Evidence map›Paper›PMID 27446862›Full record

ReviewCanadian journal of gastroenterology & hepatology2016

Autoimmune Hepatitis: Progress from Global Immunosuppression to Personalised Regulatory T Cell Therapy.

Nwe Ni Than, Hannah C Jeffery, Ye H Oo

Erratum issuedOpen access · goldAbstract readReview
In one paragraph

Review in Canadian journal of gastroenterology & hepatology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.3field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 39 citations in OpenAlex.

  1. Review
  2. Article
  3. Precision medicine journey through omics approach.Journal of diabetes and metabolic disorders · 2022
    Review
  4. Article
  5. [Role of lymphocytes in the pathogenesis of autoimmune hepatitis].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2022
    Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Synergistic effects ofAmerican journal of translational research · 2019
    Article
  17. Article
  18. The Saudi association for the study of liver diseases and transplantation clinical practice guidelines for management of autoimmune hepatitis.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association · 2018
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 1 country.

Nwe Ni ThanCentre for Liver Research and NIHR Liver BRU, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK; Liver and Hepatobiliary Unit, University Hospital Birmingham National Health Service Foundation Trust, Birmingham B15 2WB, UK.
Hannah C JefferyCentre for Liver Research and NIHR Liver BRU, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK.
Ye H OoCentre for Liver Research and NIHR Liver BRU, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK; Liver and Hepatobiliary Unit, University Hospital Birmingham National Health Service Foundation Trust, Birmingham B15 2WB, UK.
National Health Service · GBNIHR Birmingham Liver Biomedical Research Unit · GBUniversity of Birmingham · GB

Funding

Medical Research Council G1002552
6 · The paper itself

Abstract

Autoimmune hepatitis (AIH) is an immune mediated liver injury. The precise aetiology of AIH is still unknown but current evidence suggests both genetic and environmental factors are involved. Breakdown in peripheral self-tolerance, and impaired functions of FOXP3(+) regulatory T cell along with effector cell resistance to suppression at the tissue level seem to play an important role in AIH immunopathogenesis. AIH is predominantly a T lymphocytes driven disease but B lymphocytes are also involved in the immunopathology. Innate immune cells are crucial in the initial onset of disease and their response is followed by adaptive T (Th1, Th17, and cytotoxic T cells) and B cell responses evidenced by liver histology and peripheral blood serology. Standard treatment regimens involving steroid and immunosuppressive medications lead to global immune suppression requiring life-long therapy with many side effects. Biologic therapies have been attempted but duration of remission is short-lived. Future direction of diagnosis and treatment for AIH should be guided by "omics" and the immunology profile of the individual patient and clinicians should aim to deliver personalised medicine for their patients. Cell therapy such as infusion of autologous, antigen-specific, and liver-homing regulatory T cells to restore hepatic immune tolerance may soon be a potential future treatment for AIH patients.

Indexed as

T-Lymphocytes, RegulatoryHepatitis, AutoimmuneHumansImmune ToleranceImmunosuppression TherapyLiverPrecision Medicine

Identifiers

PMID27446862
PMCPMC4904688
OpenAlexW2408175906

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.