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10.1002/hep.28568

http://scihub22266oqcxt.onion/10.1002/hep.28568
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C5017301!5017301 !27015613
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suck abstract from ncbi


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pmid27015613
      Hepatology 2016 ; 64 (2 ): 501-7
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  • Immunoglobulin G4(+) B-cell receptor clones distinguish immunoglobulin G 4-related disease from primary sclerosing cholangitis and biliary/pancreatic malignancies #MMPMID27015613
  • Doorenspleet ME ; Hubers LM ; Culver EL ; Maillette de Buy Wenniger LJ ; Klarenbeek PL ; Chapman RW ; Baas F ; van de Graaf SF ; Verheij J ; van Gulik TM ; Barnes E ; Beuers U ; de Vries N
  • Hepatology 2016[Aug]; 64 (2 ): 501-7 PMID27015613 show ga
  • Immunoglobulin G4 (IgG4)-related disease (IgG4-RD) of the biliary tree and pancreas is difficult to distinguish from sclerosing cholangitis and biliary/pancreatic malignancies (CA). An accurate noninvasive test for diagnosis and monitoring of disease activity is lacking. We demonstrate that dominant IgG4(+) B-cell receptor (BCR) clones determined by next-generation sequencing accurately distinguish patients with IgG4-associated cholangitis/autoimmune pancreatitis (n = 34) from those with primary sclerosing cholangitis (n = 17) and CA (n = 17). A novel, more affordable, and widely applicable quantitative polymerase chain reaction (qPCR) protocol analyzing the IgG4/IgG RNA ratio in blood also achieves excellent diagnostic accuracy (n = 125). Moreover, this qPCR test performed better than serum IgG4 levels in sensitivity (94% vs. 86%) and specificity (99% vs. 73%) and correlates with treatment response (n = 20). CONCLUSIONS: IgG4(+) BCR clones and IgG4/IgG RNA ratio markedly improve delineation, early diagnosis, and monitoring of IgG4-RD of the biliary tree and pancreas. (Hepatology 2016;64:501-507).
  • |Aged [MESH]
  • |Aged, 80 and over [MESH]
  • |Bile Duct Diseases/*diagnosis/immunology [MESH]
  • |Case-Control Studies [MESH]
  • |Diagnosis, Differential [MESH]
  • |Female [MESH]
  • |Humans [MESH]
  • |Immunoglobulin G/*blood [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]


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