Treatment of Primary Biliary Cirrhosis: Therapy with Choleretic and Immunosuppressive Agents

被引:22
作者
Silveira, Marina G. [1 ]
Lindor, Keith D. [1 ]
机构
[1] Mayo Clin, Div Gastroenterol & Hepatol, Miles & Shirley Fiterman Ctr Digest Dis, Rochester, MN 55905 USA
关键词
D O I
10.1016/j.cld.2008.02.008
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Primary biliary cirrhosis (PBC) is a chronic cholestatic liver disease of presumed autoimmune etiology affecting predominantly middle-aged women; it is a slowly progressive disease causing loss of intrahepatic bile ducts, resulting hi advanced fibrosis, cirrhosis, and liver failure. Many drugs have been studied for treatment, including agents with choleretic and immunosuppressive properties. Ursodeoxycholic acid (UDCA) has been evaluated most widely. After fiver failure, the only effective treatment is liver transplantation. Effective therapy reduces the need for transplantation and improves life expectancy. For advanced liver disease or incomplete response to UDCA, new therapies to cure or retard the progression of disease in PBC are needed.
引用
收藏
页码:425 / +
页数:21
相关论文
共 112 条
[11]  
Batta AK, 1996, GASTROENTEROLOGY, V110, pA490
[12]  
Batts KP, 1996, AM J GASTROENTEROL, V91, P2314
[13]  
Bergasa NV, 1996, AM J GASTROENTEROL, V91, P295
[14]   Methotrexate improves biochemical tests in patients with primary biliary cirrhosis who respond incompletely to ursodiol [J].
Bonis, PAL ;
Kaplan, M .
GASTROENTEROLOGY, 1999, 117 (02) :395-399
[15]  
Broderick AL, 2002, HEPATOLOGY, V36, p337A
[16]   POSITIVE RESPONSES TO METHOTREXATE AND URSODEOXYCHOLIC ACID IN PATIENTS WITH PRIMARY BILIARY-CIRRHOSIS RESPONDING INSUFFICIENTLY TO URSODEOXYCHOLIC ACID ALONE [J].
BUSCHER, HP ;
ZIETZSCHMANN, Y ;
GEROK, W .
JOURNAL OF HEPATOLOGY, 1993, 18 (01) :9-14
[17]   Long-term ursodeoxycholic acid therapy for primary biliary cirrhosis: a follow-up to 12 years [J].
Chan, CW ;
Gunsar, F ;
Feudjo, M ;
Rigamonti, C ;
Vlachogiannakos, J ;
Carpenter, JR ;
Burroughs, AK .
ALIMENTARY PHARMACOLOGY & THERAPEUTICS, 2005, 21 (03) :217-226
[18]  
CHRISTENSEN E, 1980, GASTROENTEROLOGY, V78, P236
[19]   BENEFICIAL EFFECT OF AZATHIOPRINE AND PREDICTION OF PROGNOSIS IN PRIMARY BILIARY-CIRRHOSIS - FINAL RESULTS OF AN INTERNATIONAL TRIAL [J].
CHRISTENSEN, E ;
NEUBERGER, J ;
CROWE, J ;
ALTMAN, DG ;
POPPER, H ;
PORTMANN, B ;
DONIACH, D ;
RANEK, L ;
TYGSTRUP, N ;
WILLIAMS, R .
GASTROENTEROLOGY, 1985, 89 (05) :1084-1091
[20]   Methotrexate (MTX) plus ursodeoxycholic acid (UDCA) in the treatment of primary biliary cirrhosis [J].
Combes, B ;
Emerson, SS ;
Flye, NL ;
Munoz, SJ ;
Luketic, VA ;
Mayo, MJ ;
McCashland, TM ;
Zetterman, RK ;
Peters, MG ;
Di Bisceglie, AM ;
Benner, KG ;
Kowdley, KV ;
Carithers, RL ;
Rosoff, L ;
Garcia-Tsao, G ;
Boyer, JL ;
Boyer, TD ;
Martinez, EJ ;
Bass, NM ;
Lake, JR ;
Barnes, DS ;
Bonacini, M ;
Lindsay, KL ;
Mills, AS ;
Markin, RS ;
Rubin, R ;
West, AB ;
Wheeler, DE ;
Contos, MJ ;
Hofmann, AF .
HEPATOLOGY, 2005, 42 (05) :1184-1193