AUCTORES
Globalize your Research
Review Article
*Corresponding Author: Ahed J Alkhatib, Department of Legal Medicine, Toxicology and Forensic Medicine, Jordan University of Science & Technology, Jordan.
Citation: Ahed J Alkhatib, (2023), Autoimmunity and liver disease: Updates of the literature, J New Medical Innovations and Research, 4(5); DOI:10.31579/2767-7370/056
Copyright: © 2023, Ahed J Alkhatib. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received: 05 August 2023 | Accepted: 14 August 2023 | Published: 21 August 2023
Keywords: autoimmune liver diseases; immune system; liver cells; autoimmune hepatitis; primary biliary cholangitis
Progressive immune-mediated inflammation and eventual destruction of hepatocytes and biliary epithelial cells characterize autoimmune liver diseases (AILDs). The primary objective of this study was to conduct a literature review on AILDs. In a nutshell, autoimmune liver diseases are a group of disorders in which the body's immune system assaults the liver cells in error, causing inflammation and damage. Autoimmune hepatitis (AIH), primary biliary cholangitis (PBC), and primary sclerosing cholangitis are the three most prevalent autoimmune liver diseases (PSC). AIH is a chronic disease characterized by inflammation and liver cell injury, which, if left untreated, can progress to cirrhosis and liver failure. PBC is a chronic disease that affects the small bile ducts within the liver and can contribute to cirrhosis, liver failure, and other complications. Chronic PSC, which affects the larger bile ducts, can cause liver failure and bile duct carcinoma. The precise cause of autoimmune liver diseases is unknown, but genetic and environmental factors are believed to play a role. Typically, blood tests, imaging, and liver biopsies are used for diagnosis. Medications that suppress the immune system, such as corticosteroids, immunosuppressants, or biologics, may be used in the treatment of a specific disease. In some instances, liver transplantation may be required. Autoimmune liver diseases can have a significant impact on a person's quality of life and require ongoing management and monitoring. It is essential for individuals with these conditions to work closely with their healthcare providers to manage symptoms, prevent complications, and preserve liver health overall.
Both autoimmune illness and liver disease are conditions that are closely related to one another and can have a substantial impact on an individual's quality of life as well as their overall health [19]. The liver is an important organ that is responsible for several key tasks in the body, including the process of metabolism, detoxification, and the production of proteins [3]. These functions are hindered whenever the liver is injured or diseased, which in turn leads to a wide variety of symptoms and problems. On the other side, autoimmunity is a disorder in which the immune system erroneously assaults the body's own tissues, including the liver. This can lead to serious health complications. We shall investigate the connection between autoimmunity and liver disease, as well as their respective causes, symptoms, diagnoses, and treatments, in the following article [4]
Autoimmune liver diseases (AILDs)
The term "autoimmune liver disorders" refers to a collection of ailments in which the liver is attacked by the body's immune system, resulting in inflammation and damage to the organ. Autoimmune hepatitis (AIH), primary biliary cholangitis (PBC), and primary sclerosing cholangitis (PSC) are the three most common forms of autoimmune liver diseases (AILDs) [14]. AIH, also known as autoimmune hepatitis, is a chronic inflammatory disease of the liver that mostly affects women and has the potential to result in cirrhosis and liver failure. PBC is a chronic liver disease that worsens with time and primarily affects women. It is distinguished by the degeneration of the liver's tiny bile ducts. PBC is also known as polycystic liver disease. PSC is a chronic disease that worsens over time and can affect either men or women. It is distinguished by inflammation and scarring of the bile ducts both inside and outside of the liver [6]. The increasing immune-mediated inflammation and eventual death of hepatocytes and biliary epithelial cells that characterize autoimmune liver disorders (AILDs) set these conditions apart from other liver conditions [30]. Although overlap syndromes are possible, it most commonly refers to autoimmune hepatitis (AIH), primary biliary cholangitis (PBC), and primary sclerosing cholangitis (PSC) [31]. IgG4-sclerosing cholangitis and IgG4-autoimmune hepatitis are examples of the immunoglobulin G (IgG4)-related hepatobiliary illnesses that make up a minor percentage of autoimmune liver diseases (AILDs) [32]. Patients who have damage to their livers that cannot be reversed have the option of undergoing liver transplantation, often known as LT. The indications for liver transplantation in individuals with AILDs are, with a few notable differences, comparable to those in patients with other chronic liver illnesses [33]. These autoimmune hepatobiliary illnesses account for around 24 percent of all liver transplants, which places them in the third spot on the list of most transplant centers' most prevalent liver transplant indications [34]. Although the therapeutic approach for each autoimmune liver disease must be different, the goals of treatment remain the same: to increase the recipient's chance of survival, to prevent the failure of a liver graft, and to lower the likelihood that the disease would return. In order to accomplish these objectives, there are a number of factors that need to be taken into consideration, such as determining post-LT risk factors that correlate with liver graft failure and disease recurrence, choosing the immunosuppressive regimen that is the most appropriate, and implementing additional cancer surveillance depending on the LT indication [33].
Autoimmune hepatitis (AIH)
AIH is a complicated inflammatory liver disease that has an unknown cause and is caused by a mix of immunologic, genetic, and environmental variables. The exact cause of AIH is unknown. The incidence of ischemic heart disease in adults is extremely variable around the globe, ranging from 4.2 occurrences per 100,000 people in Singapore to 42.9 cases per 100,000 people in Alaska [32]. In the United States, a population-based national survey that was conducted not long ago found an estimated prevalence of 31.2 cases per 100,000 individuals [38]. The clinical presentation might take many different forms. Individuals may exhibit no symptoms, acute symptoms (such as abrupt severe or acute liver failure), or mild symptoms that may progress to chronic manifestations of the disease. The diagnosis is challenging and requires certain test signs such as increased total immunoglobulin G levels and raised aminotransferase levels; lymphoplasmacytic interface hepatitis on histology; and the presence of autoantibodies in the serum (antinuclear antibodies, anti-smooth muscle antibody, and anti-liver kidney microsomal antibodies). It is important to rule out other liver illnesses such as viral hepatitis, Wilson's disease, genetic liver injuries, and metabolic liver injuries [39]. Even if the AIH care guidelines are updated on a regular basis, a sizeable portion of patients who have AIH may eventually develop liver disease of the end-stage and will be in need of an LT. Five percent of all LT operations carried out in the United States are classified as AIH [33]. The patient survival rate is 76 percent after five years, whereas the transplant survival rate is 70.9 percent [40]. These rates are quite good; nevertheless, when compared to those of other LT indications, there is still a larger chance of late acute rejection (9%) and chronic rejection (16%), as well as recurrent sickness (36% to 68
Both autoimmune illness and liver disease are disorders that can affect the liver and, if left untreated, can cause persistent inflammation as well as damage to the organ. An examination of the patient's physical condition, along with blood tests, imaging scans, and possibly even a liver biopsy, are the standard diagnostic procedures. An autoimmune response can cause autoimmune liver disorders (AILDs), which include autoimmune hepatitis, primary biliary cholangitis, and primary sclerosing cholangitis, among others. Immunosuppressant drugs might be used in the treatment of AILDs. Hepatitis, which is caused by viruses, alcoholic liver disease, and nonalcoholic fatty liver disease are additional potential triggers for liver disease. The treatment for these disorders varies, but some of the options include taking antiviral medicine, quitting drinking alcohol, making changes to one's way of life, and in rare instances, getting a liver transplant. While developing an unique treatment strategy for each patient, it is frequently important to use a multidisciplinary approach and involve a group of healthcare specialists working together as a team.
Clearly Auctoresonline and particularly Psychology and Mental Health Care Journal is dedicated to improving health care services for individuals and populations. The editorial boards' ability to efficiently recognize and share the global importance of health literacy with a variety of stakeholders. Auctoresonline publishing platform can be used to facilitate of optimal client-based services and should be added to health care professionals' repertoire of evidence-based health care resources.
Journal of Clinical Cardiology and Cardiovascular Intervention The submission and review process was adequate. However I think that the publication total value should have been enlightened in early fases. Thank you for all.
Journal of Women Health Care and Issues By the present mail, I want to say thank to you and tour colleagues for facilitating my published article. Specially thank you for the peer review process, support from the editorial office. I appreciate positively the quality of your journal.
Journal of Clinical Research and Reports I would be very delighted to submit my testimonial regarding the reviewer board and the editorial office. The reviewer board were accurate and helpful regarding any modifications for my manuscript. And the editorial office were very helpful and supportive in contacting and monitoring with any update and offering help. It was my pleasure to contribute with your promising Journal and I am looking forward for more collaboration.
We would like to thank the Journal of Thoracic Disease and Cardiothoracic Surgery because of the services they provided us for our articles. The peer-review process was done in a very excellent time manner, and the opinions of the reviewers helped us to improve our manuscript further. The editorial office had an outstanding correspondence with us and guided us in many ways. During a hard time of the pandemic that is affecting every one of us tremendously, the editorial office helped us make everything easier for publishing scientific work. Hope for a more scientific relationship with your Journal.
The peer-review process which consisted high quality queries on the paper. I did answer six reviewers’ questions and comments before the paper was accepted. The support from the editorial office is excellent.
Journal of Neuroscience and Neurological Surgery. I had the experience of publishing a research article recently. The whole process was simple from submission to publication. The reviewers made specific and valuable recommendations and corrections that improved the quality of my publication. I strongly recommend this Journal.
Dr. Katarzyna Byczkowska My testimonial covering: "The peer review process is quick and effective. The support from the editorial office is very professional and friendly. Quality of the Clinical Cardiology and Cardiovascular Interventions is scientific and publishes ground-breaking research on cardiology that is useful for other professionals in the field.
Thank you most sincerely, with regard to the support you have given in relation to the reviewing process and the processing of my article entitled "Large Cell Neuroendocrine Carcinoma of The Prostate Gland: A Review and Update" for publication in your esteemed Journal, Journal of Cancer Research and Cellular Therapeutics". The editorial team has been very supportive.
Testimony of Journal of Clinical Otorhinolaryngology: work with your Reviews has been a educational and constructive experience. The editorial office were very helpful and supportive. It was a pleasure to contribute to your Journal.
Dr. Bernard Terkimbi Utoo, I am happy to publish my scientific work in Journal of Women Health Care and Issues (JWHCI). The manuscript submission was seamless and peer review process was top notch. I was amazed that 4 reviewers worked on the manuscript which made it a highly technical, standard and excellent quality paper. I appreciate the format and consideration for the APC as well as the speed of publication. It is my pleasure to continue with this scientific relationship with the esteem JWHCI.
This is an acknowledgment for peer reviewers, editorial board of Journal of Clinical Research and Reports. They show a lot of consideration for us as publishers for our research article “Evaluation of the different factors associated with side effects of COVID-19 vaccination on medical students, Mutah university, Al-Karak, Jordan”, in a very professional and easy way. This journal is one of outstanding medical journal.
Dear Hao Jiang, to Journal of Nutrition and Food Processing We greatly appreciate the efficient, professional and rapid processing of our paper by your team. If there is anything else we should do, please do not hesitate to let us know. On behalf of my co-authors, we would like to express our great appreciation to editor and reviewers.
As an author who has recently published in the journal "Brain and Neurological Disorders". I am delighted to provide a testimonial on the peer review process, editorial office support, and the overall quality of the journal. The peer review process at Brain and Neurological Disorders is rigorous and meticulous, ensuring that only high-quality, evidence-based research is published. The reviewers are experts in their fields, and their comments and suggestions were constructive and helped improve the quality of my manuscript. The review process was timely and efficient, with clear communication from the editorial office at each stage. The support from the editorial office was exceptional throughout the entire process. The editorial staff was responsive, professional, and always willing to help. They provided valuable guidance on formatting, structure, and ethical considerations, making the submission process seamless. Moreover, they kept me informed about the status of my manuscript and provided timely updates, which made the process less stressful. The journal Brain and Neurological Disorders is of the highest quality, with a strong focus on publishing cutting-edge research in the field of neurology. The articles published in this journal are well-researched, rigorously peer-reviewed, and written by experts in the field. The journal maintains high standards, ensuring that readers are provided with the most up-to-date and reliable information on brain and neurological disorders. In conclusion, I had a wonderful experience publishing in Brain and Neurological Disorders. The peer review process was thorough, the editorial office provided exceptional support, and the journal's quality is second to none. I would highly recommend this journal to any researcher working in the field of neurology and brain disorders.
Dear Agrippa Hilda, Journal of Neuroscience and Neurological Surgery, Editorial Coordinator, I trust this message finds you well. I want to extend my appreciation for considering my article for publication in your esteemed journal. I am pleased to provide a testimonial regarding the peer review process and the support received from your editorial office. The peer review process for my paper was carried out in a highly professional and thorough manner. The feedback and comments provided by the authors were constructive and very useful in improving the quality of the manuscript. This rigorous assessment process undoubtedly contributes to the high standards maintained by your journal.
International Journal of Clinical Case Reports and Reviews. I strongly recommend to consider submitting your work to this high-quality journal. The support and availability of the Editorial staff is outstanding and the review process was both efficient and rigorous.
Thank you very much for publishing my Research Article titled “Comparing Treatment Outcome Of Allergic Rhinitis Patients After Using Fluticasone Nasal Spray And Nasal Douching" in the Journal of Clinical Otorhinolaryngology. As Medical Professionals we are immensely benefited from study of various informative Articles and Papers published in this high quality Journal. I look forward to enriching my knowledge by regular study of the Journal and contribute my future work in the field of ENT through the Journal for use by the medical fraternity. The support from the Editorial office was excellent and very prompt. I also welcome the comments received from the readers of my Research Article.
Dear Erica Kelsey, Editorial Coordinator of Cancer Research and Cellular Therapeutics Our team is very satisfied with the processing of our paper by your journal. That was fast, efficient, rigorous, but without unnecessary complications. We appreciated the very short time between the submission of the paper and its publication on line on your site.
I am very glad to say that the peer review process is very successful and fast and support from the Editorial Office. Therefore, I would like to continue our scientific relationship for a long time. And I especially thank you for your kindly attention towards my article. Have a good day!
"We recently published an article entitled “Influence of beta-Cyclodextrins upon the Degradation of Carbofuran Derivatives under Alkaline Conditions" in the Journal of “Pesticides and Biofertilizers” to show that the cyclodextrins protect the carbamates increasing their half-life time in the presence of basic conditions This will be very helpful to understand carbofuran behaviour in the analytical, agro-environmental and food areas. We greatly appreciated the interaction with the editor and the editorial team; we were particularly well accompanied during the course of the revision process, since all various steps towards publication were short and without delay".
I would like to express my gratitude towards you process of article review and submission. I found this to be very fair and expedient. Your follow up has been excellent. I have many publications in national and international journal and your process has been one of the best so far. Keep up the great work.
We are grateful for this opportunity to provide a glowing recommendation to the Journal of Psychiatry and Psychotherapy. We found that the editorial team were very supportive, helpful, kept us abreast of timelines and over all very professional in nature. The peer review process was rigorous, efficient and constructive that really enhanced our article submission. The experience with this journal remains one of our best ever and we look forward to providing future submissions in the near future.
I am very pleased to serve as EBM of the journal, I hope many years of my experience in stem cells can help the journal from one way or another. As we know, stem cells hold great potential for regenerative medicine, which are mostly used to promote the repair response of diseased, dysfunctional or injured tissue using stem cells or their derivatives. I think Stem Cell Research and Therapeutics International is a great platform to publish and share the understanding towards the biology and translational or clinical application of stem cells.
I would like to give my testimony in the support I have got by the peer review process and to support the editorial office where they were of asset to support young author like me to be encouraged to publish their work in your respected journal and globalize and share knowledge across the globe. I really give my great gratitude to your journal and the peer review including the editorial office.
I am delighted to publish our manuscript entitled "A Perspective on Cocaine Induced Stroke - Its Mechanisms and Management" in the Journal of Neuroscience and Neurological Surgery. The peer review process, support from the editorial office, and quality of the journal are excellent. The manuscripts published are of high quality and of excellent scientific value. I recommend this journal very much to colleagues.
Dr.Tania Muñoz, My experience as researcher and author of a review article in The Journal Clinical Cardiology and Interventions has been very enriching and stimulating. The editorial team is excellent, performs its work with absolute responsibility and delivery. They are proactive, dynamic and receptive to all proposals. Supporting at all times the vast universe of authors who choose them as an option for publication. The team of review specialists, members of the editorial board, are brilliant professionals, with remarkable performance in medical research and scientific methodology. Together they form a frontline team that consolidates the JCCI as a magnificent option for the publication and review of high-level medical articles and broad collective interest. I am honored to be able to share my review article and open to receive all your comments.
“The peer review process of JPMHC is quick and effective. Authors are benefited by good and professional reviewers with huge experience in the field of psychology and mental health. The support from the editorial office is very professional. People to contact to are friendly and happy to help and assist any query authors might have. Quality of the Journal is scientific and publishes ground-breaking research on mental health that is useful for other professionals in the field”.
Dear editorial department: On behalf of our team, I hereby certify the reliability and superiority of the International Journal of Clinical Case Reports and Reviews in the peer review process, editorial support, and journal quality. Firstly, the peer review process of the International Journal of Clinical Case Reports and Reviews is rigorous, fair, transparent, fast, and of high quality. The editorial department invites experts from relevant fields as anonymous reviewers to review all submitted manuscripts. These experts have rich academic backgrounds and experience, and can accurately evaluate the academic quality, originality, and suitability of manuscripts. The editorial department is committed to ensuring the rigor of the peer review process, while also making every effort to ensure a fast review cycle to meet the needs of authors and the academic community. Secondly, the editorial team of the International Journal of Clinical Case Reports and Reviews is composed of a group of senior scholars and professionals with rich experience and professional knowledge in related fields. The editorial department is committed to assisting authors in improving their manuscripts, ensuring their academic accuracy, clarity, and completeness. Editors actively collaborate with authors, providing useful suggestions and feedback to promote the improvement and development of the manuscript. We believe that the support of the editorial department is one of the key factors in ensuring the quality of the journal. Finally, the International Journal of Clinical Case Reports and Reviews is renowned for its high- quality articles and strict academic standards. The editorial department is committed to publishing innovative and academically valuable research results to promote the development and progress of related fields. The International Journal of Clinical Case Reports and Reviews is reasonably priced and ensures excellent service and quality ratio, allowing authors to obtain high-level academic publishing opportunities in an affordable manner. I hereby solemnly declare that the International Journal of Clinical Case Reports and Reviews has a high level of credibility and superiority in terms of peer review process, editorial support, reasonable fees, and journal quality. Sincerely, Rui Tao.
Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.
Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.
The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.
Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.
Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, The review process for the article “The Handling of Anti-aggregants and Anticoagulants in the Oncologic Heart Patient Submitted to Surgery” was extremely rigorous and detailed. From the initial submission to the final acceptance, the editorial team at the “Journal of Clinical Cardiology and Cardiovascular Interventions” demonstrated a high level of professionalism and dedication. The reviewers provided constructive and detailed feedback, which was essential for improving the quality of our work. Communication was always clear and efficient, ensuring that all our questions were promptly addressed. The quality of the “Journal of Clinical Cardiology and Cardiovascular Interventions” is undeniable. It is a peer-reviewed, open-access publication dedicated exclusively to disseminating high-quality research in the field of clinical cardiology and cardiovascular interventions. The journal's impact factor is currently under evaluation, and it is indexed in reputable databases, which further reinforces its credibility and relevance in the scientific field. I highly recommend this journal to researchers looking for a reputable platform to publish their studies.
Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”
Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner
