and lesser occipital nerves for refractory chronic postoperative headache GSK2126458 order following acoustic neuroma resection. Primary outcomes examined were change in migraine headache index, change in number of pain medications used, continued use of narcotics, patient satisfaction,

and change in quality of life. Follow-up was in clinic and via telephone interview. Results.— Seven patients underwent excision of the greater and lesser occipital nerves. All met diagnostic criteria for occipital neuralgia and failed conservative management. Six of 7 patients experienced pain reduction of greater than 80% on the migraine index. Average pain medication use decreased from 6 to 2 Rapamycin nmr per patient; 3 of 5 patients achieved independence

from narcotics. Six patients experienced 80% or greater improvement in quality of life at an average follow-up of 32 months. There was one treatment failure. Occipital nerve neuroma or nerve entrapment was identified during surgery in all cases where treatment was successful but not in the treatment failure. Conclusion.— In contradistinction to previous reports, we have identified a subset of patients in whom the syndrome of postoperative headache appears directly related to the presence of occipital nerve injuries. In patients with postoperative headache meeting diagnostic criteria for occipital neuralgia, occipital nerve excision appears to provide relief of the headache syndrome and meaningful improvement in quality of life. Further studies are needed to confirm these results and to determine whether occipital nerve injury may present as headache types other than occipital neuralgia. These findings suggest that patients presenting with chronic postoperative headache should be screened for the presence of surgically treatable occipital nerve injuries. “
“Objective.

These insulin-sensitizing actions were consistent with the presen

These insulin-sensitizing actions were consistent with the presence of lower serum glucose concentrations, the normalization of hepatic glycogen content, and the improvement of insulin tolerance tests in ApoE−/−/5-LO−/− mice. A salient aspect of learn more our study was that hepatocytes isolated from ApoE−/− mice lacking 5-LO were more resistant to apoptosis, an effect that was consistent with our in vivo findings demonstrating protection against inflammatory liver injury. The role of 5-LO in hepatocyte apoptosis was

addressed using two different strategies that allowed a similar conclusion to be reached. On one hand, we observed higher apoptosis in hepatocytes isolated from ApoE−/− mice compared with WT, whereas hepatocytes isolated from ApoE−/−/5-LO−/−

were more resistant to apoptosis, even following treatment with actinomycin D, which is a potent RNA inhibitor that sensitizes hepatocytes to TNF-α–induced apoptosis by blocking Ulixertinib mouse the expression of NF-κB–dependent survival genes.24 On the other hand, we observed that 5-LO products (LTB4, LTD4, and 5-HETE) by themselves sensitized hepatocytes to TNF-α–induced apoptosis and potentiated the apoptotic effects of actinomycin D. Although the mechanisms underlying the proapoptotic effects of 5-LO products in hepatocytes are not completely delineated, we obtained convincing data indicating that this effect could be related to NF-κB inhibition. Indeed, in the presence of TNF-α and actinomycin D, an apoptotic condition in which NF-κB is critical for hepatocyte survival, 5-LO products exerted

a significant inhibition of this transcription factor, whereas they induced NF-κB activity when survival was not compromised by actinomycin D. Similar findings demonstrating NF-κB activation by 5-LO products under inflammatory conditions have been reported in monocytes and smooth muscle vascular cells.26, 27 These findings are also consistent with our in vivo data showing that NF-κB activity is significantly decreased in ApoE−/− mice lacking Alox5. One of the novel aspects provided by this study is that it demonstrates that absence of 5-LO alters the transition from steatosis to steatohepatitis in a hyperlipidemic model of nonalcoholic steatohepatitis. This study is also novel because it uses a genetic approach to demonstrate that 5-LO is involved in liver disease. It also adds new data to our previous studies demonstrating the up-regulation Florfenicol of 5-LO in different models of liver injury, including ob/ob mice with NAFLD and rats with CCl4-induced hepatic inflammation and fibrosis.10, 14 In the CCl4 model, 5-LO products appear to be specific mediators of inflammation and cell damage, because inhibition of their formation with either a direct 5-LO inhibitor or a potent FLAP inhibitor exerted protective actions against necroinflammatory liver damage and fibrosis.11–13 Similar findings have been reported using thioacetamide, D-galactosamine, and bile duct ligation models of liver injury.

001, d f =82, P=0 130); r males F=2 33, d f =118, P=0 320) In su

001, d.f.=82, P=0.130); r males F=2.33, d.f.=118, P=0.320). In summary, squirrels were able to alter their use of space and reduce their range overlap depending on the surrounding environment. “
“Supplementary feeding studies are widely used to assess the effects of food availability on herbivore population dynamics. Supplementary feeding

studies make the implicit and often untested assumption that supplementary feed is used by the target population. Here we describe and present the results of a supplementary feeding experiment to assess the effects of over-winter food availability on mountain hare Lepus timidus body condition, fecundity and survival in two fed and two control areas. We used passive induced transponder (PIT) tags and feeding stations equipped with PIT tag readers and data loggers

to monitor individual use of supplementary feed. Fifty per cent, of 119 PIT-tagged hares, Fostamatinib mw AZD6244 molecular weight which were resident on the fed areas, used food, but individual variation in the time spent feeding was large. Food supplementation was associated with greater male body mass, earlier breeding, higher fecundity and longer survival. At the population (treatment) level these differences were not statistically significant. At the individual level the combined radio-telemetry and PIT tag data revealed a large and highly significant effect of supplementary feeding on survival. Recent syntheses of mountain hare population ecology have not identified food as a key factor determining dynamics. Our experimental study however demonstrates that food may have profound effects on individuals. In addition our study raises

critical questions about the design and interpretation of supplementary feeding studies. “
“The field of morphometrics is developing quickly and recent advances allow for geometric techniques to be applied easily to many zoological problems. This paper briefly introduces geometric morphometric techniques and then reviews selected Obatoclax Mesylate (GX15-070) areas where those techniques have been applied to questions of general interest. This paper is relevant to non-specialists looking for an entry into geometric morphometric methods and for ideas of how to incorporate them into the study of variation within and between species, the measurement of developmental stability, the role of development in shaping evolution and the special problem of measuring the shape of fossil specimens that are deformed from their original shape. “
“There has recently been much interest in the long-term effects of early growth conditions. Telomeres, the repetitive DNA sequences that cap eukaryotic chromosomes, are potentially a useful tool for studying such effects. Telomeres shorten at each cell division and considerable evidence links the rate at which they do so with cellular and organismal senescence.

During the period of January 2009 to March 2011,

During the period of January 2009 to March 2011, Opaganib purchase we enrolled hepatitis B e antigen–positive mothers with HBV DNA >6 log10 copies/mL in China. At gestation week 28, the mothers received LdT or LAM until postpartum week 4 or no treatment (NTx). The study endpoints were the safety of LdT/LAM use and MTCT rates. Of the 700 mothers enrolled, 648 (LdT/LAM/NTx = 252/51/345) completed the 52-week study with 661 infants (LdT/LAM/NTx = 257/52/352). On treatment,

viral rebound occurred in 1.6% of mothers, all resulting from medication noncompliance. There was no genotypic mutation detected. At delivery, significantly lower HBV DNA levels were noted in mothers who received LdT or LAM versus NTx. Alanine aminotransferase flares were observed in 17.1% of treated mothers versus 6.3% of untreated mothers (P < 0.001). At birth, hepatitis B surface antigen (HBsAg) was detected in 20% and 24% of newborns in the treated and NTx groups, respectively. At week 52, an intention-to-treat analysis indicated 2.2%

(95% confidence [CI]: 0.6-3.8) of HBsAg+ infants from the treated group versus 7.6% (95% CI: 4.9-10.3) in the NTx group (P = 0.001) and no difference of HBsAg+ rate between infants in the LdT and LAM groups (1.9% vs. 3.7%; P = 0.758). On-treatment analysis indicated 0% of HBsAg+ infants in the treated group versus 2.84% in the

NTx group (P = 0.002). There were no differences for gestational age or infants’ ROS1 LDK378 height, weight, Apgar scores, or birth defect rates between infants from the treated and untreated groups. Conclusions: LdT and LAM use in late pregnancy for highly viremic mothers was equally effective in reducing MTCT. The treatment was well tolerated with no safety concerns identified. (Hepatology 2014;60:468–476) “
“Background and Aims:  It is difficult to approach certain gastric regions due to the limited bending ability of transnasal esophagogastroduodenoscopy (TN-EGD). We analyzed the TN-EGD biopsied specimens according to where they were obtained inside the stomach. Methods:  Two hundred and eighty-nine gastric biopsy specimens were obtained during diagnostic TN-EGD. The gastric biopsied specimens were quantified according to their diameter and depth in micrometers, and depth in layers (superficial mucosa, deep mucosa, muscularis mucosa and submucosa). The quality was measured by the degrees of anatomical orientation (good, intermediate and poor), presence of crush artifact (none to minimal, mild and moderate) and overall diagnostic adequacy (adequate, suboptimal and inadequate). Results:  Poor orientation, presence of crush and overall diagnostic inadequacy were present in 33 (11.4%), 26 (9.0%) and 37 (12.8%) of the 289 specimens, respectively.

(grade B) For the classification of hepatic functional reserve, t

(grade B) For the classification of hepatic functional reserve, the Child classification and its modified version, the Child–Pugh classification, are commonly used worldwide. The advantage of these classifications is that liver function can be semiquantitatively categorized by scoring five items obtained from basic clinical symptoms and a blood test without requiring any special tolerance test. Nonetheless, almost all patients who indicated surgery are

graded as class A in this classification system. As such, it is often Rapamycin in vitro criticized as being unsuitable for hepatectomy for which precise classification of hepatic functional reserve is needed. The evaluations of preoperative liver function for hepatectomy include a galactose tolerance test, preoperative measurement of portal vein pressure, Technetium-99m-diethylenetriamine-pentaacetic acid galactosyl human serum albumin (99mTc-GSA) liver scintigraphy, ICG clearance test, see more amino acid clearance test, and aminopyrine breath test. In a galactose tolerance test in 258 hepatectomy patients

(postoperative death: six patients, 2%) including 78 hepatocellular carcinoma patients, galactose elimination capacity (GEC) was useful as a predictor for postoperative complications and postoperative death. When only hepatocellular carcinoma patients were tested with a cut-off value of 4.0 mg/min/kg, similar results were obtained (LF120841 level 2b). In a report on the preoperative measurement of portal vein pressure in 29 Child–Pugh class A patients

with hepatocellular carcinoma resection and concurrent cirrhosis, hepatic failure symptoms lasted 3 months or longer after surgery in 11 (38%) patients (one died). A multivariate analysis revealed that the hepatic venous pressure gradient (HVPG) was the sole predictive factor associated with postoperative hepatic failure (LF005142 level 3). There is a report describing 99mTc-GSA liver scintigraphy as being better than the ICG 15-min retention rate for histological evaluation of hepatopathy (LF004573 level 4). Furthermore, numerous examinations using click here the ICG clearance test reported that the test would be a useful predictor for postoperative death. In an evaluation of 127 hepatocellular carcinoma-resected patients, the ICG 15-min retention rate was superior to the amino acid clearance test and aminopyrine breath test as a predictor for postoperative death (LF004414 level 2a). In Japan, an evaluation of 315 hepatocellular carcinoma resected patients showed that the amount of intraoperative blood-loss and indocyanine green clearance (ICG-K) value were the factors that most contributed to 24 (7.6%) postoperative deaths (LF002905 level 2b).