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EJPeterson: No conflict of interest

Methods: A Cross-sectional retrospective study of patients diagnosed with AILDs (by biopsy, Cholangiopancreatography or Paris criteria according to etiology) who underwent orthotopic LT from January 2000 to December 2021, was performed

Key structural alterations include disrupted mitochondrial morphology, severe ultrastructural damage, and depletion of mitochondrial DNA (mtDNA)

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