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Editorial
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Volume 330:1386-1387 May 12, 1994 Number 19
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Primary Biliary Cirrhosis -- A First Step in Prolonging Survival

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Primary biliary cirrhosis, a progressive cholestatic liver disease that primarily affects middle-aged women, has been called a "model autoimmune disease"1. The numerous abnormalities of the humoral and cellular immune systems include elevated serum levels of immunoglobulins, multiple circulating autoantibodies, granulomas in the liver and regional lymph nodes, and impaired regulation of both B and T lymphocytes1,2. The chronic cholestasis is due to relentless destruction of small and medium-sized bile ducts mediated by activated T lymphocytes, both CD4 and CD8 cells2. In contrast to hepatocytes, bile ducts lack the ability to regenerate when they are destroyed, or do . . . [Full Text of this Article]

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