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Cholestasis, Progressive Familial Intrahepatic

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Synonyms

PFIC type 1 – Byler’s disease (Amish population), Greenland familial cholestasis (Inuit population), Byler’s syndrome (non-Amish population); PFIC type 2; PFIC type 3; Familial hypercholanemia; Aagenaes syndrome –Lymphedema-cholestasis syndrome

Definition and Characteristics

Autosomal recessive diseases characterized by progressive neonatal cholestasis and low serum gamma-glutamyltransferase activity (PFIC type 1 and type 2) or elevated serum gamma-glutamyltransferase activity (PFIC type 3). In Aagenaes syndrome serum GGT is normal, in familial hypercholanemia GGT may either be elevated or normal.

Prevalence

Rare.

Genes

  • PFIC type 1, FIC1/ATP8B1 on chromosome 18q21;

  • PFIC type 2, BSEP/ABCB11 on chromosome 2q24;

  • PFIC type 3, MDR3/ABCB4 on chromosome 7q21.1;

  • Congenital bile acid synthesis defects:

    • 3β-Δ5;5-C27-hydroxysteroid oxidoreductase gene (HSD3B7) on chromosome 16p12-p11;

    • Δ4-3-oxosteroid-5β reductase gene on chromosome 7q32;

    • 7α-hydroxylase gene (CYP7B1) on chromosome 8q21.

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References

  1. Bull LN, Carlton VE, Stricker NL, Baharloo S, DeYoung JA, Freimer NB et al. (1997) Genetic and morphological findings in progressive familial intrahepatic cholestasis (Byler disease [PFIC-1] and Byler syndrome): evidence for heterogeneity. Hepatology 26(1):155–164

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  2. Strautnieks SS, Bull LN, Knisely AS, Kocoshis SA, Dahl N, Arnell H et al. (1998) A gene encoding a liver-specific ABC transporter is mutated in progressive familial intrahepatic cholestasis. Nat Genet 20(3):233–238

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  3. Clayton PT, Leonard JV, Lawson AM, Setchell KD, Andersson S, Egestad B et al. (1987) Familial giant cell hepatitis associated with synthesis of 3 beta, 7 alpha-dihydroxy-and 3 beta,7 alpha, 12 alpha-trihydroxy-5-cholenoic acids. J Clin Invest 79(4):1031–1038

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  4. Deleuze JF, Jacquemin E, Dubuisson C, Cresteil D, Dumont M, Erlinger S et al. (1996) Defect of multidrug-resistance 3 gene expression in a subtype of progressive familial intrahepatic cholestasis. Hepatology 23(4):904–908

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  5. Bull LN, Roche E, Song EJ, Pedersen J, Knisely AS, Der Hagen CB et al. (2000) Mapping of the locus for cholestasis-lymphedema syndrome (Aagenaes syndrome) to a 6.6-cM interval on chromosome 15q. Am J Hum Genet 67(4):994–999

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Jansen, P.L.M. (2009). Cholestasis, Progressive Familial Intrahepatic. In: Lang, F. (eds) Encyclopedia of Molecular Mechanisms of Disease. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-29676-8_328

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