Environmental factors in primary biliary cirrhosis.

Environmental factors in primary biliary cirrhosis.
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原发性胆汁性肝硬化的环境因素。

DOI:
10.1055/s-0034-1383726
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发表时间:
2014-08
影响因子:
4.2
通讯作者:
Lazaridis KN
Lazaridis KN
中科院分区:
医学2区
文献类型:
--
作者:
Juran BD;Lazaridis KN

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自身免疫性肝病原发性胆汁性肝硬化(PBC)的病因学在很大程度上仍未解决,这在很大程度上是由于疾病发展的环境和遗传因素之间相互作用的复杂性。对疾病聚类、地理患病率差异和诊出率季节性的观察表明,PBC的环境因素很强,流行病学研究一致发现吸烟和尿路感染史与PBC有关。目前的证据表明分子模仿是导致PBC耐受性丧失和随后的自身免疫的主要机制,但其他环境影响的疾病过程可能参与发病机制。在这篇综述中,作者概述了目前的研究结果,并探讨了PBC环境成分背后的潜在机制。
The etiology of the autoimmune liver disease primary biliary cirrhosis (PBC) remains largely unresolved, owing in large part to the complexity of interaction between environmental and genetic contributors underlying disease development. Observations of disease clustering, differences in geographical prevalence, and seasonality of diagnosis rates suggest the environmental component to PBC is strong, and epidemiological studies have consistently found cigarette smoking and history of urinary tract infection to be associated with PBC. Current evidence implicates molecular mimicry as a primary mechanism driving loss of tolerance and subsequent autoimmunity in PBC, yet other environmentally influenced disease processes are likely to be involved in pathogenesis. In this review, the authors provide an overview of current findings and touch on potential mechanisms behind the environmental component of PBC.
DOI: 10.1196/annals.1422.059
发表时间: 2007-01-01
期刊: AUTOIMMUNITY, PT D
影响因子: --
作者:
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