Genetics in primary sclerosing cholangitis.

Authors:
Sigrid Næss, Alexey Shiryaev, Johannes R Hov, Andre Franke, Tom H Karlsen
Year of publication:
2012
Volume:
36
Issue:
4
Issn:
2210-7401
Journal title abbreviated:
CLIN RES HEPATOL GAS
Journal title long:
Clinics and research in hepatology and gastroenterology
Impact factor:
1.872
Abstract:
Primary sclerosing cholangitis (PSC) is a chronic cholestatic disorder with a progressive course. PSC is strongly associated with inflammatory bowel disease and is often complicated by cholangiocarcinoma development. Etiology and pathogenesis remain obscure, but the diverse clinical manifestation of the disease might, to some extent, indicate different genetic susceptibility in subgroups of patients. In recent years, genome-wide association studies performed in PSC have identified a number of genetic susceptibility loci. In this mini-review, we suggest that the genetic associations established can be grouped according to four pathogenic aspects relating to inflammation, cholangiocyte function, fibrosis and carcinogenesis. Subclassification of PSC patients according to their genetic predisposition could be a valuable tool in future functional and clinical studies.