Infection as a risk factor in the pathogenesis of primary biliary cirrhosis: pros and cons.

Abstract:

:Primary biliary cirrhosis (PBC) is a chronic and slowly progressive cholestatic liver disease of autoimmune etiology, characterized by injury of the intrahepatic bile ducts that may eventually lead to cirrhosis and liver failure. Evidence suggests cardinal roles for both environmental factors and genetic susceptibility. Nevertheless, the absolute etiology of PBC is unclear, despite recent well-designed case-control studies that reported environmental risk factors, including infectious agents, for PBC. Of the reported infectious agents, some of them are not reproducible and remain controversial. However, infection is no doubt one of the major risks among the environmental factors. This is supported by the fact that infectious agents in autoimmune diseases express antigens resulting in molecular mimicry and xenobiotics that play a role in breaking tolerance. Taken together, recent findings from genome wide assays as well as novel animal models may enable us to better understand the mechanism of pathogenesis responsible for this disease.

journal_name

Dis Markers

journal_title

Disease markers

authors

Kumagi T,Abe M,Ikeda Y,Hiasa Y

doi

10.3233/DMA-2010-0747

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

313-21

issue

6

eissn

0278-0240

issn

1875-8630

pii

7047536943637377

journal_volume

29

pub_type

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