The intestinal and biliary microbiome in autoimmune liver disease-current evidence and concepts
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The intestinal and biliary microbiome in autoimmune liver disease-current evidence and concepts. / Liwinski, Timur; Heinemann, Melina; Schramm, Christoph.
In: SEMIN IMMUNOPATHOL, Vol. 44, No. 4, 07.2022, p. 485-507.Research output: SCORING: Contribution to journal › SCORING: Review article › Research
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TY - JOUR
T1 - The intestinal and biliary microbiome in autoimmune liver disease-current evidence and concepts
AU - Liwinski, Timur
AU - Heinemann, Melina
AU - Schramm, Christoph
N1 - © 2022. The Author(s).
PY - 2022/7
Y1 - 2022/7
N2 - Autoimmune liver diseases are a group of immune-mediated liver diseases with three distinct entities, including autoimmune hepatitis, primary biliary cholangitis, and primary sclerosing cholangitis. The interplay of genetic and environmental factors leads to the breakdown of self-tolerance, resulting in hyper-responsiveness, and auto-aggressive immune activation. Emerging evidence links autoimmune liver diseases with alterations of the commensal microbiome configuration and aberrant immune system activation by microbial signals, mainly via the gut-liver axis. Thus, the microbiome is a new frontier to deepen the pathogenetic understanding, uncover biomarkers, and inspire innovative treatments. Herein, we review the current evidence on the role of the microbiome in autoimmune liver diseases from both clinical and basic research. We highlight recent achievements and also bottlenecks and limitations. Moreover, we give an outlook on future developments and potential for clinical applications.
AB - Autoimmune liver diseases are a group of immune-mediated liver diseases with three distinct entities, including autoimmune hepatitis, primary biliary cholangitis, and primary sclerosing cholangitis. The interplay of genetic and environmental factors leads to the breakdown of self-tolerance, resulting in hyper-responsiveness, and auto-aggressive immune activation. Emerging evidence links autoimmune liver diseases with alterations of the commensal microbiome configuration and aberrant immune system activation by microbial signals, mainly via the gut-liver axis. Thus, the microbiome is a new frontier to deepen the pathogenetic understanding, uncover biomarkers, and inspire innovative treatments. Herein, we review the current evidence on the role of the microbiome in autoimmune liver diseases from both clinical and basic research. We highlight recent achievements and also bottlenecks and limitations. Moreover, we give an outlook on future developments and potential for clinical applications.
KW - Autoimmune Diseases/etiology
KW - Hepatitis, Autoimmune/etiology
KW - Humans
KW - Liver
KW - Liver Diseases/etiology
KW - Microbiota
U2 - 10.1007/s00281-022-00936-6
DO - 10.1007/s00281-022-00936-6
M3 - SCORING: Review article
C2 - 35536431
VL - 44
SP - 485
EP - 507
JO - SEMIN IMMUNOPATHOL
JF - SEMIN IMMUNOPATHOL
SN - 1863-2297
IS - 4
ER -