Endocrine Abstracts

Hepatic encephalopathy (HE), a syndrome of neurological abnormalities caused by impaired liver function, is induced by many chronic liver diseases, such as liver failure or hepatic portosystemic shunts. Whilst multiple substances reach toxic levels in the systemic circulation of HE patients, hyperammonemia (excessive ammonia) is known to be a major contributing factor to the neurological disturbances. Astrocytes utilise ammonia in generating glutamine leading to brain oedema a...