| Revista: | Annals of hepatology |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000414232 |
| ISSN: | 1665-2681 |
| Autors: | Tabibian, James H1 Enders, Felicity2 Imam, Mohamad H1 Kolar, Gururaj1 Lindor, Keith D3 Talwalkar, Jayant A1 |
| Institucions: | 1Mayo Clinic, Division of Gastroenterology and Hepatology, Rochester, Minnesota. Estados Unidos de América 2Mayo Clinic, Division of Biomedical Statistics and Informatics, Rochester, Minnesota. Estados Unidos de América 3Arizona State University, Executive Vice Provost, Tempe, Arizona. Estados Unidos de América |
| Any: | 2014 |
| Període: | May-Jun |
| Volum: | 13 |
| Número: | 3 |
| Paginació: | 384-389 |
| País: | México |
| Idioma: | Inglés |
| Tipo de documento: | Artículo |
| Enfoque: | Analítico, descriptivo |
| Resumen en inglés | Primary sclerosing cholangitis (PSC) is an idiopathic hepatobiliary disorder associated with an increased risk for cholangiocarcinoma (CCA) and a median survival time of 12 years. Reliable predictors of CCA and other major adverse events in PSC are currently lacking. Recently, serum IgE was found to be associated with CCA in a Japanese cohort of PSC patients. Our aim in this study was to determine whether IgE levels predict time to CCA, liver transplantation, or death in a Western (USA-based) cohort of PSC patients. Material and methods. Thirty-eight patients with PSC and IgE levels were identified and categorized into low or high IgE groups based on the sample median. Groups were compared with respect to clinical characteristics and adverse endpoint-free survival, and the association between IgE and endpoints was assessed with multivariate proportional-hazards models. Results. The median sample age at PSC diagnosis was 41 years, and median serum IgE level was 47.6 kU/L. Low and high IgE groups differed significantly only with respect to IgG subclasses, which were higher among the latter (p < 0.05). There were no significant differences in composite endpoint-free (p = 0.83) or CCA-free survival (p = 0.20). In multivariate analyses, only Mayo PSC risk score and MELD score were significant predictors of endpoint-free survival (p < 0.05). Conclusions. Serum IgE level is associated with several IgG subclass levels but not time to CCA, liver transplantation, or death among PSC patients in a USA-based cohort. While Mayo PSC risk score and MELD score can predict these outcomes, more specific predictors of CCA are needed |
| Disciplines | Medicina |
| Paraules clau: | Gastroenterología, Inmunología, Enfermedades autoinmunes, Colangitis esclerosante primaria, Colangiocarcinoma, IgE, Trasplante de hígado |
| Keyword: | Medicine, Gastroenterology, Immunology, Autoimmune diseases, Primary sclerosing cholangitis, Cholangiocarcinoma, IgE, Liver transplantation |
| Text complet: | Texto completo (Ver PDF) |
