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Related Concept Videos

Hepatitis01:25

Hepatitis

Hepatitis is an inflammatory condition of the liver most commonly caused by hepatotropic viruses (A–E), though non-infectious causes such as alcohol and drugs also exist.Hepatitis AHepatitis A virus (HAV) is a non-enveloped RNA virus of the Picornaviridae family. It is primarily transmitted via the fecal-oral route, typically through ingestion of contaminated food or water. After ingestion, HAV enters the bloodstream through the oropharynx or intestinal epithelium and reaches the liver. The...
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Inhibitors of Viral Protein Synthesis

Protein synthesis is indispensable for viral replication, as viruses lack the cellular machinery required for this process and must hijack the host's translational apparatus. In response, host cells deploy a critical innate immune defense involving interferons, specialized cytokines that play a central role in inhibiting viral propagation.Upon viral detection, infected cells release interferons that bind to receptors on adjacent uninfected cells, activating the JAK-STAT signaling pathway and...
Viral Hepatitis I: Introduction01:28

Viral Hepatitis I: Introduction

Viral hepatitis is an inflammatory condition of the liver caused by infection with hepatotropic viruses, most commonly hepatitis A, B, C, D, and E. Despite variations in structure and transmission, all viruses mentioned infect hepatocytes and provoke immune responses that can hinder liver function. Additionally, some non-hepatotropic viruses can also lead to hepatic inflammation.Hepatitis A VirusHepatitis A virus (HAV) is transmitted through the fecal–oral route, typically by ingestion of food...
Cirrhosis II: Pathophysiology01:24

Cirrhosis II: Pathophysiology

Cirrhosis is a progressive chronic liver injury caused by prolonged inflammation, excessive fibrotic remodeling, and impaired regeneration. Over time, repeated hepatic insults disrupt the liver’s architecture and function, leading to reduced blood flow, impaired bile drainage, and diminished metabolic capacity.Pathophysiology of cirrhosisCirrhosis arises from three main responses to chronic liver damage: inflammation, immune activation, and hepatocyte death. These processes lead to structural...
Chronic Pancreatitis I: Introduction01:25

Chronic Pancreatitis I: Introduction

Chronic pancreatitis is a long-standing, relapsing inflammation of the pancreas, characterized by irreversible damage to the gland. It results in progressive destruction of the pancreatic parenchyma, fibrosis, and eventual loss of both exocrine and endocrine function. The disease may evolve gradually after multiple episodes of acute pancreatitis or develop independently.EtiologyChronic pancreatitis can arise from a variety of causes:Alcohol use is the leading cause, accounting for 70–80% of...
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Chronic Pancreatitis II: Pathophysiology

Chronic pancreatitis is a progressive and irreversible inflammation of the pancreas, most often caused by long-term alcohol abuse, but it can also be related to ductal obstruction, smoking, or genetic factors.Chronic pancreatitis occurs when the pancreas is repeatedly exposed to harmful agents like alcohol, smoking, ductal obstruction, or genetic predisposition. These factors lead to the release of toxic metabolites and inflammatory cytokines, sustaining chronic inflammation in the pancreatic...

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The CYP2D6 Animal Model: How to Induce Autoimmune Hepatitis in Mice
09:03

The CYP2D6 Animal Model: How to Induce Autoimmune Hepatitis in Mice

Published on: February 3, 2012

Interferon-induced chronic active hepatitis?

M O Silva1, K R Reddy, L J Jeffers

  • 1Division of Hepatology, University of Miami School of Medicine, Florida.

Gastroenterology
|September 1, 1991
PubMed
Summary
This summary is machine-generated.

Interferon alfa treatment for chronic hepatitis B may trigger autoimmune hepatitis, leading to severe liver damage. Prednisone treatment showed significant improvement, suggesting an autoimmune mechanism.

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Area of Science:

  • Hepatology
  • Immunology
  • Internal Medicine

Background:

  • Chronic hepatitis B is a significant global health concern.
  • Interferon alfa is a common treatment for chronic hepatitis B.
  • Viral eradication does not always resolve liver inflammation.

Observation:

  • A patient treated with interferon alfa for chronic hepatitis B developed jaundice, ascites, and encephalopathy despite viral clearance.
  • The patient exhibited hyperglobulinemia (Immunoglobulin G), smooth muscle antibodies, and anti-nuclear antibodies.
  • These findings suggested an autoimmune process.

Findings:

  • Treatment with prednisone resulted in significant clinical and biochemical improvement.
  • The patient's autoimmune features and liver dysfunction resolved with immunosuppression.
  • This suggests a link between interferon alfa therapy and the development of autoimmune hepatitis.

Implications:

  • Interferon alfa may induce or unmask autoimmune hepatitis in susceptible individuals.
  • Monitoring for autoimmune markers and liver function is crucial during interferon alfa therapy.
  • Further research is needed to elucidate the precise autoimmune mechanisms involved.