PRIMARY SCLEROSING CHOLANGITIS What is the role of ursodeoxycholic acid in therapy for PSC?

被引:8
作者
Chapman, Roger W. [1 ]
机构
[1] John Radcliffe Hosp, Dept Gastroenterol & Hepatol, Oxford OX3 7RN, England
关键词
MICE;
D O I
10.1038/nrgastro.2009.235
中图分类号
R57 [消化系及腹部疾病];
学科分类号
100201 [内科学];
摘要
Ursodeoxycholic acid (UDCA) is widely used for the treatment of chronic cholestatic liver diseases. however, a recent randomized, controlled trial has surprisingly shown that the use of high-dose UDCA in patients with primary sclerosing cholangitis (PSC) may be harmful; adverse events, such as death and liver transplantation, were significantly higher in patients who received UDCA compared with placebo.
引用
收藏
页码:74 / 75
页数:3
相关论文
共 10 条
[1]
High-Dose Ursodeoxycholic Acid in the Treatment of Primary Sclerosing Cholangitis: Throwing the Urso Out with the Bathwater? [J].
Chapman, Roger W. .
HEPATOLOGY, 2009, 50 (03) :671-673
[2]
High dose ursodeoxycholic acid for the treatment of primary sclerosing cholangitis is safe and effective [J].
Cullen, Susan N. ;
Rust, Christian ;
Fleming, Kenneth ;
Edwards, Cathryn ;
Beuers, Ulrich ;
Chapman, Roger W. .
JOURNAL OF HEPATOLOGY, 2008, 48 (05) :792-800
[3]
Ursodeoxycholic acid aggravates bile infarcts in bile duct-ligated and Mdr2 knockout mice via disruption of cholangioles [J].
Fickert, P ;
Zollner, G ;
Fuchsbichler, A ;
Stumptner, C ;
Weiglein, AH ;
Lammert, F ;
Marschall, HU ;
Tsybrovskyy, O ;
Zatloukal, K ;
Denk, H ;
Trauner, M .
GASTROENTEROLOGY, 2002, 123 (04) :1238-1251
[4]
Side Chain Structure Determines Unique Physiologic and Therapeutic Properties of norUrsodeoxycholic Acid in Mdr2-/- Mice [J].
Halilbasic, Emina ;
Fiorotto, Romina ;
Fickert, Peter ;
Marschall, Hanns-Ulrich ;
Moustafa, Tarek ;
Spirli, Carlo ;
Fuchsbichler, Andrea ;
Gumhold, Judith ;
Silbert, Dagmar ;
Zatloukal, Kurt ;
Langner, Cord ;
Maitra, Uday ;
Denk, Helmut ;
Hofmann, Alan F. ;
Strazabosco, Mario ;
Trauner, Michael .
HEPATOLOGY, 2009, 49 (06) :1972-1981
[5]
Harnois DM, 2001, AM J GASTROENTEROL, V96, P1558
[6]
Ursodiol for primary sclerosing cholangitis [J].
Lindor, KD .
NEW ENGLAND JOURNAL OF MEDICINE, 1997, 336 (10) :691-695
[7]
High-Dose Ursodeoxycholic Acid for the Treatment of Primary Sclerosing Cholangitis [J].
Lindor, Keith D. ;
Kowdley, Kris V. ;
Luketic, Velimir A. C. ;
Harrison, M. Edwyn ;
McCashland, Timothy ;
Befeler, Alex S. ;
Harnois, Denise ;
Jorgensen, Roberta ;
Petz, Jan ;
Keach, Jill ;
Mooney, Jody ;
Sargeant, Carol ;
Bernard, Tamara ;
King, Debra ;
Miceli, Ellen ;
Schmoll, Jeff ;
Hoskin, Tanya ;
Thapa, Prabin ;
Enders, Felicity .
HEPATOLOGY, 2009, 50 (03) :808-814
[8]
An update on primary sclerosing cholangitis [J].
Maggs, James R. L. ;
Chapman, Roger W. .
CURRENT OPINION IN GASTROENTEROLOGY, 2008, 24 (03) :377-383
[9]
High-dose ursodeoxycholic acid in primary sclerosing cholangitis:: A 5-year multicenter, randomized, controlled study [J].
Olsson, R ;
Boberg, KM ;
De Muckadell, OS ;
Lindgren, S ;
Hultcrantz, R ;
Folvik, G ;
Bell, H ;
Gangsoy-Kristiansen, M ;
Matre, J ;
Rydning, A ;
Wikman, O ;
Danielsson, Å ;
Sandberg-Gertzén, H ;
Ung, KA ;
Eriksson, A ;
Lööf, L ;
Prytz, H ;
Marschall, HL ;
Broomé, U .
GASTROENTEROLOGY, 2005, 129 (05) :1464-1472
[10]
A novel role for ursodeoxycholic acid in inhibiting apoptosis by modulating mitochondrial membrane perturbation [J].
Rodrigues, CMP ;
Fan, GS ;
Ma, XM ;
Kren, BT ;
Steer, CJ .
JOURNAL OF CLINICAL INVESTIGATION, 1998, 101 (12) :2790-2799