Antibodies against cytokeratin 8/18 in a patient with de novo autoimmune hepatitis after living-donor liver transplantation

被引:34
作者
Inui, A
Sogo, T
Komatsu, H
Miyakawa, H
Fujisawa, T
机构
[1] Int Univ Hlth & Welf, Dept Pediat, Atami Hosp, Atami, Shizuoka, Japan
[2] Natl Def Med Coll, Dept Pediat, Tokorozawa, Saitama, Japan
[3] Teikyo Univ, Sch Med, Dept Internal Med 4, Teikyo, Japan
关键词
D O I
10.1002/lt.20404
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Graft dysfunction mimicking autoimmune hepatitis rarely develops after liver transplantation for nonauto-immune disease. The mechanism(s) and causes of de novo autoimmune hepatitis are unknown. We examined autoantibodies serially in a patient with de novo autoimmune hepatitis and in patients without de novo autoimmune hepatitis after liver transplantation. Anticytokeratin 8/18 antibodies were detected in the first patient's sera after the onset of de novo autoimmune hepatitis, whereas other patients without de novo autoimmune hepatitis were seronegative throughout the follow-up period even with acute cellular rejection or other cause of liver dysfunction. In conclusion, the changes in cytokeratin 8/18 in hepatocytes might be one of the sources of pathogenesis of de novo autoimmune hepatitis after liver transplantation.
引用
收藏
页码:504 / 507
页数:4
相关论文
共 25 条
[1]   A SINGLE HUMAN KERATIN-18 GENE IS EXPRESSED IN DIVERSE EPITHELIAL-CELLS OF TRANSGENIC MICE [J].
ABE, M ;
OSHIMA, RG .
JOURNAL OF CELL BIOLOGY, 1990, 111 (03) :1197-1206
[2]   Antibodies against glutathione S-transferase T1 (GSTT1) in patients with de novo immune hepatitis following liver transplantation [J].
Aguilera, I ;
Wichmann, I ;
Sousa, JM ;
Bernardos, A ;
Franco, E ;
García-Lozano, JR ;
Núñez-Roldán, A .
CLINICAL AND EXPERIMENTAL IMMUNOLOGY, 2001, 126 (03) :535-539
[3]   International Autoimmune Hepatitis Group Report:: review of criteria for diagnosis of autoimmune hepatitis [J].
Alvarez, E ;
Berg, PA ;
Bianchi, FB ;
Bianchi, L ;
Burroughs, AK ;
Cancado, EL ;
Chapman, RW ;
Cooksley, WGE ;
Czaja, AJ ;
Desmet, VJ ;
Donaldson, RT ;
Eddleston, ALWF ;
Fainboim, L ;
Heathcote, J ;
Homberg, JC ;
Hoofnagle, JH ;
Kakumu, S ;
Krawitt, EL ;
Mackay, IR ;
MacSween, RNM ;
Maddrey, WC ;
Manns, MP ;
McFarlane, IG ;
zum Büschenfelde, KHM ;
Mieli-Vergani, G ;
Nakanuma, Y ;
Nishioka, M ;
Penner, E ;
Porta, G ;
Portmann, BC ;
Reed, WD ;
Rodes, J ;
Schalm, SW ;
Scheuer, PJ ;
Schrumpf, E ;
Seki, T ;
Toda, G ;
Tsuji, T ;
Tygstrup, N ;
Vergani, D ;
Zeniya, M .
JOURNAL OF HEPATOLOGY, 1999, 31 (05) :929-938
[4]   Posttransplant immune hepatitis in pediatric liver transplant recipients: Incidence and maintenance therapy with azathioprine [J].
Andries, S ;
Casamayou, L ;
Sempoux, C ;
Burlet, M ;
Reding, R ;
Otte, JB ;
Buts, JP ;
Sokal, E .
TRANSPLANTATION, 2001, 72 (02) :267-272
[5]   Late cellular rejection in paediatric liver transplantation: Aetiology and outcome [J].
D'Antiga, L ;
Dhawan, A ;
Portmann, B ;
Francavilla, R ;
Rela, M ;
Heaton, N ;
Mieli-Vergani, G .
TRANSPLANTATION, 2002, 73 (01) :80-84
[6]  
Demetris AJ, 1997, HEPATOLOGY, V25, P658
[7]   De novo hepatitis with autoimmune antibodies and atypical histology - A rare cause of late graft dysfunction after pediatric liver transplantation [J].
Gupta, P ;
Hart, J ;
Millis, JM ;
Cronin, D ;
Brady, L .
TRANSPLANTATION, 2001, 71 (05) :664-668
[8]  
Hadzic N, 2003, HEPATOLOGY, V38, p364A
[9]   Graft dysfunction mimicking autoimmune hepatitis following liver transplantation in adults [J].
Heneghan, MA ;
Portmann, BC ;
Norris, SM ;
Williams, R ;
Muiesan, P ;
Rela, M ;
Heaton, ND ;
O'Grady, JG .
HEPATOLOGY, 2001, 34 (03) :464-470
[10]   Autoimmune hepatitis as a late complication of liver transplantation [J].
Hernandez, HM ;
Kovarik, P ;
Whitington, PF ;
Alonso, EM .
JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION, 2001, 32 (02) :131-136