Familial cholestasis: Progressive familial intrahepatic cholestasis, benign recurrent intrahepatic cholestasis and intrahepatic cholestasis of pregnancy

Progressive familial intrahepatic cholestasis (PFIC) type 1, 2 and 3 are due to mutations in ATP8B1 , ABCB11 and ABCB4 , respectively. Each of these genes encodes a hepatocanalicular transporter, which is essential for the proper formation of bile. Mutations in ABCB4 can result in progressive choles...

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Veröffentlicht in:Baillière's best practice & research. Clinical gastroenterology 2010-10, Vol.24 (5), p.541-553
Hauptverfasser: van der Woerd, Wendy L., MD, van Mil, Saskia W.C., PhD, Stapelbroek, Janneke M., MD, PhD, Klomp, Leo W.J., PhD, van de Graaf, Stan F.J., PhD, Houwen, Roderick H.J., MD, PhD
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container_issue 5
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container_title Baillière's best practice & research. Clinical gastroenterology
container_volume 24
creator van der Woerd, Wendy L., MD
van Mil, Saskia W.C., PhD
Stapelbroek, Janneke M., MD, PhD
Klomp, Leo W.J., PhD
van de Graaf, Stan F.J., PhD
Houwen, Roderick H.J., MD, PhD
description Progressive familial intrahepatic cholestasis (PFIC) type 1, 2 and 3 are due to mutations in ATP8B1 , ABCB11 and ABCB4 , respectively. Each of these genes encodes a hepatocanalicular transporter, which is essential for the proper formation of bile. Mutations in ABCB4 can result in progressive cholestatic disease, while mutations in ATP8B1 and ABCB11 can result both in episodic cholestasis, referred to as benign recurrent intrahepatic cholestasis (BRIC) type 1 and 2, as well as in progressive cholestatic disease. This suggests a clinical continuum and these diseases are therefore preferably referred to as ATP8B1 deficiency and ABCB11 deficiency. Similarly PFIC type 3 is designated as ABCB4 deficiency. Heterozygous mutations in each of these transporters can also be associated with intrahepatic cholestasis of pregnancy. This review summarizes the pathophysiology, clinical features and current as well as future therapeutic options for progressive familial- and benign recurrent intrahepatic cholestasis as well as intrahepatic cholestasis of pregnancy.
doi_str_mv 10.1016/j.bpg.2010.07.010
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subjects ABCB11
ABCB4
Adenosine Triphosphatases - genetics
ATP Binding Cassette Subfamily B Member 11
ATP Binding Cassette Transporter, Sub-Family B - genetics
ATP-Binding Cassette Transporters - genetics
ATP8B1
Benign recurrent intrahepatic cholestasis
Bile Acids and Salts - analysis
BRIC
Cholestasis, Intrahepatic - classification
Cholestasis, Intrahepatic - diagnosis
Cholestasis, Intrahepatic - etiology
Cholestasis, Intrahepatic - genetics
Cholestasis, Intrahepatic - physiopathology
Cholestasis, Intrahepatic - therapy
Disease Progression
Female
Gastroenterology and Hepatology
Humans
ICP
Intrahepatic cholestasis of pregnancy
Mutation
PFIC
Pregnancy
Pregnancy Complications - etiology
Pregnancy Complications - genetics
Pregnancy Complications - therapy
Progressive familial intrahepatic cholestasis
Recurrence
Ursodeoxycholic Acid - therapeutic use
title Familial cholestasis: Progressive familial intrahepatic cholestasis, benign recurrent intrahepatic cholestasis and intrahepatic cholestasis of pregnancy
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