PMID- 8273454 OWN - NLM STAT- MEDLINE DCOM- 19940201 LR - 20171006 IS - 0386-300X (Print) IS - 0386-300X (Linking) VI - 47 IP - 5 DP - 1993 Oct TI - Autoimmune responses as assessed by hypergammaglobulinemia and the presence of autoantibodies in patients with chronic hepatitis C. PG - 305-10 AB - We investigated autoimmunity, as assessed by hypergammaglobulinemia and the presence of autoantibodies including anti-nuclear antibodies (ANA) and anti-liver membrane antibodies (LMA), in 149 patients with chronic hepatitis C, 55 patients with chronic hepatitis B and 11 patients with autoimmune hepatitis. There was no significant difference in the incidence of these autoantibodies between chronic hepatitis C and chronic hepatitis B. Nine patients with chronic hepatitis C satisfied the serological criteria of autoimmune hepatitis (ANA positive and gammaglobulin or serum IgG greater than 2500 mg/dl), but none of the patients with chronic hepatitis B met the criteria. This suggests that autoimmunity is greater in chronic hepatitis C than in chronic hepatitis B. Of the 9 patients with chronic hepatitis C, all 4 patients tested for human leukocyte antigen (HLA) phenotype had HLA-DR4, which is known to be associated with autoimmune hepatitis in Japanese patients. We believe that hepatitis C virus (HCV) infection enhances the initiation and perpetuation of autoimmunity in susceptible individuals. FAU - Kawamoto, H AU - Kawamoto H AD - First Department of Internal Medicine, Okayama University Medical School, Japan. FAU - Sakaguchi, K AU - Sakaguchi K FAU - Takaki, A AU - Takaki A FAU - Ogawa, S AU - Ogawa S FAU - Tsuji, T AU - Tsuji T LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Japan TA - Acta Med Okayama JT - Acta medica Okayama JID - 0417611 RN - 0 (Antibodies, Antinuclear) RN - 0 (Autoantibodies) SB - IM MH - Adult MH - Aged MH - Antibodies, Antinuclear/analysis MH - Autoantibodies/*analysis MH - Autoimmune Diseases/immunology MH - *Autoimmunity MH - Chronic Disease MH - Female MH - Hepatitis/immunology MH - Hepatitis B/immunology MH - Hepatitis C/*complications/*immunology MH - Humans MH - Hypergammaglobulinemia/*etiology MH - Male MH - Middle Aged EDAT- 1993/10/01 00:00 MHDA- 1993/10/01 00:01 CRDT- 1993/10/01 00:00 PHST- 1993/10/01 00:00 [pubmed] PHST- 1993/10/01 00:01 [medline] PHST- 1993/10/01 00:00 [entrez] AID - 10.18926/AMO/31582 [doi] PST - ppublish SO - Acta Med Okayama. 1993 Oct;47(5):305-10. doi: 10.18926/AMO/31582.