Mutations in bile salt export pump (ABCB11) in two children with progressive familial intrahepatic cholestasis and cholangiocarcinoma

被引:88
作者
Scheimann, A. O.
Strautnieks, S. S.
Knisely, A. S.
Byrne, J. A.
Thompson, R. J.
Finegold, M. J.
机构
[1] Johns Hopkins Sch Med, Div Pediat Gastroenterol & Nutr, Dept Pediat, Baltimore, MD 21287 USA
[2] Kings Coll London, Sch Med, Div Gene & Cell Based Therapy, Dept Liver Studies & Transplantat, London WC2R 2LS, England
[3] Kings Coll Hosp London, Inst Liver Studies, London SE5 8RX, England
[4] Baylor Coll Med, Dept Pathol, Houston, TX 77030 USA
关键词
D O I
10.1016/j.jpeds.2007.02.030
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Fatal peripheral cholangiocarcinoma developed in 2 girls with progressive familial intrahepatic cholestasis, ABCB11 mutations, and absent bile salt export pump (BSEP) expression. BSEP deficiency may cause cholangiocarcinoma through bile-composition shifts or bile-acid damage within cells capable of hepatocytic/cholangiocytic differentiation. This observation suggests the need for hepatobiliary-malignancy surveillance and early consideration for liver transplantation.
引用
收藏
页码:556 / 559
页数:4
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