Genetic and familial considerations of primary biliary cirrhosis

Atsushi Tanaka, Andrea T. Borchers, Hiromi Ishibashi, Aftab A. Ansari, Carl L Keen, M. Eric Gershwin

Research output: Contribution to journalReview article

54 Citations (Scopus)

Abstract

The genetic basis of human autoimmune diseases is receiving increasing attention. Primary biliary cirrhosis (PBC) is a model autoimmune disease reflective of other organ-specific autoimmune pathology. PBC is an enigmatic autoimmune disease that predominantly affects women and leads to destruction of intrahepatic bile ducts. The serological hallmark of this disease is characterized by antimitochondrial antibodies that specifically react with the E2 components of 2-oxodehydrogenase enzymes, including PDC-E2. There are no clear major histocompatibility complex associations with the development of PBC, despite the observation that first-degree relations of index patients with PBC have a 4-6% prevalence of development of PBC. This risk factor is comparable or higher than any other human autoimmune disease and suggests that a genome-wide approach towards dissection of genetic associations would lead to valuable new insights. In this review, we place these concepts in perspective and highlight in particular the genetic associations in PBC and the importance of studying siblings with PBC who are concordant for disease.

Original languageEnglish (US)
Pages (from-to)8-15
Number of pages8
JournalAmerican Journal of Gastroenterology
Volume96
Issue number1
DOIs
StatePublished - 2001

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Biliary Liver Cirrhosis
Autoimmune Diseases
Intrahepatic Bile Ducts
Medical Genetics
Familial primary biliary cirrhosis
Major Histocompatibility Complex
Dissection
Siblings
Genome
Pathology
Antibodies
Enzymes

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Genetic and familial considerations of primary biliary cirrhosis. / Tanaka, Atsushi; Borchers, Andrea T.; Ishibashi, Hiromi; Ansari, Aftab A.; Keen, Carl L; Gershwin, M. Eric.

In: American Journal of Gastroenterology, Vol. 96, No. 1, 2001, p. 8-15.

Research output: Contribution to journalReview article

Tanaka, Atsushi ; Borchers, Andrea T. ; Ishibashi, Hiromi ; Ansari, Aftab A. ; Keen, Carl L ; Gershwin, M. Eric. / Genetic and familial considerations of primary biliary cirrhosis. In: American Journal of Gastroenterology. 2001 ; Vol. 96, No. 1. pp. 8-15.
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