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Abbreviations aHR: Adjusted hazard ratio ALT: Alanine aminotransferase ALD: Alcohol-related liver disease CV: Cardiovascular disease CYP1A2: Cytochrome P450 1A2 HBV: Hepatitis B virus HCV: Hepatitis C virus HCC: Hepatocellular carcinoma HR: Hazard ratio HSCs: Hepatic stellate cells IL: Interleukin LT: Liver transplantation MASLD: Metabolic dysfunction-associated steatotic liver disease MAPKs: Mitogen-activated protein kinases MetS: Metabolic syndrome NDMA: N-nitrosodimethylamine NF-B: Nuclear factor-kappa B NHANES: National Health and Nutrition Examination Survey NRT: Nicotine replacement therapy OR: Odds ratio PAHs: Polycyclic aromatic hydrocarbons PBC: Primary biliary cholangitis PG: Propylene glycol ROS: Reactive oxygen species RR: Relative risk TERT: Telomerase reverse transcriptase TGF-1: Transforming growth factor beta 1 TNF-: Tumor necrosis factor alpha VG: Vegetable glycerin 7-nAChR: 7-Nicotinic acetylcholine receptor 2-AR: 2-Adrenergic receptor References Dai X, Gakidou E, Lopez AD

4,5 Without adequate disease control, UC may result in gastrointestinal symptoms such as bloody diarrhoea, faecal urgency, incontinence, abdominal pain, fatigue, weight loss and nutritional deficiencies, together with extraintestinal manifestations that include arthritis, skin disease and iritis

This led to a focused research program that ultimately produced PT-141

Unfortunately, the diagnosis of the affected dog in the occult (asymptomatic) stage is much more difficult and will be discussed below