Related Experiment Video
Updated: May 16, 2026

Analysis of 18FDG PET/CT Imaging as a Tool for Studying Mycobacterium tuberculosis Infection and Treatment in Non-human Primates
Published on: September 5, 2017
Tuberculosis is not a risk factor for primary biliary cirrhosis: a review of the literature
Daniel S Smyk1, Dimitrios P Bogdanos, Albert Pares
1Institute of Liver Studies, King's College Hospital and Division of Transplantation Immunology and Mucosal Biology, School of Medicine, King's College London, London SE5 9RS, UK.
Insights
Primary biliary cirrhosis (PBC), a progressive liver disease, is often associated with granulomas. While Mycobacterium tuberculosis can cause granulomas, research suggests it is unlikely to be an infectious trigger for PBC.
Area of Science:
- Hepatology
- Immunology
- Infectious Diseases
Background:
- Primary biliary cirrhosis (PBC) is a progressive cholestatic liver disease characterized by cholestasis, antimitochondrial antibodies (AMA), chronic nonsuppurative cholangitis, and granulomata.
- The presence of granulomata in PBC and Mycobacterium tuberculosis being a common cause of granulomas has led to hypotheses of a causal link between tuberculosis and PBC.
Purpose of the Study:
- To comprehensively review and discuss evidence supporting or refuting an association between Mycobacterium tuberculosis infection and PBC.
- To explore immunological, microbiological, and epidemiological data regarding the potential link between tuberculosis exposure and PBC induction.
Main Methods:
- Review of serological and histological evidence connecting PBC and Mycobacterium tuberculosis.
- Analysis of immunological and microbiological findings related to PBC and tuberculosis exposure.
- Evaluation of large-scale epidemiological studies on PBC comorbidities and tuberculosis.
- Examination of genome-wide association studies in both tuberculosis and PBC patients.
Main Results:
- Investigated serological markers (e.g., AMA) and molecular evidence of Mycobacterium tuberculosis in PBC patients.
- Discussed immunological and microbiological data exploring the association of PBC with Mycobacterium tuberculosis exposure.
- Analyzed epidemiological data and genome-wide association studies concerning PBC and tuberculosis.
- Genome-wide association studies provide hints regarding the assumed association between Mycobacterium tuberculosis exposure and PBC induction.
Conclusions:
- Despite the granulomatous nature of PBC and Mycobacterium tuberculosis being a frequent cause of granulomas, current evidence suggests Mycobacterium tuberculosis is an unlikely infectious trigger for primary biliary cirrhosis.
Abstract:
Primary biliary cirrhosis (PBC) is a progressive cholestatic liver disease characterised serologically by cholestasis and the presence of high-titre antimitochondrial antibodies, and histologically by chronic nonsuppurative cholangitis and granulomata. As PBC is a granulomatous disease and Mycobacterium tuberculosis is the most frequent cause of granulomata, a causal relation between tuberculosis and PBC has been suggested. Attempts to find serological evidence of PBC-specific autoantibodies such as AMA have been made and, conversely, granulomatous livers from patients with PBC have been investigated for molecular evidence of Mycobacterium tuberculosis. This paper discusses in detail the reported data in support or against an association between Mycobacterium tuberculosis infection and PBC. We discuss the immunological and microbiological data exploring the association of PBC with exposure to Mycobacterium tuberculosis. We also discuss the findings of large epidemiologic studies investigating the association of PBC with preexistent or concomitant disorders and the relevance of these findings with tuberculosis. Genome-wide association studies in patients with tuberculosis as well as in patients with PBC provide conclusive hints regarding the assumed association between exposure to this mycobacterium and the induction of PBC. Analysis of these data suggest that Mycobacterium tuberculosis is an unlikely infectious trigger of PBC.
Related Concept Videos
Pulmonary Tuberculosis I
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Pulmonary Tuberculosis III
The first classification is based on the development of the disease, and it includes the following categories:
Pulmonary Tuberculosis II
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
Pulmonary Tuberculosis IV
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
Pulmonary Tuberculosis V
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the progression...
Chronic Bowel Disorders: Introduction
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...