中文English
ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R
Volume 37 Issue 10
Oct.  2021
Turn off MathJax
Article Contents

Considerations on the elevation of aminotransferases in primary biliary cholangitis

DOI: 10.3969/j.issn.1001-5256.2021.10.005
Research funding:

National Natural Science Foundation of China (82070581);

National Natural Science Foundation of China (81790634)

  • Received Date: 2021-09-12
  • Accepted Date: 2021-09-12
  • Published Date: 2021-10-20
  • Primary biliary cholangitis (PBC) is an autoimmune-mediated chronic cholestatic liver disease, with the typical biochemical manifestation of significantly elevated alkaline phosphatase (ALP) and gamma-glutamyl transpeptidase (GGT), with or without mild-to-moderate elevation of aminotransferases. ALP and GGT play an important role in the diagnosis and monitoring of PBC. With a deeper understanding of PBC, the significance of elevated aminotransferases in diagnosis and treatment has attracted more and more attention. This article briefly summarizes the significance of elevation of aminotransferases in PBC patients.

     

  • loading
  • [1]
    LINDOR KD, BOWLUS CL, BOYER J, et al. Primary biliary cholangitis: 2018 practice guidance from the American Association for the Study of Liver Diseases[J]. Hepatology, 2019, 69(1): 394-419. DOI: 10.1002/hep.30145.
    [2]
    European Association for the Study of the Liver. EASL Clinical Practice Guidelines: The diagnosis and management of patients with primary biliary cholangitis[J]. J Hepatol, 2017, 67(1): 145-172. DOI: 10.1016/j.jhep.2017.03.022.
    [3]
    ZHANG FC, WANG L, SHUAI ZW, et al. Recommendations for diagnosis and treatment of primary biliary cholangitis in China (2021)[J]. Chin J Intern Med, 2021, 60(8): 709-715. DOI: 10.3760/cma.j.cn112138-20210520-00360.

    张奉春, 王立, 帅宗文, 等. 原发性胆汁性胆管炎诊疗规范(2021)[J]. 中华内科杂志, 2021, 60(8): 709-715. DOI: 10.3760/cma.j.cn112138-20210520-00360.
    [4]
    GULAMHUSEIN AF, HIRSCHFIELD GM. Primary biliary cholangitis: Pathogenesis and therapeutic opportunities[J]. Nat Rev Gastroenterol Hepatol, 2020, 17(2): 93-110. DOI: 10.1038/s41575-019-0226-7.
    [5]
    The Study of Drug Induced Liver Disease of Chinese. Diagnosis and treatment guideline on drug-induced liver injury[J]. J Prac Hepatol, 2017, 20(2): After insert 1-After insert 18. DOI: 10.3969/j.issn.1672-5069.2017.02.039.

    中华医学会肝病学分会药物性肝病学组. 药物性肝损伤诊治指南[J]. 实用肝脏病杂志, 2017, 20(2): 后插1-后插18. DOI: 10.3969/j.issn.1672-5069.2017.02.039.
    [6]
    Chinese Society of Health Management, Chinese Society of Hepatology, Chinese Society of Laboratory Medicine. Expert consensus on viral hepatitis health management (2021)[J]. Chin J Health Manage, 2021, 15(4): 323-331. DOI: 10.3760/cma.j.cn115624-20210531-00305.

    中华医学会健康管理学分会, 中华医学会肝病学分会, 中华医学会检验医学分会. 病毒性肝炎健康管理专家共识(2021年)[J]. 中华健康管理学杂志, 2021, 15(4): 323-331. DOI: 10.3760/cma.j.cn115624-20210531-00305.
    [7]
    POUPON R, CHAZOUILLÈRES O, BALKAU B, et al. Clinical and biochemical expression of the histopathological lesions of primary biliary cirrhosis. UDCA-PBC Group[J]. J Hepatol, 1999, 30(3): 408-412. DOI: 10.1016/s0168-8278(99)80098-1.
    [8]
    JIANG X, LIAN M, LI Y, et al. The immunobiology of mucosal-associated invariant T cell (MAIT) function in primary biliary cholangitis: Regulation by cholic acid-induced Interleukin-7[J]. J Autoimmun, 2018, 90: 64-75. DOI: 10.1016/j.jaut.2018.01.007.
    [9]
    FÄRKKILÄ M, RAUTIAINEN H, KÄRKKÄINEN P, et al. Serological markers for monitoring disease progression in noncirrhotic primary biliary cirrhosis on ursodeoxycholic acid therapy[J]. Liver Int, 2008, 28(6): 787-797. DOI: 10.1111/j.1478-3231.2008.01722.x.
    [10]
    Chinese Society of Hepatology, Chinese Medical Association; Chinese Society of Gastroenterology, Chinese Medical Association; Chinese Society of Infectious Diseases, Chinese Medical Association. Consensus on the diagnosis and management of primary biliary cirrhosis (cholangitis)(2015)[J]. J Clin Hepatol, 2015, 31(12): 1980-1988. DOI: 10.3969/j.issn.1001-5256.2015.12.004.

    中华医学会肝病学分会, 中华医学会消化病学分会, 中华医学会感染病学分会. 原发性胆汁性肝硬化(又名原发性胆汁性胆管炎)诊断和治疗共识(2015)[J]. 临床肝胆病杂志, 2015, 31(12): 1980-1988. DOI: 10.3969/j.issn.1001-5256.2015.12.004.
    [11]
    LAMMERS WJ, van BUUREN HR, HIRSCHFIELD GM, et al. Levels of alkaline phosphatase and bilirubin are surrogate end points of outcomes of patients with primary biliary cirrhosis: An international follow-up study[J]. Gastroenterology, 2014, 147(6): 1338-1349. e5; quiz e15. DOI: 10.1053/j.gastro.2014.08.029.
    [12]
    CARBONE M, SHARP SJ, FLACK S, et al. The UK-PBC risk scores: Derivation and validation of a scoring system for long-term prediction of end-stage liver disease in primary biliary cholangitis[J]. Hepatology, 2016, 63(3): 930-950. DOI: 10.1002/hep.28017.
    [13]
    FAN X, MEN R, NI P, et al. Concomitant systemic lupus erythematosus might have a negative impact on the biochemical responses to treatment in patients with primary biliary cholangitis[J]. Clin Rheumatol, 2020, 39(3): 795-803. DOI: 10.1007/s10067-019-04853-2.
    [14]
    CORPECHOT C, CHAZOUILLÈRES O, ROUSSEAU A, et al. A placebo-controlled trial of bezafibrate in primary biliary cholangitis[J]. N Engl J Med, 2018, 378(23): 2171-2181. DOI: 10.1056/NEJMoa1714519.
    [15]
    TANAKA A, HIROHARA J, NAKANO T, et al. Association of bezafibrate with transplant-free survival in patients with primary biliary cholangitis[J]. J Hepatol, 2021, 75(3): 565-571. DOI: 10.1016/j.jhep.2021.04.010.
    [16]
    CARRION AF, LINDOR KD, LEVY C. Safety of fibrates in cholestatic liver diseases[J]. Liver Int, 2021, 41(6): 1335-1343. DOI: 10.1111/liv.14871.
    [17]
    PRINCE MI, BURT AD, JONES DE. Hepatitis and liver dysfunction with rifampicin therapy for pruritus in primary biliary cirrhosis[J]. Gut, 2002, 50(3): 436-439. DOI: 10.1136/gut.50.3.436.
    [18]
    POUPON R, CHAZOUILLERES O, CORPECHOT C, et al. Development of autoimmune hepatitis in patients with typical primary biliary cirrhosis[J]. Hepatology, 2006, 44(1): 85-90. DOI: 10.1002/hep.21229.
    [19]
    CHAZOUILLÈRES O, WENDUM D, SERFATY L, et al. Primary biliary cirrhosis-autoimmune hepatitis overlap syndrome: Clinical features and response to therapy[J]. Hepatology, 1998, 28(2): 296-301. DOI: 10.1002/hep.510280203.
    [20]
    WANG Q, SELMI C, ZHOU X, et al. Epigenetic considerations and the clinical reevaluation of the overlap syndrome between primary biliary cirrhosis and autoimmune hepatitis[J]. J Autoimmun, 2013, 41: 140-145. DOI: 10.1016/j.jaut.2012.10.004.
    [21]
    OZASLAN E, EFE C, HEURGUÉ-BERLOT A, et al. Factors associated with response to therapy and outcome of patients with primary biliary cirrhosis with features of autoimmune hepatitis[J]. Clin Gastroenterol Hepatol, 2014, 12(5): 863-869. DOI: 10.1016/j.cgh.2013.09.021.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Article Metrics

    Article views (999) PDF downloads(163) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return