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Autoimmune Hepatitis—Immunologically Triggered Liver Pathogenesis—Diagnostic and Therapeutic Strategies

Title: Autoimmune Hepatitis—Immunologically Triggered Liver Pathogenesis—Diagnostic and Therapeutic Strategies
Authors: Sucher, Elisabeth; Sucher, Robert; Gradistanac, Tanja; Brandacher, Gerald; Schneeberger, Stefan; Berg, Thomas
Contributors: Universität Leipzig; Deutsche Forschungsgemeinschaft
Source: Journal of Immunology Research ; volume 2019, page 1-19 ; ISSN 2314-8861 2314-7156
Publisher Information: Wiley
Publication Year: 2019
Collection: Wiley Online Library (Open Access Articles via Crossref)
Description: Autoimmune hepatitis (AIH) is a severe liver disease that arises in genetically predisposed male and female individuals worldwide. Diagnosis of AIH is made clinically applying diagnostic scores; however, the heterotopic disease phenotype often makes a rapid determination of disease challenging. AIH responds favorably to steroids and pharmacologic immunosuppression, and liver transplantation is only necessary in cases with acute liver failure or end-stage liver cirrhosis. Recurrence or development of de novo AIH after transplantation is possible, and treatment is similar to standard AIH therapy. Current experimental investigations of T cell-mediated autoimmune pathways and analysis of changes within the intestinal microbiome might advance our knowledge on the pathogenesis of AIH and trigger a spark of hope for novel therapeutic strategies.
Document Type: article in journal/newspaper
Language: English
DOI: 10.1155/2019/9437043
Availability: https://doi.org/10.1155/2019/9437043; http://downloads.hindawi.com/journals/jir/2019/9437043.pdf; http://downloads.hindawi.com/journals/jir/2019/9437043.xml
Rights: http://creativecommons.org/licenses/by/4.0/
Accession Number: edsbas.EFFD4FA0
Database: BASE