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Immunopathology of the Hepatobiliary System

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Part of the book series: Molecular and Integrative Toxicology ((MOLECUL))

Abstract

The liver is the largest internal organ in the body and contains many cell types that are involved in local and systemic immunity, including those of both the innate and adaptive immune systems. Approximately 10 % of the cells of the liver belong to the immune system, including the largest supply of tissue-specific macrophages and natural killer cells in the body. One of the main roles of immune cells in the liver is to establish an immunotolerant microenvironment, as the liver is the first tissue to receive portal blood flow from the gastrointestinal tract, which includes endotoxin, self-antigens, and ingested antigens. This prevents unwanted systemic immune responses towards these everyday encountered antigens. Kupffer cells and sinusoidal endothelial cells in the liver play important roles in removing pathogens and other possible antigens from the portal blood prior to them reaching the systemic circulation, also preventing unwanted reactions. Autoimmune disease can result if this immunotolerant microenvironment is disrupted. The liver also plays a role in local and systemic inflammation through the production of acute phase proteins, cytokines, and other pro-inflammatory mediators. Immune cells play an important role in many liver diseases of humans and animals, including drug-induced liver injury, viral infection, and neoplasia. In addition, the liver plays an important role in systemic disorders, particularly septicemia. This chapter outlines the normal immunobiology of the liver, including the cell types involved in the immune response, and their roles in various diseases of the liver as well as systemic disorders. Animal models of liver diseases involving the immune system are also discussed.

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Brown, D.L. (2017). Immunopathology of the Hepatobiliary System. In: Parker, G. (eds) Immunopathology in Toxicology and Drug Development. Molecular and Integrative Toxicology. Humana Press, Cham. https://doi.org/10.1007/978-3-319-47385-7_7

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