Monika Sarkar, MD, MAS
Associate Professor
Medicine
School of Medicine
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.
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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.
Awards
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- R03, NIDDK, 2022-2024
- K23, NIDDK, 2017-2023
- K Scholars Team Science Award, UCSF, 2017-2018
- UCSF Hellman Research Award, UCSF, 2016-2018
- RAP Pilot Award for Junior Investigators, UCSF, 2016-2017
- Liver Center Flex Funds, UCSF, 2015-2016
- Liver Center Pilot/Feasibility Research Award, UCSF Liver Center, 2014-2015
- Sheila Sherlock Career Development Research Award, AASLD, 2013-2015
- Advanced Hepatology Fellowship Award, AASLD, 2012-2013
Education & Training
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- Transplant Hepatology Fellowship UCSF 2013
- Gastroenterology Fellowship UCSF 2012
- M.A.S. in Clinical Research Graduate Division (Advance Training in Clinical Research) UCSF 2012
- Internal Medicine Residency University of Pennsylvania 2009
- M.D. School of Medicine UCSF 2006
- BA Vassar College 2002
Grants and Projects
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- Influence of Androgens on Tissue-Specific Lipid Metabolites and Liver Injury in Young Women with NAFLD, NIDDK, 2022-2024
- Androgens and Nonalcoholic Steatohepatitis: The Role of Male Sex Hormones in Women with NASH, NIH, 2017-2023
Publications (84)
Top publication keywords:
Non-alcoholic Fatty Liver DiseaseHepatitis C, ChronicLiver TransplantationPolycystic Ovary SyndromeLiver CirrhosisPremature BirthEclampsiaDyslipidemiasOvarian ReserveSex Hormone-Binding GlobulinLiver NeoplasmsAdenoma, Liver CellCarcinoma, HepatocellularPregnancy ComplicationsPre-Eclampsia
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Contraception in patients with liver disease and liver transplant.
Clinical liver disease 2024 Garriga M, Zhang G, Sarkar M -
How I Approach Hepatocellular Adenomas in Hormonally Distinct Populations: Time to Think Outside the (Contraceptive Pill) Box.
The American journal of gastroenterology 2023 Wang M, Cedars MI, Mehta N, Sarkar M -
Introduction: Pregnancy and liver disease.
Clinical Liver Disease 2023 Monika Sarkar -
Antimullerian Hormone, a Marker of Ovarian Reserve, Is Protective Against Presence and Severity of NASH in Premenopausal Women.
Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association 2023 Maldonado SS, Cedars MI, Yates KP, Wilson LA, Gill R, Terrault NA, Suzuki A, Sarkar MA -
Parental leave, childcare policies, and workplace bias for hepatology professionals: A national survey.
Hepatology communications 2023 Feld LD, Sarkar M, Au JS, Flemming JA, Gripshover J, Kardashian A, Muir AJ, Nephew L, Orloff SL, Terrault N, Rabinowitz L, Volerman A, Arora V, Farnan J, Villa E
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Family planning and donor type: Unrecognized benefits of living donor liver transplantation?
Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society 2023 Sarkar M, Irani RA -
Sex differences in chronic liver disease and benign liver lesions.
JHEP reports : innovation in hepatology 2023 Cooper KM, Delk M, Devuni D, Sarkar M -
Mo1530 OUTCOMES IN WOMEN WITH CHRONIC LIVER DISEASE UNDERGOING INFERTILITY TREATMENT.
Gastroenterology 2023 Meera Garriga, Marcelle I. Cedars, Monika Sarkar -
Sa1609 POLYCYSTIC OVARY SYNDROME INCREASES FIBROSIS SEVERITY IN YOUNG WOMEN WITH NAFLD.
Gastroenterology 2023 Grace Zhang, Marcelle I. Cedars, Heather Huddleston, Sy Han Chiou, Yanin T. Srisengfa, Monika Sarkar -
Prevalence of nonalcoholic fatty liver disease increased with type 2 diabetes mellitus in overweight/obese youth with polycystic ovary syndrome.
Journal of pediatric endocrinology & metabolism : JPEM 2023 Patel-Sanchez N, Perito E, Tsai P, Raymond-Flesch M, Lodish M, Sarkar M -
Reproductive health and liver disease: a patient-friendly summary of the 2021 AASLD guidance.
Clinical liver disease 2023 Levy C, Brady CW, Terrault N, Stotts MJ, Sarkar M -
Letter to the Editor: Influence of maternal NAFLD on infant weight-the real precursor to NAFLD in offspring?
Hepatology (Baltimore, Md.) 2023 Sarkar M, Flemming JA -
The key role of hepatology providers in optimizing reproductive care in patients with liver disease: A call to action.
Hepatology (Baltimore, Md.) 2023 Kardashian A, Kushner T, Au JS, Flemming JA, Gripshover J, Muir AJ, Orloff SL, Villa E, Sarkar M, AASLD Women’s Initiative Committee -
Influence of progestin-only hormonal use on hepatocellular adenomas: A retrospective cohort study.
Contraception 2022 Qureshy Z, Lokken RP, Kakar S, Grab J, Mehta N, Sarkar M -
Now you see it, now you don't: Estrogen exposure and obesity effects on HCA development and regression.
Hepatology (Baltimore, Md.) 2022 Wang M, Sarkar M, Mehta N -
Awarding additional MELD points to the shortest waitlist candidates improves sex disparity in access to liver transplant in the United States.
American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons 2022 Bernards S, Lee E, Leung N, Akan M, Gan K, Zhao H, Sarkar M, Tayur S, Mehta N -
Polycystic ovary syndrome is associated with nonalcoholic steatohepatitis in women of reproductive age.
Hepatology communications 2022 Maldonado SS, Grab J, Wang CW, Huddleston H, Cedars M, Sarkar M -
Reply.
Hepatology (Baltimore, Md.) 2022 Sarkar M, Irani RA -
On the Importance of Safe Access to Reproductive Options for Adolescents and Women With Liver Disease.
Gastroenterology 2022 Shingina A, Sarkar M, Feld L -
Su1406: POLCYSTIC OVARY SYNDROME (PCOS) INCREASES RISK OF NASH AMONG REPRODUCTIVE-AGED WOMEN WITH NAFLD: A US POPULATION-BASED STUDY.
Gastroenterology 2022 Stephanie Maldonado, Joshua Grab, Connie W. Wang, Heather Huddleston, Marcelle I. Cedars, Monika Sarkar -
Associations of NAFLD with circulating ceramides and impaired glycemia.
Diabetes research and clinical practice 2022 Gadgil MD, Sarkar M, Sands C, Lewis MR, Herrington DM, Kanaya AM -
Abstract P139: Changes In Sex Hormones In Premenopausal Black And White Women Associated With Childbearing: The Cardia Women’s Study.
Circulation 2022 Sadaf Dabeer, Katherine H Ingram, Duke Appiah, Melissa Wellons, Catherine Kim, Dhananjay Vaidya, David S Siscovick, Cora E Lewis, Charles Quesenberry, Pamela Schreiner, Ronit Calderon-Margalit, Monika… -
Pregnancies With Cirrhosis Are Rising and Associated With Adverse Maternal and Perinatal Outcomes.
The American journal of gastroenterology 2022 Huang AC, Grab J, Flemming JA, Dodge JL, Irani RA, Sarkar M -
Outcomes of pregnancy in autoimmune hepatitis: A population-based study.
Hepatology (Baltimore, Md.) 2021 Wang CW, Grab J, Tana MM, Irani RA, Sarkar M -
Untangling the Influence of Sex Hormones on Nonalcoholic Fatty Liver Disease in Women.
Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association 2021 Sarkar M, Cedars MI -
Pregnancy Outcomes After Living Liver Donation: A Multi-Institutional Study.
Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society 2021 Sonnenberg EM, Lee-Riddle GS, Walls DO, Caicedo JC, Jackson WE, Hughes L, Ladner DP, Liapakis A, Pomfret EA, Sarkar M, Selzner N, Torres AM, Abt PL, Olthoff KM -
Sa362 REPRODUCTIVE HEALTH CHARACTERISTICS IN PRE-MENOPAUSAL WOMEN WITH NAFLD.
Gastroenterology 2021 Yanin T. Srisengfa, Srilakshmi Seetharaman, Monika Sarkar -
Adherence to pregnancy hepatitis B care guidelines in women and infants in the United States and evaluation of two interventions to improve care: A multicentre hospital-based study.
Journal of viral hepatitis 2021 Kushner T, Kaplowitz E, Mei R, Xu C, Acker A, Rosenbluth E, Oredein I, Sarkar M, Terrault N, Bansal M, Forde KA -
NAFLD Cirrhosis Is Rising Among Childbearing Women and Is the Most Common Cause of Cirrhosis in Pregnancy.
Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association 2021 Sarkar M, Djerboua M, Flemming JA -
Reproductive Health and Liver Disease: Practice Guidance by the American Association for the Study of Liver Diseases.
Hepatology (Baltimore, Md.) 2021 Sarkar M, Brady CW, Fleckenstein J, Forde KA, Khungar V, Molleston JP, Afshar Y, Terrault NA -
Reply to: "Intrahepatic cholestasis of pregnancy: An under recognised complication of maternal NAFLD?"
Journal of hepatology 2020 Sarkar M, Grab J, Irani RA -
Testosterone is Associated With Nonalcoholic Steatohepatitis and Fibrosis in Premenopausal Women With NAFLD.
Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association 2020 Sarkar MA, Suzuki A, Abdelmalek MF, Yates KP, Wilson LA, Bass NM, Gill R, Cedars M, Terrault N, NASH Clinical Research Network -
Family Planning in Liver Transplant: Patient and Provider Knowledge and Practices.
Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society 2020 Ritchie J, Seidman D, Srisengfa Y, Perito ER, Sarkar M -
Outcomes of Pregnant Women With Cirrhosis and Their Infants in a Population-Based Study.
Gastroenterology 2020 Flemming JA, Mullin M, Lu J, Sarkar MA, Djerboua M, Velez MP, Brogly S, Terrault NA -
SAT147 Increased risk of perinatal complications in women with cirrhosis: a population-based matched cohort study.
Journal of Hepatology 2020 Jacquie Lu, Monika Mullin, Maya Djerboua, Monika Sarkar, Susan Brogly, Maria Velez, Norah Terrault, Jennifer Flemming -
Reproductive Health and Nonalcoholic Fatty Liver Disease in Women: Considerations Across the Reproductive Lifespan.
Clinical liver disease 2020 Sarkar M, Suzuki A -
Non-alcoholic fatty liver disease in pregnancy is associated with adverse maternal and perinatal outcomes.
Journal of hepatology 2020 Sarkar M, Grab J, Dodge JL, Gunderson EP, Rubin J, Irani RA, Cedars M, Terrault N -
Pregnancy in Liver Transplantation.
Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society 2020 Sarkar M, Sawinski D, Coscia L, American Society of Transplantation, Women’s Health Community of Practice -
1004 PREGNANCIES WITH CIRRHOSIS ARE RISING AND ASSOCIATED WITH ADVERSE MATERNAL AND FETAL OUTCOMES.
Gastroenterology 2020 Annsa C. Huang, Joshua Grab, Jennifer A. Flemming, Jennifer L. Dodge, Monika Sarkar -
Shorter Height Is Associated With Lower Probability of Liver Transplantation in Patients With Hepatocellular Carcinoma.
Transplantation 2020 Lee E, Sarkar M, Dodge J, Kohi M, Mehta N -
Low Testosterone Is Associated With Nonalcoholic Steatohepatitis and Fibrosis Severity in Men.
Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association 2019 Sarkar M, Yates K, Suzuki A, Lavine J, Gill R, Ziegler T, Terrault N, Dhindsa S -
NAFLD in women: Unique pathways, biomarkers and therapeutic opportunities.
Current hepatology reports 2019 Yuan L, Kardashian A, Sarkar M -
Polycystic ovary syndrome (PCOS) is associated with NASH severity and advanced fibrosis.
Liver international : official journal of the International Association for the Study of the Liver 2019 Sarkar M, Terrault N, Chan W, Cedars MI, Huddleston HG, Duwaerts CC, Balitzer D, Gill RM -
Deficiencies in Reproductive Health Counseling in Liver Transplant Patients [2H].
Obstetrics and Gynecology 2019 Julia Ritchie, Dominika Seidman, Yanin Srisengfa, Vanessa L. Jacoby, Emily Perito, Monika Sarkar -
Sa1623 – Low Testosterone is Associated with Nash and Fibrosis Severity in Men with Nafld.
Gastroenterology 2019 Monika Sarkar, Katherine P. Yates, Ayako Suzuki, Joel E. Lavine, Ryan M. Gill, Norah Terrault, Sandeep Dhindsa -
Sex Hormone-Binding Globulin Levels in Young Men Are Associated With Nonalcoholic Fatty Liver Disease in Midlife.
The American journal of gastroenterology 2019 Sarkar M, VanWagner LB, Terry JG, Carr JJ, Rinella M, Schreiner PJ, Lewis CE, Terrault N, Coronary Artery Risk Development in Young Adults (CARDIA) Cohort -
Testosterone Levels in Women: Implications for Fatty Liver and Beyond.
Journal of women's health (2002) 2019 Sarkar M -
Noninvasive Tests for Prognosticating Outcomes in Patients With Chronic Liver Disease in Pregnancy: Ready for Prime Time?
The American journal of gastroenterology 2019 Kushner T, Sarkar M, Tran T -
Sex hormone levels by presence and severity of cirrhosis in women with chronic hepatitis C virus infection.
Journal of viral hepatitis 2018 Sarkar M, Lai JC, Sawinski D, Zeigler TE, Cedars M, Forde KA -
Longer lactation duration is associated with decreased prevalence of non-alcoholic fatty liver disease in women.
Journal of hepatology 2018 Ajmera VH, Terrault NA, VanWagner LB, Sarkar M, Lewis CE, Carr JJ, Gunderson EP -
Chronic Hepatitis B in Pregnancy.
Clinical liver disease 2018 Kushner T, Sarkar M -
Racial and Ethnic Differences in Graft Loss Among Female Liver Transplant Recipients.
Transplantation proceedings 2018 Dave S, Dodge JL, Terrault NA, Sarkar M -
Reproductive health in women following abdominal organ transplant.
American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons 2018 Sarkar M, Bramham K, Moritz MJ, Coscia L -
The Association of Hispanic Ethnicity with Nonalcoholic Fatty Liver Disease in Polycystic Ovary Syndrome.
Current opinion in gynecology and obstetrics 2018 Sarkar M, Terrault N, Duwaerts CC, Tien P, Cedars MI, Huddleston H -
Use of a hepatitis C virus (HCV) RNA-positive donor in a treated HCV RNA-negative liver transplant recipient.
Transplant infectious disease : an official journal of the Transplantation Society 2018 Campos-Varela I, Agudelo EZ, Sarkar M, Roberts JP, Terrault NA -
Sex-based disparities in delisting for being "too sick" for liver transplantation.
American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons 2017 Cullaro G, Sarkar M, Lai JC -
Acetaminophen-induced Acute Liver Failure Is More Common and More Severe in Women.
Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association 2017 Rubin JB, Hameed B, Gottfried M, Lee WM, Sarkar M, Acute Liver Failure Study Group -
Moderate Alcohol Use Is Not Associated With Fibrosis Progression in Human Immunodeficiency Virus/Hepatitis C Virus-Coinfected Women: A Prospective Cohort Study.
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America 2017 Kelly EM, Dodge JL, Bacchetti P, Sarkar M, French AL, Tien PC, Glesby MJ, Golub ET, Augenbraun M, Plankey M, Peters MG -
Perinatal programming of adolescent nonalcoholic fatty liver disease: A case for gender inequality?
Hepatology (Baltimore, Md.) 2017 Sarkar M, Baffy G -
Reproductive Aging and Hepatic Fibrosis Progression in Human Immunodeficiency Virus/Hepatitis C Virus-Coinfected Women.
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America 2017 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, Women’s Interagency HIV Study -
Testosterone Levels in Pre-Menopausal Women are Associated With Nonalcoholic Fatty Liver Disease in Midlife.
The American journal of gastroenterology 2017 Sarkar M, Wellons M, Cedars MI, VanWagner L, Gunderson EP, Ajmera V, Torchen L, Siscovick D, Carr JJ, Terry JG, Rinella M, Lewis CE, Terrault N -
Aggressive non-alcoholic steatohepatitis following rapid weight loss and/or malnutrition.
Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc 2017 Tsai JH, Ferrell LD, Tan V, Yeh MM, Sarkar M, Gill RM -
Sex differences in the association of HIV infection with hepatic steatosis.
AIDS (London, England) 2017 Kardashian A, Ma Y, Scherzer R, Price JC, Sarkar M, Korn N, Tillinghast K, Peters MG, Noworolski SM, Tien PC -
Increased hepatocellular carcinoma recurrence in women compared to men with high alpha fetoprotein at liver transplant.
Annals of hepatology 2016 Sarkar M, Dodge JL, Roberts JP, Terrault N, Yao F, Mehta N -
Association of Hepatitis C Virus Infection With CD4/CD8 Ratio in HIV-Positive Women.
Journal of acquired immune deficiency syndromes (1999) 2016 Kuniholm MH, O'Brien TR, Prokunina-Olsson L, Augenbraun M, Plankey M, Karim R, Sarkar M, French AL, Pierce C, Strickler HD, Anastos K -
Marijuana Use Is Not Associated With Progression to Advanced Liver Fibrosis in HIV/Hepatitis C Virus-coinfected Women.
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America 2016 Kelly EM, Dodge JL, Sarkar M, French AL, Tien PC, Glesby MJ, Golub ET, Augenbraun M, Plankey M, Peters MG -
352 Sex Differences in Acetaminophen-Induced Acute Liver Injury and Acute Liver Failure.
Gastroenterology 2016 Jessica Rubin, Bilal Hameed, Michelle Gottfried, William M. Lee, Monika Sarkar -
Association between markers of non-alcoholic fatty liver disease and glucose tolerance in polycystic ovarian syndrome population.
Fertility and Sterility 2016 Asima K. Ahmad, Chia-Ning Kao, Monika Sarkar, Marcelle I. Cedars, Heather Huddleston -
Intention to treat outcome of T1 hepatocellular carcinoma with the "wait and not ablate" approach until meeting T2 criteria for liver transplant listing.
Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society 2016 Mehta N, Sarkar M, Dodge JL, Fidelman N, Roberts JP, Yao FY -
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 E.M. Kelly, J. Dodge, P. Bacchetti, M. Sarkar, A. French, P. Tien, M. Glesby, E. Golub, M. Augenbraun, M. Plankey, M. Peters -
PS077 Sex Differences in Acetaminophen-Induced Acute Liver Injury and Acute Liver Failure.
Journal of Hepatology 2016 J. Rubin, B. Hameed, M. Gottfried, W. Lee, M. Sarkar, the Acute Liver Failure Study Group -
Association of IFNL3 and IFNL4 polymorphisms with liver-related mortality in a multiracial cohort of HIV/HCV-coinfected women.
Journal of viral hepatitis 2015 Sarkar M, Aouzierat B, Bacchetti P, Prokunina-Olsson L, French A, Seaberg E, O'Brien TR, Kuniholm MH, Minkoff H, Plankey M, Strickler HD, Peters MG, Women's Interagency HIV -
Outcomes in liver transplantation: does sex matter?
Journal of hepatology 2014 Sarkar M, Watt KD, Terrault N, Berenguer M -
Ending vertical transmission of hepatitis B: the third trimester intervention.
Hepatology (Baltimore, Md.) 2014 Sarkar M, Terrault NA -
Characteristics and management of patients with chronic hepatitis B in an integrated care setting.
Digestive diseases and sciences 2014 Sarkar M, Shvachko VA, Ready JB, Pauly MP, Terrault NA, Peters MG, Manos MM -
Factors associated with outcomes and response to therapy in patients with infiltrative hepatocellular carcinoma.
Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association 2013 Mehta N, Fidelman N, Sarkar M, Yao FY -
Racial/ethnic differences in spontaneous HCV clearance in HIV infected and uninfected women.
Digestive diseases and sciences 2012 Sarkar M, Bacchetti P, Tien P, Mileti E, French AL, Edlin BR, Keller M, Seaberg E, Nowicki MJ, Young M, Peters MG -
Lower liver-related death in African-American women with human immunodeficiency virus/hepatitis C virus coinfection, compared to Caucasian and Hispanic women.
Hepatology (Baltimore, Md.) 2012 Sarkar M, Bacchetti P, French AL, Tien P, Glesby MJ, Nowicki M, Plankey M, Gange S, Sharp G, Minkoff H, Peters MG, Women's Interagency HIV Study (WIHS) -
466 Hepatitis B Treatment in a California Managed Care Population: A Retrospective Analysis of Treatment and Monitoring Practices.
Gastroenterology 2012 Monika Sarkar, Valentina Shvachko, Marion G. Peters, Michele Manos -
Hepatocellular carcinoma screening practices and impact on survival among hepatitis B-infected Asian Americans.
Journal of viral hepatitis 2012 Sarkar M, Stewart S, Yu A, Chen MS, Nguyen TT, Khalili M -
Chapter 32 Hepatitis virus infections.
Sande\u0027s HIV/AIDS Medicine 2012 Marion G. Peters, Monika Sarkar -
Proton-pump inhibitor use and the risk for community-acquired pneumonia.
Annals of internal medicine 2008 Sarkar M, Hennessy S, Yang YX -
Chronic statin therapy and the risk of colorectal cancer.
Pharmacoepidemiology and drug safety 2008 Yang YX, Hennessy S, Propert K, Hwang WT, Sarkar M, Lewis JD -
Presentation and management of acute fistulization of a foregut duplication cyst.
Gastrointestinal endoscopy 2008 Sarkar M, Wood R, Oh Y, Hecht TE, Kaiser L, Wasserstein A, Kochman ML