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Immunological basis in the pathogenesis of intrahepatic cholestasis of pregnancy

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References

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• This study investigated alterations in the gene profiles of placentas from patients with ICP. Among many changes, it found specific chemokines to be upregulated.

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• In this article, the roles of estradiol, progesterone metabolites and BSEP are discussed with regard to the etiology of ICP.

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• Study examining the maternal serum expression of IL-4, IL-6, IL-12 and TNF-α along with the expression of NF-κB and PPARγ in ICP.

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• This research is the first to investigate changes in IL-17 levels of ICP. They found IL-17 to be significantly increased in patients with severe ICP, or who had total bile acid levels ≥ 40μmol/L.

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• This report explored the changes in T, NK and NKT cell populations in patients with ICP. They found that NK and NKT cells are increased in the decidua parietalis while CD3+ T cells are decreased.

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• This study explored a future treatment for ICP by using a FXR agonist in a mouse model. They found that the FXR agonist attenuated cell apoptosis and edema accumulation in the placenta.

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