Mitochondrial Antigens As Targets of Cellular and Humoral Auto-immunity in Primary Biliary Cirrhosis
Overview
Affiliations
Several factors point toward an auto-immune pathogenesis for primary biliary cirrhosis(PBC), mostly based on the presence of serum auto-antibodies to mitochondrial antigens(AMAs) and autoreactive T cells (both helper and cytotoxic). Interestingly, epitopes recognized by AMA and T-cell clones are located within overlapping areas of the antigens. Moreover,a role for an imbalance in cytokine pattern and for natural-killer lymphocytes has also been proposed. Despite several experimental reports, no clear evidence is available regarding the interaction of these factors leading to bile duct destruction. This article reviews the current reports regarding the auto-immune reaction against mitochondrial auto-antigens in PBC.
Zhao Y, Wei S, Chen L, Zhou X, Ma X Front Immunol. 2023; 14:1164202.
PMID: 37457696 PMC: 10349375. DOI: 10.3389/fimmu.2023.1164202.
Zhao S, Li W, Fu N, Zhou G, Liu S, Jiang L J Cell Mol Med. 2019; 24(2):1268-1275.
PMID: 31851780 PMC: 6991671. DOI: 10.1111/jcmm.14752.
Advances in pharmacotherapy for primary biliary cirrhosis.
Mousa H, Lleo A, Invernizzi P, Bowlus C, Gershwin M Expert Opin Pharmacother. 2014; 16(5):633-43.
PMID: 25543678 PMC: 4591873. DOI: 10.1517/14656566.2015.998650.
Role of cholangiocytes in primary biliary cirrhosis.
Lleo A, Maroni L, Glaser S, Alpini G, Marzioni M Semin Liver Dis. 2014; 34(3):273-84.
PMID: 25057951 PMC: 4182310. DOI: 10.1055/s-0034-1383727.
Cutting-edge issues in primary biliary cirrhosis.
Folci M, Meda F, Gershwin M, Selmi C Clin Rev Allergy Immunol. 2011; 42(3):342-54.
PMID: 21243445 DOI: 10.1007/s12016-011-8253-3.