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Future Perspectives in the Diagnosis and Treatment of Liver Disease Associated with Alpha-1 Antitrypsin Deficiency
Abstract Alpha-1 antitrypsin deficiency (AATD) is one of the most common genetic diseases and is caused by mutations in the SERPINA1 gene. The homozygous Pi*Z variant is responsible for the majority of the classic severe form of alpha-1 antitrypsin deficiency, which is characterized by markedly decr...
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Published in: | GE Portuguese journal of gastroenterology 2023-10, Vol.30 (5), p.327-335 |
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creator | Abreu, Nélia Pereira, Vítor Magno Pestana, Madalena Jasmins, Luís |
description | Abstract
Alpha-1 antitrypsin deficiency (AATD) is one of the most common genetic diseases and is caused by mutations in the SERPINA1 gene. The homozygous Pi*Z variant is responsible for the majority of the classic severe form of alpha-1 antitrypsin deficiency, which is characterized by markedly decreased levels of serum alpha-1 antitrypsin (AAT) with a strong predisposition to lung and liver disease. The diagnosis and early treatment of AATD-associated liver disease are challenges in clinical practice. In this review, the authors aim to summarize the current evidence of the non-invasive methods in the assessment of liver fibrosis, as well as to elucidate the main therapeutic strategies under investigation that may emerge in the near future. |
doi_str_mv | 10.1159/000528809 |
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Alpha-1 antitrypsin deficiency (AATD) is one of the most common genetic diseases and is caused by mutations in the SERPINA1 gene. The homozygous Pi*Z variant is responsible for the majority of the classic severe form of alpha-1 antitrypsin deficiency, which is characterized by markedly decreased levels of serum alpha-1 antitrypsin (AAT) with a strong predisposition to lung and liver disease. The diagnosis and early treatment of AATD-associated liver disease are challenges in clinical practice. In this review, the authors aim to summarize the current evidence of the non-invasive methods in the assessment of liver fibrosis, as well as to elucidate the main therapeutic strategies under investigation that may emerge in the near future.</description><identifier>ISSN: 2341-4545</identifier><identifier>EISSN: 2387-1954</identifier><identifier>DOI: 10.1159/000528809</identifier><identifier>PMID: 37868641</identifier><language>eng</language><publisher>Basel, Switzerland: S. Karger AG</publisher><subject>alpha-1 antitrypsin ; Endoplasmic reticulum ; Enzymes ; Genotype & phenotype ; Liver cancer ; Liver cirrhosis ; liver disease ; Liver diseases ; Liver transplants ; Lung diseases ; Medical diagnosis ; Mutation ; Proteins ; Review ; Review Article ; treatment</subject><ispartof>GE Portuguese journal of gastroenterology, 2023-10, Vol.30 (5), p.327-335</ispartof><rights>2023 The Author(s). Published by S. Karger AG, Basel</rights><rights>2023 The Author(s). Published by S. Karger AG, Basel . Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the associated terms available at: https://uk.sagepub.com/en-gb/eur/reusing-open-access-and-sage-choice-content</rights><rights>Copyright © 2023 by The Author(s). Published by S. Karger AG, Basel 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c562t-d6f333413056eb0ba56de1af75759fa40a399f23dd0fc74baa1525819af843c93</cites><orcidid>0000-0002-9854-086X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10586215/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10586215/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27635,27924,27925,53791,53793</link.rule.ids></links><search><creatorcontrib>Abreu, Nélia</creatorcontrib><creatorcontrib>Pereira, Vítor Magno</creatorcontrib><creatorcontrib>Pestana, Madalena</creatorcontrib><creatorcontrib>Jasmins, Luís</creatorcontrib><title>Future Perspectives in the Diagnosis and Treatment of Liver Disease Associated with Alpha-1 Antitrypsin Deficiency</title><title>GE Portuguese journal of gastroenterology</title><addtitle>GE Port J Gastroenterol</addtitle><description>Abstract
Alpha-1 antitrypsin deficiency (AATD) is one of the most common genetic diseases and is caused by mutations in the SERPINA1 gene. The homozygous Pi*Z variant is responsible for the majority of the classic severe form of alpha-1 antitrypsin deficiency, which is characterized by markedly decreased levels of serum alpha-1 antitrypsin (AAT) with a strong predisposition to lung and liver disease. The diagnosis and early treatment of AATD-associated liver disease are challenges in clinical practice. 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Alpha-1 antitrypsin deficiency (AATD) is one of the most common genetic diseases and is caused by mutations in the SERPINA1 gene. The homozygous Pi*Z variant is responsible for the majority of the classic severe form of alpha-1 antitrypsin deficiency, which is characterized by markedly decreased levels of serum alpha-1 antitrypsin (AAT) with a strong predisposition to lung and liver disease. The diagnosis and early treatment of AATD-associated liver disease are challenges in clinical practice. In this review, the authors aim to summarize the current evidence of the non-invasive methods in the assessment of liver fibrosis, as well as to elucidate the main therapeutic strategies under investigation that may emerge in the near future.</abstract><cop>Basel, Switzerland</cop><pub>S. Karger AG</pub><pmid>37868641</pmid><doi>10.1159/000528809</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-9854-086X</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | alpha-1 antitrypsin Endoplasmic reticulum Enzymes Genotype & phenotype Liver cancer Liver cirrhosis liver disease Liver diseases Liver transplants Lung diseases Medical diagnosis Mutation Proteins Review Review Article treatment |
title | Future Perspectives in the Diagnosis and Treatment of Liver Disease Associated with Alpha-1 Antitrypsin Deficiency |
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