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2017 ; 23
(8
): 1345-1352
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gab.com Text
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Autoantibody profiles in autoimmune hepatitis and chronic hepatitis C identifies
similarities in patients with severe disease
#MMPMID28293081
Amin K
; Rasool AH
; Hattem A
; Al-Karboly TA
; Taher TE
; Bystrom J
World J Gastroenterol
2017[Feb]; 23
(8
): 1345-1352
PMID28293081
show ga
AIM: To determine how the auto-antibodies (Abs) profiles overlap in chronic
hepatitis C infection (CHC) and autoimmune hepatitis (AIH) and correlate to liver
disease. METHODS: Levels of antinuclear Ab, smooth muscle antibody (SMA) and
liver/kidney microsomal-1 (LKM-1) Ab and markers of liver damage were determined
in the sera of 50 patients with CHC infection, 20 AIH patients and 20 healthy
controls using enzyme linked immunosorbent assay and other immune assays.
RESULTS: We found that AIH patients had more severe liver disease as determined
by elevation of total IgG, alkaline phosphatase, total serum bilirubin and serum
transaminases and significantly higher prevalence of the three non-organ-specific
autoantibodies (auto-Abs) than CHC patients. Antinuclear Ab, SMA and LKM-1 Ab
were also present in 36% of CHC patients and related to disease severity. CHC
cases positive for auto-Abs were directly comparable to AIH in respect of most
markers of liver damage and total IgG. These cases had longer disease duration
compared with auto-Ab negative cases, but there was no difference in gender, age
or viral load. KLM-1(+) Ab CHC cases showed best overlap with AIH. CONCLUSION:
Auto-Ab levels in CHC may be important markers of disease severity and positive
cases have a disease similar to AIH. Auto-Abs might have a pathogenic role as
indicated by elevated markers of liver damage. Future studies will unravel any
novel associations between these two diseases, whether genetic or other.