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Mapping of a locus for progressive familial intrahepatic cholestasis (Byler disease) to 18q21-q22, the benign recurrent intrahepatic cholestasis region.
[benign recurrent intrahepatic cholestasis]
A
locus
for
progressive
familial
intrahepatic
cholestasis
(
PFIC
)
,
also
known
as
Byler
disease
,
has
been
mapped
to
a
19
cM
region
of
chromosome
18
by
a
search
for
shared
segments
,
using
patients
from
the
Amish
kindred
in
which
the
disorder
was
originally
described
.
A
similar
liver
disease
,
benign
recurrent
intrahepatic
cholestasis
(
BRIC
)
,
recently
has
been
mapped
to
the
same
region
,
suggesting
that
these
two
diseases
are
caused
by
mutations
in
the
same
gene
.
Although
PFIC
and
BRIC
are
clinically
distinct
diseases
,
episodic
attacks
of
jaundice
and
pruritus
,
with
elevated
concentrations
of
bile
acid
in
serum
,
are
seen
in
both
disorders
.
In
PFIC
patients
,
these
attacks
result
in
progressive
liver
damage
and
death
.
The
clinical
and
biochemical
features
of
PFIC
and
BRIC
are
suggestive
of
a
defect
in
primary
bile
acid
secretion
.
The
biology
of
bile
secretion
is
of
great
interest
because
of
its
vital
importance
in
digestion
of
dietary
fats
as
well
as
in
secretion
of
xenobiotics
and
metabolic
waste
products
.
Cloning
of
the
gene
(
or
genes
)
responsible
for
PFIC
and
BRIC
will
likely
provide
important
insights
into
this
pathway
.
Diseases
Validation
Diseases presenting
"mutations in the same gene"
symptom
benign recurrent intrahepatic cholestasis
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