Autor: |
Catherine A, Chapin, Thomas, Burn, Tomas, Meijome, Kathleen M, Loomes, Hector, Melin-Aldana, Portia A, Kreiger, Peter F, Whitington, Edward M, Behrens, Estella M, Alonso |
Rok vydání: |
2017 |
Předmět: |
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Zdroj: |
Hepatology (Baltimore, Md.). 68(3) |
ISSN: |
1527-3350 |
Popis: |
The cause of pediatric acute liver failure (PALF) is unknown in up to 40% of cases. Evidence suggests that aberrant immune system activation may play a role. We hypothesized that indeterminate PALF cases would exhibit a unique pattern of hepatic inflammation. This was a retrospective and prospective study of PALF cases due to indeterminate (iPALF), autoimmune hepatitis, or known diagnosis (dPALF) etiology. Liver tissue sections were stained with immunohistochemical markers for cytotoxic T-cells (cluster of differentiation 8 [CD8]), perforin, and tissue resident memory T-cells (CD103) and scored as minimal, moderate, or dense. Lymphocytes were isolated from liver tissue for T-cell receptor beta sequencing and flow-cytometric studies. Thirty-three iPALF, 9 autoimmune hepatitis, and 14 dPALF cases were included. Dense hepatic infiltrates of CD8Indeterminate PALF is characterized by a dense CD8 |
Databáze: |
OpenAIRE |
Externí odkaz: |
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