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Immunologic Aspects of Liver Disease of the Alcoholic

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Research Advances in Alcohol and Drug Problems

Abstract

The immune system identifies native, altered, and foreign macromolecules; it attempts to eliminate the latter two groups, which include neoantigens, toxins, and infectious agents. This process is carried out by (1) specific immune reactions such as antibodies produced by bone-marrow-derived B cells, cell-mediated activity resulting from thymus-derived T cells, and macrophages; (2) immune augmenters—nonspecific complement proteins, polymorphonuclear leukocytes, and phagocytic cells. The thymic-dependent arm fosters cells clonally committed to individual antigens; production of cytotoxic, memory, helper, and suppressor lymphocytes subsets; recruitment of mononuclear phagocytes and interaction with surface constituents of other cells to induce inflammation; and promotion of vascular permeability and blood coagulation (Cerottini, 1977).

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References

  • Axelrod, A. E., 1980, Nutrition in relation to immunity, in: Modern Nutrition in Health and Disease (R. A. Goodhart and M. E. Shills, eds.), pp. 578–591, Lea & Febiger, Philadelphia.

    Google Scholar 

  • Bailey, R. G., Krasner, N., and Eddleton, A. L., 1976, Histocompatibility, antigens, antibodies and immunoglobulins in alcoholic liver disease, Br. Med. J. :727.

    Article  PubMed  Google Scholar 

  • Berenyi, M. R., Straus, B., and Cruz, D., 1974, In vitro and in vivo studies of cellular hypersensitivity in alcoholic cirrhosis, Am. J. Dig. Dis. 19:199.

    Article  PubMed  Google Scholar 

  • Bernstein, I. M., Webster, K. H., Williams, R. C., Jr., 1974, Reduction in circulating lymphocytes in alcoholic liver disease, Lancet :488.

    Article  PubMed  Google Scholar 

  • Borenfreund, E., and Bendich, A., 1978, In vitro demonstration of Mallory body formation in liver cells from rats fed diethylnitrosamine, Lab. Invest. 38:295.

    Article  PubMed  Google Scholar 

  • Borenfreund, E., Higgins, E. J., Steinglass, M., and Bendich, A., 1979, Carcinogen-induced abnormalities in rat liver cells and their modification by chemical agents, Cancer Res. 39:800.

    PubMed  Google Scholar 

  • Brunt, P. W., Ken, M. C., Scheuer, P. J., and Sherlock, S., 1974, Studies in alcoholic liver disease in Britain. Clinical and pathological patterns related to natural history, Gut 15:52.

    Article  PubMed  Google Scholar 

  • Cerottini, J. C., 1977, Lymphoid cells as effectors of immunologic cytolysis, Hosp. Pract. 12:57.

    PubMed  Google Scholar 

  • Chen, T., and Leevy, C.M., 1973, Collagen biosynthesis in hepatic fibrosis, Gastroenterology 74:178.

    Google Scholar 

  • Chen, T., and Leevy, C. M., 1975, Collagen biosynthesis in liver disease of the alcoholic, J. Lab. Clin. Med. 85:103.

    PubMed  Google Scholar 

  • Chen, T., Zaki, F. G., and Leevy, C. M., 1979, Studies on nucleic acid and collagen synthesis, Med. Clin. North Am. 73:583.

    Google Scholar 

  • Chen, T., Kieman, T., and Leevy, C.M., 1980, Regulatory role of lymphocytes in hepatic fibrosis of the alcoholic, Gastroenterology 79:1101.

    Google Scholar 

  • Chen, T., Kieman, T., and Leevy, C.M., 1981, Ethanol and cell replication in the digestive tract, Clin. Gastroenterol. 10:343.

    PubMed  Google Scholar 

  • Cochrane, A. M. G., Moussouros, A., Portman, B., McFarlane, I. G., Thomson, A. L., Eddleston, A. I. W. F., and Williams, R., 1977, Lymphocyte cytotoxicity for isolated hepatocytes in alcoholic liver disease, Gastroenterology 72:918.

    PubMed  Google Scholar 

  • Craddock, C. G., Rylomaa, T., and Nokai, G. S., 1964, The transfer of labeled DNA from blood cells to regenerating liver, in: The Thymus in Immunobiology (R. A. Good and A. Gabrielsen, eds.), pp. 317–331, Hoeber Harper, New York.

    Google Scholar 

  • Craig, R. M., Newman, T., Jeejeebhoy, K. N., and Yokoo, H., 1980, Severe hepatocellular reaction resembling alcoholic hepatitis with cirrhosis after massive small bowel resection and total parenteral nutrition, Gastroenterology 79:131.

    PubMed  Google Scholar 

  • Denk, H., Eckerstorfer, R., Gischradt, F., Konrad, K., and Wolff, K., 1976, Experimental induction of hepatocellular hyalin (Mallory bodies) in mice by Griseofulvin treatment and light microscopic observations, Lab. Invest. 35:377.

    PubMed  Google Scholar 

  • Dhingra, R., Kanagasundaram, N., and Leevy, C. M., 1980, Mechanism of intrahepatic polymorphonuclear leukocyte (PML) accumulation in alcoholic hepatitis, Gastroenterology 79:1013.

    Google Scholar 

  • Eddleston, S. L. W., 1974, Role of immunological mechanisms in acute and chronic hepatitis, Postgrad. Med. J. 50:348.

    Article  PubMed  Google Scholar 

  • Falchuk, K. R., Fiske, S. C., Haggitt, R. C., Federman, M., and Trey, C., 1980, Pericentral hepatic fibrosis and intracellular hyalin in diabetes mellitus, Gastroenterology 78:535.

    PubMed  Google Scholar 

  • Franke, W. W., Denk, H., Schmidt, E., Osborn, M., and Weber, K., 1979, Ultrastructural, biochemical and immunologic characterization of Mallory bodies in livers of Griseofulvin-treated mice—Fimbriated rods of filaments containing prekeratin-like polypeptides, Lab. Invest. 40:207.

    PubMed  Google Scholar 

  • French, S. W., and Burbige, E. J., 1979, Alcoholic hepatitis. Clinical, morphologic, pathogenic and therapeutic aspects, in: Progress in Liver Disease, Vol. VI (H. Popper and F. Schaffner, eds.), pp. 551–579, Grune and Stratton, New York.

    Google Scholar 

  • French, S. W., Sim, J. S., and Caldwell, M. G., 1977, Thick microfilaments (intermediate filaments) and chronic alcohol ingestion, in: Membrane Alterations as Basis of Liver Injury (H. Popper, L. Beanchi, and W. Reutter, eds.), pp. 311–325, Falk Symposium 22, MTS Press, Lancaster, England.

    Google Scholar 

  • Gerber, M. A., Orr, W., Denk, H., Schaffner, F., and Popper, H., 1973, Hepatocellular hyalin in cholestasis and cirrhosis—Its diagnostic significance, Gastroenterology 64:89.

    PubMed  Google Scholar 

  • Good, R. A., West, A., and Fernandes, G., 1980, Nutritional modulation of immune responses, Fed. Proc. 39:3098.

    PubMed  Google Scholar 

  • Hsu, C.C. S., and Leevy, C. M., 1971, Inhibition of PHA-stimulated lymphocyte transformation by plasma from patients with advanced alcoholic cirrhosis, Clin. Exp. Immunol. 8:749.

    PubMed  Google Scholar 

  • Husby, G., Strickland, R. G., and Caldwell, J. L., 1975, Localization of T and B cells and alpha fetoprotein in hepatic biopsies from patients with liver disease, J. Clin. Invest. 56:1198.

    Article  PubMed  Google Scholar 

  • Jain, S., Scheuer, P., Samourian, S., and Sherlock, S., 1977, A controlled trial of D penicillamine therapy in primary biliary cirrhosis, Lancet II:831.

    Article  Google Scholar 

  • Jori, C. D., Buonanno, G., O’oriadio, F., Tirelli, A., Gonella, F., and Gentile, S., 1977, Incidence and immunochemical features of serum cryoglobulin in chronic liver disease, Gut 18:243.

    Article  Google Scholar 

  • Kakumu, S., and Leevy, C.M., 1977, Lymphocyte cytotoxicity in alcoholic hepatitis, Gastroenterology 72:594.

    PubMed  Google Scholar 

  • Kakumu, S., Arakawa, Y., Goyi, H., Kashio, T., and Yata, K., 1979, Occurrence and significance of antibody to liver-specific membrane lipoprotein by double antibody immunoprecipitation method in sera of patients with acute and chronic liver disease, Gastroenterology 76:655.

    Google Scholar 

  • Kanagasundaram, N., and Leevy, C.M., 1975, Transfer factor in alcoholic hepatitis, its occurrence and significance, Gastroenterology 69:844.

    Google Scholar 

  • Kanagasundaram, N., and Leevy, C.M., 1976, Hepatic immune complexes in alcoholic hepatitis, Gastroenterology 71:A21.

    Google Scholar 

  • Kanagasundaram, N., and Leevy, C. M., 1979a, Immunologic aspects of liver disease, Med. Clin. North Am. 63:631.

    PubMed  Google Scholar 

  • Kanagasundaram, N., and Leevy, C.M., 1979, The antigenic moiety in alcoholic hyalin (AH): Its identification and detection in AHAb by radioimmunoassay, Gastroenterology 77:A20.

    Google Scholar 

  • Kanagasundaram, N., Kakumu, S., Chen, T., and Leevy, C.M., 1977, Alcoholic hyalin antigen (AHAg) and its antibody (AHAb) in alcoholic hepatitis, Gastroenterology 73:1368.

    PubMed  Google Scholar 

  • Kanagasundaram, N., Dhingra, R., and Leevy, C.M., 1980a, Alcoholic hyalin and neutrophil accumulation in acute liver injury of the alcoholic, Clin. Res. 8:545A.

    Google Scholar 

  • Kanagasundaram, N., Praport, B., and Leevy, C.M., 1980b, Immunologic reactivity of intrahepatic lymphocytes (ly) in hepatitis, Gastroenterology 79:1112.

    Google Scholar 

  • Keeley, A. E., Iseri, O. A., and Gottlier, L. S., 1972, Ultrastructure of hyalin cytoplasmic inclusions in a human hepatoma: Relationship to Mallory’s alcoholic hyalin, Gastroenterology 62:280.

    PubMed  Google Scholar 

  • Leevy, C.M., 1962, Fatty liver: A study of 270 patients with biopsy proven fatty liver and a review of the literature, Medicine 41:249.

    Article  PubMed  Google Scholar 

  • Leevy, C.M., 1966, Abnormalities in hepatic DNA synthesis in man, Medicine 45:423.

    Article  PubMed  Google Scholar 

  • Leevy, C.M., and Chen, T., 1979, Ethanol inhibition of liver regeneration, Gastroenterology 77:1151.

    PubMed  Google Scholar 

  • Leevy, C.M., and Kanagasundaram, N., 1978, Alcoholic hepatitis, Hosp. Pract. 13:115.

    PubMed  Google Scholar 

  • Leevy, C.M., Gellene, R., and Ning, M., 1964, Primary liver cancer in cirrhosis of the alcoholic, Ann. N.Y. Acad. Sci. 115:1026.

    Google Scholar 

  • Leevy, C.M., Kanagasundaram, N., Kakumu, S., and Chen, T., 1975a, Pathogenetic and diagnostic implications of immunologic reactivity in alcoholic liver disease, in: Proceedings 2nd International Gstaad Symposium on The Liver, Quantitative Aspects of Structure and Function (R. Preisig and G. Paumgartner, eds.), pp. 348–356, Karger, Berne.

    Google Scholar 

  • Leevy, C.M., Zetterman, R., and Chen, T., 1975b, Alcoholic hepatitis, cirrhosis and immunological reactivity, Ann. N.Y. Acad. Sci. 52:106.

    Google Scholar 

  • Leevy, C. M., Zetterman, R., and Smith, F., 1975c, Newer approaches to treatment of liver disease in the alcoholic, Ann. N.Y. Acad. Sci. 52:135.

    Google Scholar 

  • Leevy, C.M., Chen, T., and Luisada-Opper, A., Kanagasundaram, N., Zetterman, R., 1976, Liver disease of the alcoholic: Role of immunologic abnormalities in pathogenesis, recognition and treatment, in: Progress in Liver Disease, Vol. V (H. Popper and F. Schaffner, eds.), pp. 516–530, Grune and Stratton, New York.

    Google Scholar 

  • Leevy, C.M., Kanagasundaram, N., Leevy, C.B., and Luisada-Opper, A., 1979a, Isolation and purification of alcoholic hyalin, in: Proceedings 3rd International Gstaad Symposium on The Liver, Quantitative Aspects of Structure and Function (R. Preisig, ed.), pp. 458–467, Karger, Berne.

    Google Scholar 

  • Leevy, C.M., Kanagasundaram, N., Matsamoto, K., and Chen, T., 1979b, Alcoholic hyalin: Immunologic reactivity in liver disease, in: Immune Reactions in Liver Disease (A. I. W. F. Eddleston, J. C. P. Weber, and R. Williams, eds.), pp. 195–207, Pitman, London.

    Google Scholar 

  • Leevy, C. M., Zaki, F. G., Chen, T., and Kanagasundaram, N., 1981, Cholestasis and hepatic fibrosis, in: Connective Tissue of the Normal and Fibrotic Human Liver (U. Gerlach, G. Pott, J. Rauterberg, and B. VoB, eds.), G. Thieme Verlag, Stuttgart, New York.

    Google Scholar 

  • Lin, Y. K., 1979, Phagocytic capacity of reticuloendothelial system in alcoholics, J. Retic. Syst. 5:605.

    Google Scholar 

  • Lipsky, P. E., 1978, The effect of D penicillamine on nitrogen-induced hormone lymphocyte proliferation—synertistic inhibition of D penicillamine and copper salts, J. Immunol. 120:1006.

    PubMed  Google Scholar 

  • Luisada-Opper, A., Kanagasundaram, N., and Leevy, C. M., 1977, Chemical nature of alcoholic hyalin, Gastroenterology 73:1374.

    PubMed  Google Scholar 

  • Lyons, H., and Christofferson, 1971, Histochemical study of Mallory bodies, Acta Pathol. Microbiol. Scand. Sect. A 79:649.

    Google Scholar 

  • Maddrey, W. C., Boitnott, J. K., Bedine, M. S., Weber, F. L., Mazey, E., and White, R. I., 1978, Corticosteroid therapy of alcoholic hepatitis, Gastroenterology 75:193.

    PubMed  Google Scholar 

  • Miller, D. J., Ishimaru, H. and Klatskin, G., 1979, Non-alcoholic liver disease mimicking alcoholic hepatitis and cirrhosis, Gastroenterology 77:A27.

    Google Scholar 

  • Mutchnick, M. G., and Goldstein, A. L., 1979, In vitro thymosin effect on T lymphocytes in alcoholic liver disease, Clin. Immunol. Immunopathol. 12:271.

    Article  PubMed  Google Scholar 

  • Nayak, N. C., Sagraya, K., and Ramalingswami, V., 1969, Indian childhood cirrhosis, Arch. Pathol. 88:631.

    PubMed  Google Scholar 

  • Nolan, J. P., 1978, Bacteria and liver, New Engl. J. Med. 99:1069.

    Article  PubMed  Google Scholar 

  • Paronetto, F., and Lieber, C.S., 1976, Cytotoxicity of lymphocytes in experimental alcoholic liver injury in the baboon, Proc. Soc. Exp. Biol. Med. 153:495.

    PubMed  Google Scholar 

  • Paumgartner, G., Longueville, J., and Leevy, C.M., 1968, Phagocytic activity in experimental liver injury, Exp. Mol. Pathol. 9:248.

    Article  Google Scholar 

  • Penner, E., Albini, B., and Milgrom, F., 1978, Detection of circulating immune complexes in alcoholic liver disease, Clin. Exp. Immunol. 34:28.

    PubMed  Google Scholar 

  • Peters, R. L., Jay, T., and Reynolds, T. B., 1975, Post-jejuno-ileal bypass hepatic disease, Am. J. Clin. Pathol. 63:318.

    PubMed  Google Scholar 

  • Porter, H. P., Simon, F. R., Pope, C. E., Volurter, W., and Fender, L. F., 1971, Corticosteroid therapy in severe alcoholic hepatitis—A double blind drug trial, N. Engl. J. Med. 84:1350.

    Article  Google Scholar 

  • Potter, B. J., Elies, E., Payers, P. M., and Jones, E. A., 1978, Profiles of serum complement in patients with hepatobiliary disease, Digestion 18:371.

    Article  PubMed  Google Scholar 

  • Prasad, A. S., 1979, Zinc in Human Nutrition, CRC Press, West Palm Beach, Florida.

    Google Scholar 

  • Sakai, A., Pfeffermann, R., and Koontz, S. L., 1976, Liver regeneration and lymphocyte activation, Surg. Gynecol. Obstet. 143:1914.

    Google Scholar 

  • Schleichting, P., Juhl, E., Poulsen, H., and Winkel, F., 1976, Alcoholic hepatitis superimposed on cirrhosis. Clinical significance and effect of long-term prednisone treatment, Scand. J. Gastroenterology 11:305.

    Google Scholar 

  • Snyder, N., Bessoff, J., Dwyer, J. M., and Conn, H. O., 1978, Depressed delayed cutaneous hypersensitivity in alcoholic hepatitis, Am. J. Dig. Dis. 3:353.

    Article  PubMed  Google Scholar 

  • Sorrell, M. F., and Leevy, C. M., 1972, Lymphocyte transformation and alcoholic liver injury, Gastroenterology 63:1020.

    PubMed  Google Scholar 

  • Tinberg, H. M., Geier, E. A., Beirne, J., Borbigi, E., and French, S. W., 1979, Mallory bodies. Horseradish peroxidase specific cytochemical and biochemical marker for alcoholic hyalin, Lab. Invest. 41:13.

    PubMed  Google Scholar 

  • Thomas, H. C., Potter, B. J., and Sherlock, S., 1977, Is primary biliary cirrhosis an immune complex disease? Lancet 11:1261.

    Article  Google Scholar 

  • Warren, K. S., 1972, The immunopathogenesis of schistosomiasis: A multidisciplinary approach, Trans. R. Soc. Trop. Med. Hyg. 66:417.

    Article  PubMed  Google Scholar 

  • Wiggers, K. S., French, S. W., French, B. A., and Carr, B. N., 1973, The ultrastructure of Mallory body filaments, Lab. Invest. 9:652.

    PubMed  Google Scholar 

  • Wybran, J., Govaerts, A., and Fudenberg, H., 1975, Alcoholic liver disease and the immune system, J. Am. Med. Assoc. 32:57.

    Article  Google Scholar 

  • Yokoo, H., Minick, O. T., Batti, F., and Kent, G., 1972, Morphologic variants of alcoholic hyalin, Am. J. Pathol. 69:25.

    PubMed  Google Scholar 

  • Zetterman, R. K., and Leevy, C.M., 1975, Immunologic reactivity and alcoholic liver injury, Bull. N.Y. Acad. Med. 51:533.

    PubMed  Google Scholar 

  • Zetterman, R. K., Luisada-Opper, A., and Leevy, C. M., 1976, Alcoholic hepatitis: Cell mediated immunologic response to alcoholic hyalin, Gastroenterology 70:382.

    PubMed  Google Scholar 

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© 1981 Plenum Press, New York

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Leevy, C.M., Kanagasundaram, N., Chen, T. (1981). Immunologic Aspects of Liver Disease of the Alcoholic. In: Israel, Y., Glaser, F.B., Kalant, H., Popham, R.E., Schmidt, W., Smart, R.G. (eds) Research Advances in Alcohol and Drug Problems. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-7740-9_8

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