Cited by 287Liver Diseases and ImmunityLiver physiology and pathologyPediatric Hepatobiliary Diseases and Treatments

Pathogenesis of cholestatic liver disease and therapeutic approaches

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Hirschfield, Gideon M., Heathcote, E. Jenny, Gershwin, M. Eric·2010·Gastroenterology

Abstract

Cholestatic liver disorders are caused by genetic defects, mechanical aberrations, toxins, or dysregulations in the immune system that damage the bile ducts and cause accumulation of bile and liver tissue damage. They have common clinical manifestations and pathogenic features that include the responses of cholangiocytes and hepatocytes to injury. We review the features of bile acid transport, tissue repair and regulation, apoptosis, vascular supply, immune regulation, and cholangiocytes that are associated with cholestatic liver disorders. We now have a greater understanding of the physiology of cholangiocytes at the cellular and molecular levels, as well as genetic factors, repair pathways, and autoimmunity mechanisms involved in the pathogenesis of disease. These discoveries will hopefully lead to new therapeutic approaches for patients with cholestatic liver disease.

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Crossref · 10.1053/j.gastro.2010.09.004

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  • Bile acid-induced cell stress may occur both at the level of hepatocytes and cholangiocytes.

    “BA-induced cell stress may occur both at the level of hepatocytes (eg, via BA retention) and cholangiocytes (eg, via toxic bile composition and/or biliary stasis).5 14”

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  1. Lindor KD, Gershwin ME, Poupon R, et al. Primary biliary cirrho- sis. Hepatology 2009;50:291-308.

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Authors
Hirschfield, G. M., Heathcote, E. J., & Gershwin, M. E.
Affiliations
  • University of Toronto (CA)
  • University of California, Davis (US)
Corresponding author
Gershwin, M. Eric
Venue
Gastroenterology
Publisher
Elsevier BV
Published
2010-11
Volume
139
Issue
5
Pages
1481-1496
ISSN
0016-5085 (ISSN-L)
OpenAlex
W2079853302
Cited by
287
References
187
Citations by year
2026: 15 · 2025: 20 · 2024: 21 · 2023: 21 · 2022: 16 · 2021: 19 · 2020: 21 · 2019: 16 · 2018: 19 · 2017: 17 · 2016: 14 · 2015: 14 · 2014: 21 · 2013: 16 · 2012: 21
FWCI
2.32
Type
journal article
Language
en
Open access
Locations
  • Gastroenterology (publishedVersion)
  • PubMed (publishedVersion)
  • University of Birmingham Research Portal (University of Birmingham) (submittedVersion)
Funders
  • Canadian Institutes of Health Research (MOP74621)
  • National Institute of Diabetes and Digestive and Kidney Diseases (DK 39588)
Topics
  • Health Sciences › Medicine › Hepatology › Liver Diseases and Immunity
  • Health Sciences › Medicine › Hepatology › Liver physiology and pathology
  • Health Sciences › Medicine › Surgery › Pediatric Hepatobiliary Diseases and Treatments
Keywords
cholestatic liver disease, pathogenesis, cholangiocytes, bile acid transport, cholestasis, bile duct injury, hepatocyte injury, tissue repair, apoptosis, blood supply, immune regulation, autoimmunity, genetic disorders, treatment options
MeSH terms
Animals, Bile, Cholagogues and Choleretics, Cholestasis, Humans, Immunity, Cellular, Immunosuppressive Agents, Liver Cirrhosis, Biliary, Prognosis, Risk Factors, Ursodeoxycholic Acid, Cytokines, Apoptosis, Hepatocytes

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