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SHR Neuro Krebs Kardio Lipid Stoffw Microb

Leber, B; Mayrhauser, U; Rybczynski, M; Stadlbauer, V.
Innate immune dysfunction in acute and chronic liver disease.
Wien Klin Wochenschr. 2009; 121(23-24): 732-744. Doi: 10.1007/s00508-009-1288-2
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Führende Autor*innen der Med Uni Graz
Leber Bettina
Stadlbauer-Köllner Vanessa
Co-Autor*innen der Med Uni Graz
Mayrhauser Ursula

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Liver cirrhosis is a common disease causing great public-health concern because of the frequent complications requiring hospital care. Acute liver failure is also prone to several complications but is rare. One of the main complications for both acute and chronic liver diseases is infection, which regularly causes decompensation of cirrhosis, possibly leading to organ failure and death. This review focuses on innate immune function in cirrhosis, acute-on-chronic liver failure and acute liver failure. The known defects of Kupffer cells, neutrophils and monocytes are discussed, together with the pathophysiological importance of gut permeability, portal hypertension and intrinsic cellular defects, and the role of endotoxin, albumin, lipoproteins and toll-like receptors. Based on these different pathomechanisms, the available information on therapeutic strategies is presented. Antibiotic and probiotic treatment, nutritional support, artificial liver support, and experimental strategies such as inhibition of toll-like receptors and use of albumin and colony-stimulating factors are highlighted.
Find related publications in this database (using NLM MeSH Indexing)
Acute Disease -
Chronic Disease -
Humans -
Immune System Diseases - epidemiology Immune System Diseases - immunology
Immunity, Innate - immunology
Liver Diseases - epidemiology Liver Diseases - immunology

Find related publications in this database (Keywords)
acute-on-chronic liver failure
acute liver failure
immune dysfunction
toll-like receptors
gut permeability
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