KEGG   DISEASE: Primary biliary cholangitis
Entry
H01467                      Disease                                
Name
Primary biliary cholangitis;
Primary biliary cirrhosis
Description
Primary biliary cholangitis (PBC), formerly known as primary biliary cirrhosis, is a chronic, progressive cholestatic liver disease characterised by destruction of small intrahepatic bile ducts, eventually leading to fibrosis and potential cirrhosis. Patients are usually middle-aged women and presents in the fifth or sixth decade of life. The most common symptoms are pruritus. It is not clear what causes PBC. It may be relate to problems in the autoimmune mechanism. The increased risk of genetic predisposition and environmental factors (infectious or toxic agents) trigger the disease. Ursodeoxycholic acid is currently the only medicine approved for the treatment of the disease.
Category
Digestive system disease
Brite
Human diseases in ICD-11 classification [BR:br08403]
 13 Diseases of the digestive system
  Diseases of liver
   DB96  Autoimmune liver disease
    H01467  Primary biliary cholangitis
Drug
Ursodiol [DR:D00734]
Obeticholic acid [DR:D09360]
Elafibranor [DR:D11208]
Seladelpar lysine [DR:D11257]
Other DBs
ICD-11: DB96.1
MeSH: D008105
OMIM: 109720
Reference
  Authors
Tsuneyama K, Baba H, Morimoto Y, Tsunematsu T, Ogawa H
  Title
Primary Biliary Cholangitis: Its Pathological Characteristics and Immunopathological Mechanisms.
  Journal
J Med Invest 64:7-13 (2017)
DOI:10.2152/jmi.64.7
Reference
  Authors
Webb GJ, Siminovitch KA, Hirschfield GM
  Title
The immunogenetics of primary biliary cirrhosis: A comprehensive review.
  Journal
J Autoimmun 64:42-52 (2015)
DOI:10.1016/j.jaut.2015.07.004
Reference
  Authors
Hirschfield GM, Liu X, Xu C, Lu Y, Xie G, Lu Y, Gu X, Walker EJ, Jing K, Juran BD, Mason AL, Myers RP, Peltekian KM, Ghent CN, Coltescu C, Atkinson EJ, Heathcote EJ, Lazaridis KN, Amos CI, Siminovitch KA
  Title
Primary biliary cirrhosis associated with HLA, IL12A, and IL12RB2 variants.
  Journal
N Engl J Med 360:2544-55 (2009)
DOI:10.1056/NEJMoa0810440
Reference
  Authors
Carey EJ, Ali AH, Lindor KD
  Title
Primary biliary cirrhosis.
  Journal
Lancet 386:1565-75 (2015)
DOI:10.1016/S0140-6736(15)00154-3
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