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Etiopathogenesis of primary sclerosing cholangitis

查看全文 作  者:Roger [1]Chapman;Sue [1]Cullen 高影响力作者 机构地区:[1]Department of Gastroen-terology,John Radcliffe Hospital,Headington,Oxford OX3 9DU,United Kingdom高影响力机构 出  处:《World Journal of Gastroenterology》索引2008年第14卷第21期,共10页高影响力期刊 摘  要:Primary sclerosing cholangitis(PSC) is a chronic cholestatic liver disease of unknown etiology but lymphocytic portal tract infiltration is suggestive of an immune-mediated basis for this disease.Associations with inflammatory bowel disease(IBD) especially ulcerative colitis(UC),and with particular autoimmune diseases,as well as the genetic associations further suggest PSC may be an immune-mediated disease.The immunogenetics of PSC have been the subject of active research and several HLA and non-HLA associated genes have been implicated in the development of the disease.Lymphocytes derived from the inflamed gut may enter the liver via the enterohepatic circulation to cause hepatic disease.PSC may be triggered in genetically susceptible individuals by infections or toxins entering the portal circulation through a permeable colon and hence evoking an abnormal immune response. 关 键 词:胆管炎 硬化 发病机理 自身抗体 免疫遗传学
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