PIPages
Labs

Norah Terrault

University of Southern California, CA·Medicine & Clinical Research

Liver disease is now among the most common reasons Americans need a liver transplant. Two kinds dominate: liver damage from heavy drinking, and fatty liver disease linked to obesity and diabetes.

Fields

Medicine & Clinical Research

Public Health & Epidemiology

Topics

alcohol-associated liver disease

early liver transplantation

alcohol use disorder

Grants
2 known grants, through Jul 2030

What they work on

  1. Examine how centers select patients with severe alcohol-associated liver disease for early liver transplantation, using selection-meeting recordings, checklists and clinician interviews to find sources of bias and unequal access.
  2. Develop risk scores that predict transplant-free survival and liver recompensation (spontaneous recovery with abstinence) in a cohort of 770 early transplant candidates followed for three years at nine centers.
  3. Identify effective medical and behavioral treatments for alcohol use disorder in patients with severe liver disease before and after early transplant, and track complications such as cancer, cardiovascular events and graft rejection.
  4. Complete long-term follow-up of adults and children with fatty liver disease (MASLD) and a 250-person vitamin E dose-ranging trial in the NASH Clinical Research Network.
  5. Test whether neighborhood-level social deprivation changes the effect of genetic risk variants such as PNPLA3 on fatty liver disease severity, using geospatial data and stored patient biospecimens.

More about the research

For both, doctors still lack good evidence on who should get a transplant, which treatments work, and how the disease will progress. This research uses large, long-term studies of patients at many hospitals to answer these questions. The patients' clinical data, tissue samples and imaging feed into future studies.

Why it matters

Results could help transplant centers choose early liver transplant candidates for alcohol-associated liver disease more fairly and accurately. They could also identify which alcohol use disorder treatments best prevent relapse and improve long-term health after transplant. For the roughly one in three U.S. adults with fatty liver disease (MASLD), the work could improve non-invasive diagnosis, prediction of disease course, and vitamin E dosing. It may also clarify how social environment interacts with genetic risk.

Known grants

From NIH and NSF research grants. Labs often have other funding we can't see.

1/4-American Consortium of Early Liver Transplantation-Prospective Alcohol-associated liver disease Cohort Evaluation (ACCELERATE-PACE)

NIH · Aug 2023 – Jul 2030

Nonalcoholic Steatohepatitis Clinical Research Network (NASH CRN)

NIH · Jun 2002 – Jun 2027

Closest labs

David Goldberg

University of Miami, FL·Medicine & Clinical Research

Develop risk prediction models for transplant-free survival among patients with alcohol-associated liver disease who have limited access to transplant, to identify those most in need of early liver transplant referral.

Mariana Lazo Elizondo

Drexel University, PA·Public Health & Epidemiology

Characterize racial/ethnic disparities in fatty liver disease incidence over 10 years in the MESA cohort using CT-measured liver fat and liver enzymes, while accounting for genetic variants such as PNPLA3.

Xiaotao Zhang

Icahn School of Medicine at Mount Sinai, NY·Medicine & Clinical Research

Estimate recruitment, retention and diet adherence in adults with MASLD and F2–F3 fibrosis, verifying adherence with plasma pipecolic acid, a blood marker of bean intake, within a randomized crossover trial.

The school

University of Southern California: 47 labs on PI Pages, $1.3B a year on research, 882 research doctorates a year.

More about University of Southern California

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