Bacteria and Primary Biliary Cirrhosis

被引:74
作者
Bogdanos, Dimitrios P. [1 ]
Vergani, Diego [1 ]
机构
[1] Kings Coll Hosp, Kings Coll London, Sch Med, Inst Liver Studies, London SE5 9RS, England
关键词
Autoimmunity; Autoimmune disease; Bile ducts; Cholestasis; Liver; Immunity; Tolerance; PYRUVATE-DEHYDROGENASE COMPLEX; HEPATITIS-C VIRUS; IMMUNOLOGICAL CROSS-REACTIVITY; AUTOIMMUNE LIVER-DISEASE; REGULATORY T-CELLS; PRIMARY SCLEROSING CHOLANGITIS; URINARY-TRACT-INFECTION; HEAT-SHOCK-PROTEIN; MOLECULAR MIMICRY; ANTIMITOCHONDRIAL ANTIBODIES;
D O I
10.1007/s12016-008-8087-9
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
Infectious agents have been postulated to play a pathogenic role in the loss of immunological tolerance and the induction of primary biliary cirrhosis, an immune-mediated cholestatic liver disease characterized by progressive destruction of the small intrahepatic bile ducts and subsequent cirrhosis and liver failure. This review discusses emerging issues implicating infectious agents such as Escherichia coli, mycobacteria, chlamydia, helicobacter species, lactobacilli, Novosphingobium aromaticivorans, and betaretroviruses in the pathogenesis of primary biliary cirrhosis. We also review the immunopathological mechanisms responsible for the induction of the disease with special emphasis on the role of molecular mimicry and microbial/self immunological cross-reactivity.
引用
收藏
页码:30 / 39
页数:10
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