EPSTEIN-BARR-VIRUS AS A TRIGGER FOR AUTOIMMUNE HEPATITIS IN SUSCEPTIBLE INDIVIDUALS

被引:149
作者
VENTO, S [1 ]
GUELLA, L [1 ]
MIRANDOLA, F [1 ]
CAINELLI, F [1 ]
DIPERRI, G [1 ]
SOLBIATI, M [1 ]
FERRARO, T [1 ]
CONCIA, E [1 ]
机构
[1] A PUGLIESE HOSP,INFECT DIS UNIT,CATANZARO,ITALY
来源
LANCET | 1995年 / 346卷 / 8975期
关键词
D O I
10.1016/S0140-6736(95)91438-2
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
During follow-up of healthy relatives of 13 patients with autoimmune hepatitis, seven cases of infectious mononucleosis due to Epstein-Barr virus (EBV) occurred. In two of these seven, before EBV infection, there was a defect in suppressor-inducer T lymphocytes specifically controlling immune responses to the asialoglycoprotein receptor, an antigen expressed on the hepatocyte surface. In these two, antibodies to this autoantigen persisted and increased after infectious mononucleosis, and autoimmune hepatitis developed within 4 months. In susceptible individuals, EBV is a trigger for autoimmune hepatitis.
引用
收藏
页码:608 / 609
页数:2
相关论文
共 10 条
  • [1] COYLE PV, 1989, LANCET, V1, P899
  • [2] MEETING REPORT - INTERNATIONAL-AUTOIMMUNE-HEPATITIS-GROUP
    JOHNSON, PJ
    MCFARLANE, IG
    ALVAREZ, F
    BIANCHI, FB
    BIANCHI, L
    BURROUGHS, A
    CHAPMAN, RW
    CZAJA, AJ
    DESMET, V
    EDDLESTON, ALWF
    GERBER, MA
    HOFFNAGLE, JH
    KAKUMU, S
    MACSWEEN, RNM
    MADDREY, WC
    MANNS, MP
    ZUMBUSCHENFELDE, KHM
    MIELIVERGANI, G
    PORTMANN, BC
    REED, WD
    SCHALM, SW
    SCHEUER, PJ
    TODA, G
    TSUJI, T
    TYGSTRUP, N
    VERGANI, D
    ZENIYA, M
    [J]. HEPATOLOGY, 1993, 18 (04) : 998 - 1005
  • [3] A RADIOIMMUNOASSAY FOR DETECTION OF CIRCULATING ANTIBODIES REACTING WITH THE HEPATIC ASIALOGLYCOPROTEIN RECEPTOR PROTEIN
    MCFARLANE, BM
    MCSORLEY, CG
    MCFARLANE, IG
    WILLIAMS, R
    [J]. JOURNAL OF IMMUNOLOGICAL METHODS, 1985, 77 (02) : 219 - 228
  • [4] OBRIEN CJ, 1986, LANCET, V2, P350
  • [5] SUTTON RNP, 1974, CLIN EXP IMMUNOL, V17, P427
  • [6] VENTO S, 1987, LANCET, V1, P886
  • [7] IDENTIFICATION OF HEPATITIS-A VIRUS AS A TRIGGER FOR AUTOIMMUNE CHRONIC HEPATITIS TYPE-1 IN SUSCEPTIBLE INDIVIDUALS
    VENTO, S
    GAROFANO, T
    DIPERRI, G
    DOLCI, L
    CONCIA, E
    BASSETTI, D
    [J]. LANCET, 1991, 337 (8751) : 1183 - 1187
  • [8] Vento S, 1990, Prog Liver Dis, V9, P335
  • [9] VENTO S, 1984, LANCET, V1, P1200
  • [10] PRIMARY SJOGRENS SYNDROME AFTER INFECTIOUS-MONONUCLEOSIS
    WHITTINGHAM, S
    MCNEILAGE, J
    MACKAY, IR
    [J]. ANNALS OF INTERNAL MEDICINE, 1985, 102 (04) : 490 - 493