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Published on: February 10, 2015
[Clinical-immunological research in chronic inflammatory diseases of the biliary tract]
A V Iepishyn1, P Ia Sherstiuk, N A Khabarova
1Kafedra propedevtyky vnutrishnikh khvorob, kafedra terapiï FPO Ternopol'skoï medychnoï akademiï im. I.Ia. Horbachevs'koho.
Insights
Immune system changes in chronic biliary diseases include reduced T-cells and increased B-cells, antibodies, and immune complexes. Gallstones and coexisting conditions worsen these immune alterations.
Area of Science:
- Immunology
- Gastroenterology
- Hepatology
- Pathophysiology
Context:
- Investigated the immune status of 123 patients diagnosed with chronic inflammatory diseases of the biliary system (CDBS).
- Focused on alterations during the acute phase of the disease.
- Examined the influence of specific complications like gallstones and coexisting liver or pancreatic inflammation.
Purpose:
- To conduct a comprehensive analysis of the immune system's state in patients with CDBS.
- To identify specific immune markers and their changes associated with chronic biliary inflammation.
- To assess how complications like cholelithiasis, reactive hepatitis, and pancreatitis impact immune dysregulation.
Summary:
- Observed a decrease in T-lymphocyte quantity and functional activity, including subpopulations.
- Noted a reduction in complement levels and blood serum lysozyme.
- Documented an increase in B-lymphocytes, serum IgG and IgM, circulating immune complexes (CIC), and antibody titers against gallbladder, liver, and pancreas tissues, alongside heightened lymphocyte sensitization to these antigens.
Impact:
- Revealed significant immune dysregulation in CDBS patients, characterized by both cellular and humoral immune system impairments.
- Highlighted that the presence of gallstones and concurrent conditions like reactive hepatitis or pancreatitis exacerbates immune system changes.
- Provides crucial insights into the complex immunological landscape of biliary tract diseases, potentially informing diagnostic and therapeutic strategies.
Abstract:
Complex investigation of the immune state of 123 patients with chronic inflammatory diseases of biliary system (CDBS) was conducted. The reduce of T-lymphocytes quantity and functional activity, their subpopulations, level of complement, the blood serum lysozyme, the increase of B-lymphocytes content, serumal IgG, IgM, circulating immune complexes (CIC), the antibodies titer to the gallbladder tissue, liver, pancreas, and level of the lymphocytes sensibilization to these antigens in the acute period of the disease. Presence of calculi in gallbladder, coexistence of cholecystitis with reactive hepatitis or pancreatitis caused more significant changes in immune system.
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