Biomarkers for primary biliary cholangitis: current perspectives.

IF 2.6 Q2 GASTROENTEROLOGY & HEPATOLOGY
Hepatic Medicine : Evidence and Research Pub Date : 2018-06-18 eCollection Date: 2018-01-01 DOI:10.2147/HMER.S135337
Elias Kouroumalis, Demetrius Samonakis, Argyro Voumvouraki
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引用次数: 17

Abstract

Primary biliary cholangitis (PBC) is a chronic progressive cholestatic disease characterized by destruction of small- and medium-sized intrahepatic bile ducts. It is no longer a rare disease, since many new asymptomatic cases are incidentally identified. Liver biopsy is diagnostically critical but not always feasible or practical to be performed. Many potential, noninvasive, markers have been proposed to replace liver biopsy and further provide the assessment of disease severity and ultimate prognosis. In this review, we evaluated serum biomarkers proposed for diagnosis, extent of fibrosis, disease prognosis and attempts for early prediction of treatment response. Older biochemical and immunological markers are presented along with recent reports including the role of microRNAs and promising results based on proteomics and metabolomics.

原发性胆管炎的生物标志物:目前的观点。
原发性胆管炎(PBC)是一种慢性进行性胆汁淤积性疾病,其特征是中小型肝内胆管的破坏。它不再是一种罕见的疾病,因为许多新的无症状病例被偶然发现。肝活检在诊断上是至关重要的,但并不总是可行或实用的。许多潜在的、无创的标志物已经被提出来取代肝活检,并进一步提供疾病严重程度和最终预后的评估。在这篇综述中,我们评估了用于诊断、纤维化程度、疾病预后和早期预测治疗反应的血清生物标志物。旧的生化和免疫学标记物与最近的报告一起提出,包括microrna的作用和基于蛋白质组学和代谢组学的有希望的结果。
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来源期刊
Hepatic Medicine : Evidence and Research
Hepatic Medicine : Evidence and Research GASTROENTEROLOGY & HEPATOLOGY-
自引率
0.00%
发文量
15
审稿时长
16 weeks
期刊介绍: Hepatic Medicine: Evidence and Research is an international, peer-reviewed, open access, online journal. Publishing original research, reports, editorials, reviews and commentaries on all aspects of adult and pediatric hepatology in the clinic and laboratory including the following topics: Pathology, pathophysiology of hepatic disease Investigation and treatment of hepatic disease Pharmacology of drugs used for the treatment of hepatic disease Although the main focus of the journal is to publish research and clinical results in humans; preclinical, animal and in vitro studies will be published where they will shed light on disease processes and potential new therapies. Issues of patient safety and quality of care will also be considered. As of 1st April 2019, Hepatic Medicine: Evidence and Research will no longer consider meta-analyses for publication.
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