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An update on genetic analysis of cholestatic liver diseases: digging deeper.
[benign recurrent intrahepatic cholestasis]
Investigations
into
the
molecular
mechanisms
of
cholestasis
have
revealed
intricate
and
intriguing
details
of
bile
salt
metabolism
as
well
as
its
regulatory
mechanisms
in
health
and
disease
.
Extensive
studies
on
genotype-phenotype
correlations
in
monogenic
diseases
,
such
as
progressive
familial
and
benign
recurrent
intrahepatic
cholestasis
,
facilitate
diagnostics
and
improve
the
risk
assessment
of
hepatobiliary
transporter
gene
variants
in
bile
transport
pathophysiology
.
While
the
comparatively
easy
targets
in
monogenic
cholestasis
have
been
identified
for
some
time
now
,
progress
in
complex
liver
disease
is
rather
laborious
but
steady
.
Genome-
wide
association
scans
are
the
next
step
in
gathering
information
about
common
contributors
towards
polygenic
(
multifactorial
)
cholestatic
diseases
.
New
determinants
of
bile
salt
metabolism
affecting
feedback
loops
within
the
liver
or
the
enterohepatic
circulation
are
presently
under
investigation
for
their
contribution
towards
complex
cholestatic
syndromes
.
Diseases
Validation
Diseases presenting
"complex liver disease"
symptom
benign recurrent intrahepatic cholestasis
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