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Monika Sarkar, MD, MAS

Title(s)Associate Professor, Medicine
SchoolSchool of Medicine
Address513 Parnassus Ave, MSB
San Francisco CA 94117
Phone415-502-2656
ORCID ORCID Icon0000-0003-4233-1062 Additional info
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    Collapse Biography 
    Collapse Education and Training
    UCSFTransplant Hepatology Fellowship2013
    UCSFM.A.S. in Clinical Research2012 Graduate Division (Advance Training in Clinical Research)
    UCSFGastroenterology Fellowship2012
    University of PennsylvaniaInternal Medicine Residency2009
    UCSFM.D.2006School of Medicine
    Vassar CollegeBA2002
    Collapse Awards and Honors
    UCSF2017  - 2018K Scholars Team Science Award
    NIDDK2017  - 2022K23
    UCSF2016  - 2017RAP Pilot Award for Junior Investigators
    UCSF2016  - 2018 UCSF Hellman Research Award
    UCSF2015  - 2016Liver Center Flex Funds
    UCSF Liver Center2014  - 2015Liver Center Pilot/Feasibility Research Award
    AASLD2013  - 2015Sheila Sherlock Career Development Research Award
    AASLD2012  - 2013Advanced Hepatology Fellowship Award

    Collapse Overview 
    Collapse Overview
    My clinical focus is on women with liver disease, including pregnancy-related liver conditions and reproductive health. My research program is focused on the role of sex hormones in modulating liver disease in women. I have a specific research interest in young women with the hyperandrogenic condition known as Polycystic Ovarian Syndrome given their high risk for developing Non Alcoholic Fatty Liver Disease (NAFLD) and early onset liver scarring. Within the transplant setting my focus is reproductive health, including pregnancy and contraceptive management in transplant recipients.

    Collapse Research 
    Collapse Research Activities and Funding
    Androgens and Nonalcoholic Steatohepatitis: The Role of Male Sex Hormones in Women with NASH
    NIH K23DK111944Jul 10, 2017 - Jun 30, 2022
    Role: Principal Investigator

    Collapse ORNG Applications 
    Collapse Clinical Trials
    Collapse In The News

    Collapse Bibliographic 
    Collapse Publications
    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Researchers can login to make corrections and additions, or contact us for help. to make corrections and additions.
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    Altmetrics Details PMC Citations indicate the number of times the publication was cited by articles in PubMed Central, and the Altmetric score represents citations in news articles and social media. (Note that publications are often cited in additional ways that are not shown here.) Fields are based on how the National Library of Medicine (NLM) classifies the publication's journal and might not represent the specific topic of the publication. Translation tags are based on the publication type and the MeSH terms NLM assigns to the publication. Some publications (especially newer ones and publications not in PubMed) might not yet be assigned Field or Translation tags.) Click a Field or Translation tag to filter the publications.
    1. NAFLD Cirrhosis Is Rising Among Childbearing Women and Is the Most Common Cause of Cirrhosis in Pregnancy. Clin Gastroenterol Hepatol. 2021 Jan 16. Sarkar M, Djerboua M, Flemming JA. PMID: 33465483.
      View in: PubMed   Mentions:    Fields:    
    2. Adherence to pregnancy hepatitis B care guidelines in women and infants in the and evaluation of two interventions to improve care: a multi-center hospital-based study. J Viral Hepat. 2020 Dec 29. Kushner T, Kaplowitz E, Mei R, Xu C, Acker A, Rosenbluth E, Oredein I, Sarkar M, Terrault N, Bansal M, Forde KA. PMID: 33372359.
      View in: PubMed   Mentions:    Fields:    
    3. Reply to: "Intrahepatic cholestasis of pregnancy: An under recognised complication of maternal NAFLD?" J Hepatol. 2020 Dec 15. Sarkar M, Grab J, Irani RA. PMID: 33339610.
      View in: PubMed   Mentions:    Fields:    
    4. Testosterone is Associated With Nonalcoholic Steatohepatitis and Fibrosis in Premenopausal Women With NAFLD. Clin Gastroenterol Hepatol. 2020 Oct 01. PMID: 33010412.
      View in: PubMed   Mentions:    Fields:    
    5. Reproductive Health and Liver Disease: Practice Guidance by the American Association for the Study of Liver Diseases. Hepatology. 2020 Sep 18. Sarkar M, Brady CW, Fleckenstein J, Forde KA, Khungar V, Molleston JP, Afshar Y, Terrault NA. PMID: 32946672.
      View in: PubMed   Mentions:    Fields:    
    6. Family Planning in Liver Transplant: Patient and Provider Knowledge and Practices. Liver Transpl. 2020 10; 26(10):1233-1240. Ritchie J, Seidman D, Srisengfa Y, Perito ER, Sarkar M. PMID: 32583555.
      View in: PubMed   Mentions:    Fields:    
    7. Outcomes of Pregnant Women With Cirrhosis and Their Infants in a Population-Based Study. Gastroenterology. 2020 Nov; 159(5):1752-1762.e10. Flemming JA, Mullin M, Lu J, Sarkar MA, Djerboua M, Velez MP, Brogly S, Terrault NA. PMID: 32781083.
      View in: PubMed   Mentions:    Fields:    
    8. SAT147 Increased risk of perinatal complications in women with cirrhosis: a population-based matched cohort study. Journal of Hepatology. 2020 Aug 1; 73:s724-s725. Jacquie Lu, Monika Mullin, Maya Djerboua, Monika Sarkar, Susan Brogly, Maria Velez, Norah Terrault, Jennifer Flemming. .
      View in: Publisher Site   Mentions:
    9. Reproductive Health and Nonalcoholic Fatty Liver Disease in Women: Considerations Across the Reproductive Lifespan. Clin Liver Dis (Hoboken). 2020 Jun; 15(6):219-222. Sarkar M, Suzuki A. PMID: 32617153.
      View in: PubMed   Mentions:
    10. Non-alcoholic fatty liver disease in pregnancy is associated with adverse maternal and perinatal outcomes. J Hepatol. 2020 Sep; 73(3):516-522. Sarkar M, Grab J, Dodge JL, Gunderson EP, Rubin J, Irani RA, Cedars M, Terrault N. PMID: 32531415.
      View in: PubMed   Mentions: 1     Fields:    
    11. Pregnancy in Liver Transplantation. Liver Transpl. 2020 07; 26(7):954-955. Sarkar M, Sawinski D, Coscia L. PMID: 32170779.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    12. Shorter Height Is Associated With Lower Probability of Liver Transplantation in Patients With Hepatocellular Carcinoma. Transplantation. 2020 05; 104(5):988-995. Lee E, Sarkar M, Dodge J, Kohi M, Mehta N. PMID: 31577670.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    13. 1004 PREGNANCIES WITH CIRRHOSIS ARE RISING AND ASSOCIATED WITH ADVERSE MATERNAL AND FETAL OUTCOMES. Gastroenterology. 2020 May 1; 158(6):s-1302. Annsa C. Huang, Joshua Grab, Jennifer A. Flemming, Jennifer L. Dodge, Monika Sarkar. .
      View in: Publisher Site   Mentions:
    14. Low Testosterone Is Associated With Nonalcoholic Steatohepatitis and Fibrosis Severity in Men. Clin Gastroenterol Hepatol. 2021 Feb; 19(2):400-402.e2. Sarkar M, Yates K, Suzuki A, Lavine J, Gill R, Ziegler T, Terrault N, Dhindsa S. PMID: 31812658.
      View in: PubMed   Mentions: 2     Fields:    
    15. NAFLD in women: Unique pathways, biomarkers and therapeutic opportunities. Curr Hepatol Rep. 2019 Dec; 18(4):425-432. Yuan L, Kardashian A, Sarkar M. PMID: 32523869.
      View in: PubMed   Mentions:
    16. Polycystic ovary syndrome (PCOS) is associated with NASH severity and advanced fibrosis. Liver Int. 2020 02; 40(2):355-359. Sarkar M, Terrault N, Chan W, Cedars MI, Huddleston HG, Duwaerts CC, Balitzer D, Gill RM. PMID: 31627243.
      View in: PubMed   Mentions: 2     Fields:    
    17. Deficiencies in Reproductive Health Counseling in Liver Transplant Patients [2H]. Obstetrics and Gynecology. 2019 May 1; 133:84s-85s. Julia Ritchie, Dominika Seidman, Yanin Srisengfa, Vanessa L. Jacoby, Emily Perito, Monika Sarkar. .
      View in: Publisher Site   Mentions:
    18. Sa1623 – Low Testosterone is Associated with Nash and Fibrosis Severity in Men with Nafld. Gastroenterology. 2019 May 1; 156(6):s-1258. Monika Sarkar, Katherine P. Yates, Ayako Suzuki, Joel E. Lavine, Ryan M. Gill, Norah Terrault, Sandeep Dhindsa. .
      View in: Publisher Site   Mentions:
    19. Sex Hormone-Binding Globulin Levels in Young Men Are Associated With Nonalcoholic Fatty Liver Disease in Midlife. Am J Gastroenterol. 2019 05; 114(5):758-763. Sarkar M, VanWagner LB, Terry JG, Carr JJ, Rinella M, Schreiner PJ, Lewis CE, Terrault N. PMID: 30730350.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    20. Testosterone Levels in Women: Implications for Fatty Liver and Beyond. J Womens Health (Larchmt). 2019 08; 28(8):1015-1016. Sarkar M. PMID: 30789289.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    21. Noninvasive Tests for Prognosticating Outcomes in Patients With Chronic Liver Disease in Pregnancy: Ready for Prime Time? Am J Gastroenterol. 2019 02; 114(2):209-211. Kushner T, Sarkar M, Tran T. PMID: 30730857.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    22. Sex hormone levels by presence and severity of cirrhosis in women with chronic hepatitis C virus infection. J Viral Hepat. 2019 02; 26(2):258-262. Sarkar M, Lai JC, Sawinski D, Zeigler TE, Cedars M, Forde KA. PMID: 30339729.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    23. Longer lactation duration is associated with decreased prevalence of non-alcoholic fatty liver disease in women. J Hepatol. 2019 01; 70(1):126-132. Ajmera VH, Terrault NA, VanWagner LB, Sarkar M, Lewis CE, Carr JJ, Gunderson EP. PMID: 30392752.
      View in: PubMed   Mentions: 5     Fields:    Translation:Humans
    24. Chronic Hepatitis B in Pregnancy. Clin Liver Dis (Hoboken). 2018 Jul; 12(1):24-28. Kushner T, Sarkar M. PMID: 30988905.
      View in: PubMed   Mentions:
    25. Racial and Ethnic Differences in Graft Loss Among Female Liver Transplant Recipients. Transplant Proc. 2018 Jun; 50(5):1413-1423. Dave S, Dodge JL, Terrault NA, Sarkar M. PMID: 29880364.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    26. Reproductive health in women following abdominal organ transplant. Am J Transplant. 2018 05; 18(5):1068-1076. Sarkar M, Bramham K, Moritz MJ, Coscia L. PMID: 29446243.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    27. The Association of Hispanic Ethnicity with Nonalcoholic Fatty Liver Disease in Polycystic Ovary Syndrome. Curr Opin Gynecol Obstet. 2018 02 20; 1(1):24-33. Sarkar M, Terrault N, Duwaerts CC, Tien P, Cedars MI, Huddleston H. PMID: 30112518.
      View in: PubMed   Mentions:
    28. Use of a hepatitis C virus (HCV) RNA-positive donor in a treated HCV RNA-negative liver transplant recipient. Transpl Infect Dis. 2018 Feb; 20(1). Campos-Varela I, Agudelo EZ, Sarkar M, Roberts JP, Terrault NA. PMID: 29125670.
      View in: PubMed   Mentions: 2     Fields:    Translation:HumansCells
    29. Sex-based disparities in delisting for being "too sick" for liver transplantation. Am J Transplant. 2018 05; 18(5):1214-1219. Cullaro G, Sarkar M, Lai JC. PMID: 29194969.
      View in: PubMed   Mentions: 4     Fields:    Translation:Humans
    30. Acetaminophen-induced Acute Liver Failure Is More Common and More Severe in Women. Clin Gastroenterol Hepatol. 2018 06; 16(6):936-946. Rubin JB, Hameed B, Gottfried M, Lee WM, Sarkar M. PMID: 29199145.
      View in: PubMed   Mentions: 3     Fields:    Translation:Humans
    31. Moderate Alcohol Use Is Not Associated With Fibrosis Progression in Human Immunodeficiency Virus/Hepatitis C Virus-Coinfected Women: A Prospective Cohort Study. Clin Infect Dis. 2017 Nov 29; 65(12):2050-2056. Kelly EM, Dodge JL, Bacchetti P, Sarkar M, French AL, Tien PC, Glesby MJ, Golub ET, Augenbraun M, Plankey M, Peters MG. PMID: 29020382.
      View in: PubMed   Mentions: 3     Fields:    Translation:HumansCells
    32. Perinatal programming of adolescent nonalcoholic fatty liver disease: A case for gender inequality? Hepatology. 2018 01; 67(1):7-9. Sarkar M, Baffy G. PMID: 28771759.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    33. Reproductive Aging and Hepatic Fibrosis Progression in Human Immunodeficiency Virus/Hepatitis C Virus-Coinfected Women. Clin Infect Dis. 2017 Oct 30; 65(10):1695-1702. Sarkar M, Dodge JL, Greenblatt RM, Kuniholm MH, DeHovitz J, Plankey M, Kovacs A, French AL, Seaberg EC, Ofotokun I, Fischl M, Overton E, Kelly E, Bacchetti P, Peters MG. PMID: 29020239.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    34. Testosterone Levels in Pre-Menopausal Women are Associated With Nonalcoholic Fatty Liver Disease in Midlife. Am J Gastroenterol. 2017 05; 112(5):755-762. PMID: 28291240.
      View in: PubMed   Mentions: 13     Fields:    Translation:Humans
    35. Aggressive non-alcoholic steatohepatitis following rapid weight loss and/or malnutrition. Mod Pathol. 2017 06; 30(6):834-842. PMID: 28256569.
      View in: PubMed   Mentions: 8     Fields:    Translation:Humans
    36. Sex differences in the association of HIV infection with hepatic steatosis. AIDS. 2017 01 28; 31(3):365-373. PMID: 27831949.
      View in: PubMed   Mentions: 6     Fields:    Translation:Humans
    37.  Increased hepatocellular carcinoma recurrence in women compared to men with high alpha fetoprotein at liver transplant. Ann Hepatol. 2016 Jul-Aug; 15(4):545-9. PMID: 27236153.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    38. Association of Hepatitis C Virus Infection With CD4/CD8 Ratio in HIV-Positive Women. . 2016 Jun 01; 72(2):162-70. PMID: 27183178.
      View in: PubMed   Mentions:
    39. Marijuana Use Is Not Associated With Progression to Advanced Liver Fibrosis in HIV/Hepatitis C Virus-coinfected Women. Clin Infect Dis. 2016 08 15; 63(4):512-8. PMID: 27225241.
      View in: PubMed   Mentions: 5     Fields:    Translation:HumansCells
    40. 352 Sex Differences in Acetaminophen-Induced Acute Liver Injury and Acute Liver Failure. Gastroenterology. 2016 Apr 1; 150(4):s1027. Jessica Rubin, Bilal Hameed, Michelle Gottfried, William M. Lee, Monika Sarkar. .
      View in: Publisher Site   Mentions:
    41. Association between markers of non-alcoholic fatty liver disease and glucose tolerance in polycystic ovarian syndrome population. Fertility and Sterility. 2016 Feb 1; 105(2):e10. Asima K. Ahmad, Chia-Ning Kao, Monika Sarkar, Marcelle I. Cedars, Heather Huddleston. .
      View in: Publisher Site   Mentions:
    42. Intention to treat outcome of T1 hepatocellular carcinoma with the "wait and not ablate" approach until meeting T2 criteria for liver transplant listing. Liver Transpl. 2016 Feb; 22(2):178-87. PMID: 26479422.
      View in: PubMed   Mentions: 16     Fields:    Translation:Humans
    43. PS077 Sex Differences in Acetaminophen-Induced Acute Liver Injury and Acute Liver Failure. Journal of Hepatology. 2016 Jan 1; 64(2):s173-s174. J. Rubin, B. Hameed, M. Gottfried, W. Lee, M. Sarkar, the Acute Liver Failure Study Group. .
      View in: Publisher Site   Mentions:
    44. PS073 Light to Moderate Alcohol Use is not Associated with Long-Term Progression of Liver Fibrosis in Hiv Hcv Coinfected Women. Journal of Hepatology. 2016 Jan 1; 64(2):s171-s172. E.M. Kelly, J. Dodge, P. Bacchetti, M. Sarkar, A. French, P. Tien, M. Glesby, E. Golub, M. Augenbraun, M. Plankey, M. Peters. .
      View in: Publisher Site   Mentions:
    45. Association of IFNL3 and IFNL4 polymorphisms with liver-related mortality in a multiracial cohort of HIV/HCV-coinfected women. J Viral Hepat. 2015 Dec; 22(12):1055-60. PMID: 26115445.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    46. Outcomes in liver transplantation: does sex matter? J Hepatol. 2015 Apr; 62(4):946-55. PMID: 25433162.
      View in: PubMed   Mentions: 10     Fields:    Translation:Humans
    47. Ending vertical transmission of hepatitis B: the third trimester intervention. Hepatology. 2014 Aug; 60(2):448-51. PMID: 24668789.
      View in: PubMed   Mentions: 6     Fields:    Translation:Humans
    48. Characteristics and management of patients with chronic hepatitis B in an integrated care setting. Dig Dis Sci. 2014 Sep; 59(9):2100-8. PMID: 24728968.
      View in: PubMed   Mentions: 11     Fields:    Translation:HumansCells
    49. Factors associated with outcomes and response to therapy in patients with infiltrative hepatocellular carcinoma. Clin Gastroenterol Hepatol. 2013 May; 11(5):572-8. PMID: 23333661.
      View in: PubMed   Mentions: 11     Fields:    Translation:Humans
    50. Racial/ethnic differences in spontaneous HCV clearance in HIV infected and uninfected women. Dig Dis Sci. 2013 May; 58(5):1341-8. PMID: 23179159.
      View in: PubMed   Mentions: 7     Fields:    Translation:Humans
    51. Lower liver-related death in African-American women with human immunodeficiency virus/hepatitis C virus coinfection, compared to Caucasian and Hispanic women. Hepatology. 2012 Nov; 56(5):1699-705. PMID: 22618868.
      View in: PubMed   Mentions: 9     Fields:    Translation:HumansCells
    52. 466 Hepatitis B Treatment in a California Managed Care Population: A Retrospective Analysis of Treatment and Monitoring Practices. Gastroenterology. 2012 May 1; 142(5):s-916. Monika Sarkar, Valentina Shvachko, Marion G. Peters, Michele Manos. .
      View in: Publisher Site   Mentions:
    53. Hepatocellular carcinoma screening practices and impact on survival among hepatitis B-infected Asian Americans. J Viral Hepat. 2012 Aug; 19(8):594-600. PMID: 22762144.
      View in: PubMed   Mentions: 12     Fields:    Translation:Humans
    54. Chapter 32 Hepatitis virus infections. Sande\u0027s HIV/AIDS Medicine. 2012 Jan 1; 411-420. Marion G. Peters, Monika Sarkar. .
      View in: Publisher Site   Mentions:
    55. Proton-pump inhibitor use and the risk for community-acquired pneumonia. Ann Intern Med. 2008 Sep 16; 149(6):391-8. Sarkar M, Hennessy S, Yang YX. PMID: 18794558.
      View in: PubMed   Mentions: 71     Fields:    Translation:Humans
    56. Chronic statin therapy and the risk of colorectal cancer. Pharmacoepidemiol Drug Saf. 2008 Sep; 17(9):869-76. Yang YX, Hennessy S, Propert K, Hwang WT, Sarkar M, Lewis JD. PMID: 18412290.
      View in: PubMed   Mentions: 18     Fields:    Translation:Humans
    57. Presentation and management of acute fistulization of a foregut duplication cyst. Gastrointest Endosc. 2008 Oct; 68(4):804-6. Sarkar M, Wood R, Oh Y, Hecht TE, Kaiser L, Wasserstein A, Kochman ML. PMID: 18436220.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
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