Inflammatory and Neoplastic Diseases of the Biliary System: Mechanisms and Therapeutics

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Gastroenterology & Hepatopancreatobiliary Medicine".

Deadline for manuscript submissions: closed (5 December 2021) | Viewed by 3788

Special Issue Editor


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Guest Editor
Cincinnati Children's Hospital Medical CenterDivision of Gastroenterology, Hepatology and NutritionOffice T9.676, Clinical Sciences Pavilion, MLC 2010,240 Albert Sabin Way, Cincinnati, OH 45229, USA
Interests: complement in liver disease; complement therapeutics; biliary atresia; primary sclerosing cholangitis; hepatocellular carcinoma; neonatal cholestasis; cholangiocarcinoma

Special Issue Information

Dear Colleagues,

We are pleased to announce the forthcoming Special Issue of the Journal of Clinical Medicine titled, “Inflammatory and Neoplastic Diseases of the Biliary System: Mechanisms and Therapeutics”. Inflammatory and neoplastic diseases of the intra- and extrahepatic hepatobiliary system comprise a diverse spectrum of pathologic entities in the pediatric and adult patient populations. It is now recognized that inflammation and inflammatory mediators constitute key risk factors for the development of biliary diseases and neoplastic transformations. For example, patients with PSC have a 400-fold higher probability of developing cholangiocarcinoma. At the other end of the spectrum is biliary atresia, a fibroinflammatory obstructive cholangiopathy restricted to the early perinatal period that constitutes the most common indication for pediatric liver transplantation. Poor prognosis either due to lack of effective or unavailable therapies defines the severity of clinical outcomes and health-related quality of life (HRQOL) in several of these diseases. Though significant progress has been made in the last several decades, a large lacuna in clinically tangible treatment modalities still exists. To counter these limitations, a deeper understanding of the molecular and cellular processes involved in the development of biliary diseases is imperative. In view of the global impact on human health and disease, the Journal of Clinical Medicine is launching this Special Issue to enable deeper perspectives to the scientific community and collaborative efforts.

This Special Issue on biliary diseases seeks to incorporate the most recent and pertinent knowledge on several areas, including preclinical and clinical investigations, mechanistic underpinnings of disease pathogenesis, translational research, development of novel experimental models (in vitro or in vivo), designing new therapeutic modalities and approaches, etc. Special emphasis will be given to manuscripts discussing the development and use of human- and animal-tissue-derived organoids as tools for mechanistic studies, bioinformatics approaches to identifying novel disease pathways, animal models for developing interventional therapeutics, importance of intra- and extrahepatic bile duct diseases in clinical practice and clinical treatment, and novel immunotherapy strategies. For this Special Issue, we invite experts in clinical, basic, and translational research to contribute toward expanding knowledge on bile duct diseases. It is expected that the new consolidated ideas not only promote mechanistic understandings of the disease pathogenesis but also the development of novel therapeutics. Potential topics of interest relevant to this Special Issue include:

  • Neonatal cholestasis including biliary atresia
  • Primary sclerosing cholangitis
  • Primary biliary cirrhosis
  • Role of immune-mediated processes in bile duct injury and fibrosis
  • Environmental factors in bile duct diseases
  • Syndromic and nonsyndromic paucity of bile ducts
  • Role of bile acids in biliary diseases and defects in bile acid metabolism
  • Chronic GVHD and allograft rejection
  • Ischemic cholangiopathy
  • Drug or toxin-induced biliary injury
  • Idiopathic neonatal hepatitis
  • Ductal plate malformation (infantile polycystic disease, congenital hepatic fibrosis, Caroli disease)
  • Bile duct carcinoma
  • Cholangiocarcinoma

We strongly encourage you and your colleagues to submit articles relevant to the field of biliary diseases as original research or review articles.

Prof. Dr. Pranavkumar Shivakumar
Guest Editor

Manuscript Submission Information

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Keywords

  • Biliary atresia
  • Neonatal cholestasis
  • Primary biliary cirrhosis
  • Primary sclerosing cholangitis
  • Bile duct disease
  • Cholangiocarcinoma

Published Papers (2 papers)

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Research

15 pages, 8609 KiB  
Article
Evaluation of Inhibitory Antibodies against the Muscarinic Acetylcholine Receptor Type 3 in Patients with Primary Biliary Cholangitis and Primary Sclerosing Cholangitis
by Anne-Christin Beatrice Wilde, Lena Maria Greverath, Lara Marleen Steinhagen, Nina Wald de Chamorro, Elise Leicht, Janett Fischer, Toni Herta, Thomas Berg, Beate Preuss, Reinhild Klein, Frank Tacke and Tobias Müller
J. Clin. Med. 2022, 11(3), 681; https://doi.org/10.3390/jcm11030681 - 28 Jan 2022
Cited by 1 | Viewed by 1406
Abstract
Background: Primary biliary cholangitis (PBC) and primary sclerosing cholangitis (PSC) constitute rare chronic inflammatory biliary diseases which likely comprise genetic, environmental and autoimmune factors. Specific inhibitory (auto-) antibodies against the muscarinic acetylcholine receptor type 3 (mAChR3 auto-ab) may contribute to the pathogenesis of [...] Read more.
Background: Primary biliary cholangitis (PBC) and primary sclerosing cholangitis (PSC) constitute rare chronic inflammatory biliary diseases which likely comprise genetic, environmental and autoimmune factors. Specific inhibitory (auto-) antibodies against the muscarinic acetylcholine receptor type 3 (mAChR3 auto-ab) may contribute to the pathogenesis of chronic biliary inflammation by modulating mAChR3− mediated signaling. Aims: The aim of this study was to analyze the prevalence and relevance of inhibitory mAChR3 auto-ab (mAChR3inh+ auto-ab) in a large cohort of PBC patients from two independent tertiary centers in Berlin and Leipzig in comparison to a large PSC cohort. Baseline parameters and response rates to standard treatment with ursodeoxycholic acid (UDCA) were characterized with respect to the individual mAChR3 auto-ab status. Methods: In total, the study population comprised 437 PBC patients, 187 PSC patients and 80 healthy controls. Clinical and laboratory baseline characteristics were retrieved from medical records. The response to ursodeoxycholic acid (UDCA) therapy after 12 months of treatment was available in 176 PBC and 45 PSC patients. Results: The prevalence of mAChR3inh+ auto-ab was significantly higher among PBC patients (11.2%, 49/437; p = 0.008 vs. healthy controls) and PSC patients (33.6%, 63/187; p < 0.0001 vs. healthy controls) compared to healthy controls (2.5%, 2/80), respectively. PBC patients with mAChR3inh+ auto-ab exhibited significantly higher levels of alkaline phosphatase (ALP) and bilirubin, which constitute established parameters for PBC risk stratification. Moreover, mAChR3inh+ PBC patients tended to show decreased response rates to UDCA therapy compared to PBC patients without mAChR3inh+ auto-ab (mAChR3− PBC). In contrast, PSC patients with mAChR3inh+ auto-ab showed no significant differences in laboratory findings compared to mAChR3 auto-ab negative (mAChR3−) PSC patients. Conclusion: MAChR3inh+ auto-ab might be involved in the pathogenesis and treatment response of chronic biliary inflammation in patients with PBC but not in patients with PSC. Full article
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11 pages, 1028 KiB  
Article
Identification of the Representative Primary Biliary Cholangitis Cohort in Taiwan: A Comparison of Four Nationwide Cohorts
by Cheng-Jen Chen, Jur-Shan Cheng, Haw-En Wang, Chun-Wen Huang, Jing-Hong Hu, Wei-Ting Chen, Ming-Yu Chang, Hsin-Ping Ku, Cheng-Yu Lin, Rong-Nan Chien and Ming-Ling Chang
J. Clin. Med. 2021, 10(11), 2226; https://doi.org/10.3390/jcm10112226 - 21 May 2021
Cited by 2 | Viewed by 1836
Abstract
Background/Purpose: The rates and outcomes of primary biliary cholangitis (PBC) in Taiwan remain unclear. Methods: A nationwide population-based cohort study (Taiwan National Health Insurance Research Database, 2002–2015) was conducted. Data from four PBC cohorts with various definitions were compared (cohort 1 (C1): ICD-9-CM [...] Read more.
Background/Purpose: The rates and outcomes of primary biliary cholangitis (PBC) in Taiwan remain unclear. Methods: A nationwide population-based cohort study (Taiwan National Health Insurance Research Database, 2002–2015) was conducted. Data from four PBC cohorts with various definitions were compared (cohort 1 (C1): ICD-9-CM (571.6); C2: alkaline phosphatase (Alk-P) and antimitochondrial antibody (AMA) measurements; C3: Alk-p and AMA measurements and ursodeoxycholic acid (UDCA) treatment; C4: ICD-9-CM (571.6), Alk-p and AMA measurements and UDCA treatment). Results: The average prevalence rate ranged from 9.419/105 (C4) to 307.658/105 (C2), and the female-to-male ratio ranged from 1.192 (C1) to 3.66 (C4). Prevalence rates increased over time in all cohorts. The average incidence rates ranged from 1.456/105 (C4) to 66.386/105 (C2). Incidence rates decreased over time in C1 (−9.09%, p < 0.0001) and C4 (−6.68%, p < 0.0001) and remained steady in the others. C4 had the lowest prevalence and incidence rates and highest female-to-male ratio. Cirrhosis rates ranged from 7.21% (C2) to 39.34% (C4), hepatoma rates ranged from 2.77%(C2) to 6.66%(C1), liver transplantation (LT) rates ranged from 1.07% (C2) to 6.77% (C4), and mortality rates ranged from 18.24% (C2) to 47.36% (C1). C4 had the highest LT (6.77%), osteoporosis (13.87%) and dyslipidemia rates (17.21%). Conclusions: Based on the reported ranges of reasonable rates, female predominance and characteristic outcomes, C4 was the most representative Taiwanese PBC cohort, with average prevalence and incidence rates of 9.419/105 and 1.456/105, respectively, and a female-to-male ratio of 3.66. In a 14-year period, cirrhosis, hepatoma, LT, and mortality were noted in 39.34%, 5.52%, 6.77%, and 34.22% of C4 patients, respectively. Full article
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