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8/27/2025 9:21:13 AM | Browse: 62 | Download: 112
Publication Name World Journal of Hepatology
Manuscript ID 107738
Country Argentina
Received
2025-04-09 11:13
Peer-Review Started
2025-04-18 08:58
To Make the First Decision
Return for Revision
2025-05-12 08:28
Revised
2025-05-21 13:09
Second Decision
2025-07-23 02:36
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief
2025-07-23 10:29
Articles in Press
2025-07-23 10:29
Publication Fee Transferred
Edit the Manuscript by Language Editor
Typeset the Manuscript
2025-08-13 03:50
Publish the Manuscript Online
2025-08-27 09:21
ISSN 1948-5182 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Copyright © The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Pathology
Manuscript Type Minireviews
Article Title Vitamin A toxicity and hepatic pathology: A comprehensive review
Manuscript Source Invited Manuscript
All Author List María L Pestalardo, Cecilia S Bevilacqua and Marcelo Fabián Amante
ORCID
Author(s) ORCID Number
María L Pestalardo http://orcid.org/0009-0002-9451-213X
Cecilia S Bevilacqua http://orcid.org/0009-0006-6345-9021
Marcelo Fabián Amante http://orcid.org/0000-0002-0237-0713
Funding Agency and Grant Number
Corresponding Author Marcelo Fabián Amante, Chief Physician, MD, Professor, División Patología, Hospital General de Agudos Cosme Argerich, Pi y Margall 480, Buenos Aires C1155AHA, Argentina. marcelofabianamante@gmail.com
Key Words Hypervitaminosis A; Hepatic fibrosis; Oxidative stress; Stellate cells; Retinoids; Cirrhosis
Core Tip Vitamin A toxicity (hypervitaminosis A) causes serious liver damage, progressing from steatosis to fibrosis and cirrhosis. The liver’s storage capacity is overwhelmed, leading to retinoid accumulation, oxidative stress, and inflammation. Key mechanisms include reactive oxygen species generation, apoptosis, and dysregulated pathways (tumor growth factor-beta, nuclear factor-kappa B), which drive stellate cell activation and fibrosis. Clinically, chronic toxicity manifests as hepatomegaly, portal hypertension, and potential liver failure. Management involves limiting vitamin A intake and exploring antioxidants (e.g., N-acetylcysteine) or anti-fibrotic therapies. Future research should focus on biomarkers, personalized risk assessment, and safer dietary guidelines. Public awareness and therapeutic advancements are crucial to prevent liver disease.
Publish Date 2025-08-27 09:21
Citation <p>Pestalardo ML, Bevilacqua CS, Amante MF. Vitamin A toxicity and hepatic pathology: A comprehensive review. <i>World J Hepatol</i> 2025; 17(8): 107738</p>
URL https://www.wjgnet.com/1948-5182/full/v17/i8/107738.htm
DOI https://dx.doi.org/10.4254/wjh.v17.i8.107738
Full Article (PDF) WJH-17-107738-with-cover.pdf
Manuscript File 107738_Auto_Edited_015626.docx
Answering Reviewers 107738-answering-reviewers.pdf
Audio Core Tip 107738-audio.m4a
Conflict-of-Interest Disclosure Form 107738-conflict-of-interest-statement.pdf
Copyright License Agreement 107738-copyright-assignment.pdf
Non-Native Speakers of English Editing Certificate 107738-non-native-speakers.pdf
Peer-review Report 107738-peer-reviews.pdf
Scientific Misconduct Check 107738-scientific-misconduct-check.png
Scientific Editor Work List 107738-scientific-editor-work-list.pdf
CrossCheck Report 107738-crosscheck-report.pdf