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380308

Autoimmune Hepatitis: Insights into Classification, Pathogenesis, Diagnosis, and Therapeutic Strategies

Article

Last updated: 13 Jan 2025

Subjects

-

Tags

Pharmacology and toxicology

Abstract

Autoimmune hepatitis (AIH) is a multifaceted liver disorder characterized by immune-mediated inflammation, potentially leading to severe liver damage if left untreated. Despite an elusive etiology, it is believed to arise from a combination of genetic predisposition and environmental triggers. Classification efforts have delineated two main types based on autoantibody profiles, with genetic susceptibility in the human leukocyte antigen (HLA) region and environmental factors. AIH presents with a diverse clinical phenotype, ranging from asymptomatic cases to fulminant hepatitis leading to liver failure. Diagnosis relies on a combination of clinical, biochemical, serological, and histological criteria, with liver biopsy playing a pivotal role. Autoantibodies such as ANA and ASMA aid in diagnosis, while characteristic features such as interface hepatitis are discernible on liver histology. Animal models serve as indispensable tools in unraveling the pathogenic processes and immunology of AIH. Spontaneous and induced models provide valuable insights into T cell activation, hepatic damage, and the mechanisms underlying AIH. These models offer promising avenues for studying potential treatment targets and advancing therapeutic strategies for AIH. The management of AIH poses challenges due to the chronic nature of the disease and potential adverse effects of medications. Treatment strategies involve a balance between immunosuppression and minimizing drug-related complications. Liver transplantation may become necessary in a small percentage of cases, with regular monitoring playing a crucial role in evaluating treatment efficacy and adjusting therapy. This review provides a comprehensive examination of AIH, exploring its immunological mechanisms, clinical presentations, diagnostic criteria, animal modeling approaches, and recent therapeutic advancements.

DOI

10.21608/aijpms.2024.380308

Keywords

Autoimmune hepatitis, pathogenesis, Diagnosis, Animal models of AIH, Management, De novo AIH

Authors

First Name

kawther

Last Name

Ibrahim

MiddleName

M.

Affiliation

Department of Pharmacology and Toxicology, Faculty of Pharmacy, Egyptian Russian University, Cairo, Egypt

Email

kawther-mohamed@eru.edu.eg

City

-

Orcid

0009-0005-3663-5440

First Name

Amany

Last Name

Balah

MiddleName

-

Affiliation

Department of Pharmacology and Toxicology, Faculty of Pharmacy, Al-Azhar University, Cairo, Egypt

Email

amanybalah1740.el@azhar.edu.eg

City

-

Orcid

0000-0001-8374-407X

First Name

Laila

Last Name

Ramadan

MiddleName

-

Affiliation

Department of Pharmacology and Toxicology, Faculty of Pharmacy, Egyptian Russian University, Cairo, Egypt

Email

laila-ramadan@eru.edu.eg

City

-

Orcid

-

First Name

Hebatalla

Last Name

Ibrahim

MiddleName

I.

Affiliation

Department of Pharmacology and Toxicology, Faculty of Pharmacy, Al-Azhar University, Cairo, Egypt

Email

hebatalla123@yahoo.com

City

Cairo

Orcid

/0000-0002-6175-184X

Volume

5

Article Issue

1

Related Issue

52728

Issue Date

2025-01-01

Receive Date

2024-02-12

Publish Date

2025-01-01

Page Start

177

Page End

192

Print ISSN

2735-4598

Online ISSN

2735-4601

Link

https://aijpms.journals.ekb.eg/article_380308.html

Detail API

http://journals.ekb.eg?_action=service&article_code=380308

Order

15

Type

Review Articles

Type Code

1,563

Publication Type

Journal

Publication Title

Azhar International Journal of Pharmaceutical and Medical Sciences

Publication Link

https://aijpms.journals.ekb.eg/

MainTitle

Autoimmune Hepatitis: Insights into Classification, Pathogenesis, Diagnosis, and Therapeutic Strategies

Details

Type

Article

Created At

13 Jan 2025