Source:http://linkedlifedata.com/resource/pubmed/id/17032402
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
9
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pubmed:dateCreated |
2006-10-11
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pubmed:abstractText |
Most acute and chronic liver diseases are characterized by inflammatory processes with enhanced expression of various pro- and anti-inflammatory cytokines in the liver. These cytokines are the driving force of many inflammatory liver disorders often resulting in fibrosis and cirrhosis. Severe alcoholic hepatitis is a prototypic tumor necrosis factor-alpha (TNF-alpha)-associated disease. This knowledge has recently led to pilot studies with promising results investigating specific anti-TNF drugs such as infliximab or etanercept in the treatment of this disease, although a recently performed controlled French study did show a potential detrimental effect of this approach. Anti-TNF treatment strategies might also improve chronic hepatitis C infection as shown by one controlled trial using etanercept administered subcutaneously for 24 weeks. Furthermore, several case reports suggest that TNF-alpha neutralization is not harmful to patients chronically infected with this virus. In contrast, neutralization of TNF-alpha worsens and might even be associated with fatalities in chronic hepatitis B infection. Anti-inflammatory cytokines such as interleukin-10 (IL-10) have also been tried in patients with chronic liver diseases. Whereas IL-10 administered to patients with chronic hepatitis C virus infection shows indeed anti-inflammatory effects in the liver, it seems to act as a proviral agent thereby limiting its clinical utility. Another cytokine with major anti-inflammatory potential is the adipokine adiponectin, as its administration is beneficial in many experimental models of liver injury. Interference with cytokine pathways and/or administration of anti-inflammatory cytokines will be of major interest in the future therapy of many liver diseases.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Adiponectin,
http://linkedlifedata.com/resource/pubmed/chemical/Anti-Inflammatory Agents,
http://linkedlifedata.com/resource/pubmed/chemical/Cytokines,
http://linkedlifedata.com/resource/pubmed/chemical/Inflammation Mediators,
http://linkedlifedata.com/resource/pubmed/chemical/Interleukin-10,
http://linkedlifedata.com/resource/pubmed/chemical/Tumor Necrosis Factor-alpha
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pubmed:status |
MEDLINE
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pubmed:month |
Nov
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pubmed:issn |
1478-3223
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
26
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1029-39
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pubmed:meshHeading |
pubmed-meshheading:17032402-Adiponectin,
pubmed-meshheading:17032402-Animals,
pubmed-meshheading:17032402-Anti-Inflammatory Agents,
pubmed-meshheading:17032402-Cytokines,
pubmed-meshheading:17032402-Hepatitis C, Chronic,
pubmed-meshheading:17032402-Humans,
pubmed-meshheading:17032402-Inflammation Mediators,
pubmed-meshheading:17032402-Interleukin-10,
pubmed-meshheading:17032402-Liver Diseases,
pubmed-meshheading:17032402-Tumor Necrosis Factor-alpha
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pubmed:year |
2006
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pubmed:articleTitle |
How to modulate inflammatory cytokines in liver diseases.
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pubmed:affiliation |
Department of Medicine, Division of Gastroenterology and Hepatology, Innsbruck Medical University, Austria. Herbert.Tilg@uibk.ac.at
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pubmed:publicationType |
Journal Article,
Review,
Research Support, Non-U.S. Gov't
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