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Immunological Aspects of Liver Disease (Paperback)
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Immunological Aspects of Liver Disease (Paperback)
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Howard C. Thomas In normal subjects the regulatory apparatus of the
immune system permits responses to foreign antigens but suppresses
those directed to "self' components. Autoimmune disease occurs as a
failure ofthis system either as a result of a primary defect in the
regulatory apparatus (primary autoimmunization) or because of a
change in the antigenicity of the tissues (secondary
autoimmunization). Autoaggressive reactions are characterised by
the presence of autoantibodies. When these are directed to membrane
displayed antigens (Fig. 1) they are probably of importance in the
lysis of hepatocytes. Those directed to cytoplasmic antigens may be
useful diagnostically but are of unknown pathogenic significance.
When no extrinsic aetiological factor can be identified, the
process is assumed to be the result of a failure ofthe regulatory
system, allowing the spontaneous expansion of a clone of
autoreactive lymphocytes. The defect may be generalised or specific
to certain groups of self-antigens and thus the autoimmune disease
may be either multi- or unisystemic. The recent development of
techniques to enumerate and measure the functional activity of the
suppressor lymphocytes which control the effector limbs of the
immune system has enabled investigators to test whether the various
purported autoimmune diseases do have as their basis a generalised
defect in immunoregu lation. Assessment of antigen-specific
immunoregulatory function is, however, not yet readily available.
liver Membrane I Antigen (LIM) I Liver I HLA, A, B, C,
Sensitisation to Specific -;::!IIIL. .
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