Primary sclerosing cholangitis (PSC) is a syndrome of unknown etiology characterized by an association with inflammatory bowel disease in 50% or more cases. Since altered immunity, including circulating immune complexes, has been implicated in the pathogenesis of inflammatory bowel disease, we postu
Correspondence. Circulating Immune Complexes in Primary Sclerosing Cholangitis
✍ Scribed by Anastasios A. Mihas; John E. Volanakis; Ralph E. Schrohenloher; Tony A. Mihas; Henry C. Bodenheimer Jr.; Nicholas F. Larusso; Walter R. Thayer Jr.; Colette Charland; Parker J. Staples; Jurgen Ludwig; M. Roggendorf; F. Deinhardt; Gert G. FrÖSner
- Publisher
- John Wiley and Sons
- Year
- 1984
- Tongue
- English
- Weight
- 399 KB
- Volume
- 4
- Category
- Article
- ISSN
- 0270-9139
No coin nor oath required. For personal study only.
✦ Synopsis
We read with interest the report by Dr. Bodenheimer et al. (1) of elevated circulating immune complexes (CICs) in primary sclerosing cholangitis (PSC). Although not stated in the paper, we are the first to suggest that CICs may play a role in the pathogenesis of PSC. We recently described elevated CICs in patients with PSC associated with ulcerative colitis (CUC) (2). Although Bodenheimer's results confirm our findings, there are some differences in methodology. As shown in Table 1, our results with the C1,-binding assay method are in TABLE 1. ELEVATED CIC IN P s c (%) Bodenheimer Mihas et al. et al. Method ~ ~ RC-RA" 70 CI,,-BA~ 58 0 60
may account for the results. Failure of our assay system seems unlikely because it has produced reliable data in other diseases (3, 4). Despite these differences, we support the view that immunologic mechanisms may be operative in the pathogenesis of PSC.
Raji cell radioimmunoassay. C1,-binding assay.
almost perfect agreement with those obtained by Bodenheimer et al.
(1) (60 vs. 58%). However, we did not have similar results with the Raji cell radioimmunoassay method since, in our study, AO patient with'PSC had detectable CICs. The reasons for this discrepancy are not clear, although differences in patient populations
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