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Review articles
Autoimmune hepatitis: current concepts in epidemiology, diagnosis, and management
Brian J. Wentworth, Kwang Il Seo
Kosin Med J. 2025;40(4):249-269.   Published online December 29, 2025
DOI: https://doi.org/10.7180/kmj.25.140
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  • 29 Download
Abstract PDFPubReader   ePub   
Autoimmune hepatitis is a rare immune-mediated liver disease that can progress to cirrhosis and liver failure. Its global incidence and prevalence are increasing, with a marked female predominance and substantial regional variation. Diagnosis requires the exclusion of alternative causes of liver disease and the integration of clinical, serologic, and histologic features. First-line induction therapy has traditionally relied on corticosteroids, with or without azathioprine, although recent evidence supports mycophenolate mofetil as an alternative first-line, steroid-sparing agent. Nonetheless, a subset of patients are intolerant of or have an inadequate response to first-line therapies, which complicates management and necessitates the use of less well-validated immunosuppressive regimens. Special clinical situations, including pregnancy, overlap syndromes, liver transplantation, and hepatocellular carcinoma, pose additional management challenges. For most patients, the primary therapeutic goal is complete biochemical response, although subclinical histologic inflammation may persist in some cases. Accordingly, careful long-term monitoring is essential to assess disease progression and to detect disease-specific or immunosuppression-related complications. This review concisely summarizes the current literature on autoimmune hepatitis and provides busy clinicians with a practical, evidence-based primer on disease management.
The Roles of Human Endogenous Retroviruses (HERVs) in Inflammation
Eun-Ji Ko, Hee-Jae Cha
Kosin Med J. 2021;36(2):69-78.   Published online December 31, 2021
DOI: https://doi.org/10.7180/kmj.2021.36.2.69
  • 9,781 View
  • 139 Download
  • 10 Citations
Abstract PDFPubReader   ePub   

Human endogenous retroviruses (HERVs) are ancient, currently inactive, and non-infectious due to recombination, deletions, and mutations in the host genome. However, HERV-derived elements are involved in physiological phenomena including inflammatory response. In recent studies, HERV-derived elements were involved directly in various inflammatory diseases including autoimmune diseases such as rheumatoid arthritis (RA), multiple sclerosis, amyotrophic lateral sclerosis (ALS), and Sjogren’s syndrome. Regarding the involvement of HERV-derived elements in inflammation, two possible mechanisms have been proposed. First, HERV-derived elements cause nonspecific innate immune processes. Second, HERV-derived RNA or proteins might stimulate selective signaling mechanisms. However, it is unknown how silent HERV elements are activated in the inflammatory response and what factors and signaling mechanisms are involved with HERV-derived elements. In this review, we introduce HERV-related autoimmune diseases and propose the possible action mechanisms of HERV-derived elements in the inflammatory response at the molecular level.

Citations

Citations to this article as recorded by  
  • Expression profiles of TNF-Alpha and HERV-K Env proteins in multiple types of colon and lung disease
    Eun-Ji Ko, Jee-Yeong Jeong, Sung Chul Bae, Hee-Jae Cha
    Genes & Genomics.2025; 47(1): 113.     CrossRef
  • Immune and vascular modulation by HERVs: the role of CXCR1 and IL18RAP in dengue severity progression
    Cristina Santos Ferreira, Alan Tardin Da Silva, Otávio José Bernandes Brustolini, Beatriz Rodrigues Pellegrina Soares, Erika Regina Manuli, Mariana Severo Ramundo, Glaucia Paranhos-Baccala, Ester Cerdeira Sabino, Ana Tereza Ribeiro Vasconcelos
    Frontiers in Immunology.2025;[Epub]     CrossRef
  • Transposable elements in health and disease: Molecular basis and clinical implications
    Yaqiang Hong, Nian Liu
    Chinese Medical Journal.2025; 138(18): 2220.     CrossRef
  • Correlation analysis of cancer stem cell marker CD133 and human endogenous retrovirus (HERV)-K env in SKOV3 ovarian cancer cells
    Do-Ye Kim, Heungyeol Kim, Eun-Ji Ko, Suk Bong Koh, Hongbae Kim, Ji Young Lee, Chul Min Lee, Wan Kyu Eo, Ki Hyung Kim, Hee-Jae Cha
    Genes & Genomics.2024; 46(4): 511.     CrossRef
  • The Humoral Immune Response against Human Endogenous Retroviruses in Celiac Disease: A Case–Control Study
    Marco Bo, Roberto Manetti, Maria Luigia Biggio, Leonardo A. Sechi
    Biomedicines.2024; 12(8): 1811.     CrossRef
  • Transcriptome analysis of the effect of HERV-K env gene knockout in ovarian cancer cell lines
    Eun-Ji Ko, Dong Soo Suh, Hongbae Kim, Ji Young Lee, Wan Kyu Eo, Heungyeol Kim, Ki Hyung Kim, Hee-Jae Cha
    Genes & Genomics.2024; 46(11): 1293.     CrossRef
  • Human Endogenous Retroviruses and Their Putative Role in Pathogenesis of Alzheimer’s Disease, Inflammation, and Senescence
    Patrycja Kozubek, Julia Kuźniar, Magdalena Czaja, Hanna Sitka, Urszula Kochman, Jerzy Leszek
    Biomedicines.2024; 13(1): 59.     CrossRef
  • The Role of Human Endogenous Retrovirus (HERV)-K119 env in THP-1 Monocytic Cell Differentiation
    Eun-Ji Ko, Min-Hye Kim, Do-Ye Kim, Hyojin An, Sun-Hee Leem, Yung Hyun Choi, Heui-Soo Kim, Hee-Jae Cha
    International Journal of Molecular Sciences.2023; 24(21): 15566.     CrossRef
  • Effect of human endogenous retrovirus-K env gene knockout on proliferation of ovarian cancer cells
    Eun-Ji Ko, Eun Taeg Kim, Heungyeol Kim, Chul Min Lee, Suk Bong Koh, Wan Kyu Eo, Hongbae Kim, Young Lim Oh, Mee Sun Ock, Ki Hyung Kim, Hee-Jae Cha
    Genes & Genomics.2022; 44(9): 1091.     CrossRef
  • A Systems Biology Approach on the Regulatory Footprint of Human Endogenous Retroviruses (HERVs)
    Georgios S. Markopoulos
    Diseases.2022; 10(4): 98.     CrossRef
An overview of the pathogenic mechanisms of autoimmune thyroid disorders
Keun Yong Park
Kosin Med J. 2014;29(2):93-98.   Published online December 18, 2014
DOI: https://doi.org/10.7180/kmj.2014.29.2.93
  • 3,976 View
  • 10 Download
  • 3 Citations
Abstract PDFPubReader   
Abstract

Objectives, recent epidemiologic studies in humans suggest an increased prevalence of thyroiditis associated with the excessive administration of iodine. More than three times of recommended daily intake of iodine was observed among people in North America. These people generally presented higher level of anti-thyroglobulin antibody, anti-thyroperoxidase antibody, serum thyroid-stimulating hormone and exacerbation of lymphocytic infiltration in thyroid, which indicated the overconsumption of iodine could induce hypothyroidism and enhance the autoimmune response. However, the precise mechanism of excessive iodine intake induced autoimmune thyroid disease remains largely unknown.

Over half a century has elapsed since the 1956 identification of thyroglobulin antibodies and the devising of the first experimental model of autoimmune thyroiditis. Since then an incredible amount of experimental work has led to an ever deeper understanding of the nature of thyroid auto-antigens, the main immune mechanisms responsible for Hashimoto's thyroiditis and graves’ disease, their genetics, and therir environmental risk factor. Yet, in the majority of genetically predisposed people the individual trigger of thyroid autoimmunity remains obscure. Similarly, effective prevention strategies still remain to be established and, hopefully, will be the target of future studies.

Citations

Citations to this article as recorded by  
  • Xenobiotic modalities impacting the thyroid 3H framework of hormonogenesis, homeostasis, and human health
    Abhishek Tater, Bharath Basavapattana Rudresh, Santosh L. Gaonkar
    Drug and Chemical Toxicology.2026; : 1.     CrossRef
  • Evaluating the Role of CBC-Derived Indices in Children with Hashimoto’s Thyroiditis
    Andrei-Ioan Munteanu, Iulius Jugănaru, Delia-Maria Nicoară, Niculina Mang, Raluca Vasilescu, Giorgiana-Flavia Brad, Alexandra-Cristina Scutca, Raluca Asproniu, Lucian-Ioan Cristun, Otilia Mărginean
    Diagnostics.2024; 14(24): 2834.     CrossRef
  • Selective Silencing of Disease-Associated B Lymphocytes from Hashimoto’s Thyroiditis Patients by Chimeric Protein Molecules
    Nikola Ralchev Ralchev, Aleksandar Mishel Markovski, Inna Angelova Yankova, Iliyan Konstantinov Manoylov, Irini Atanas Doytchinova, Nikolina Mihaylova Mihaylova, Alexander Dimitrov Shinkov, Andrey Ivanov Tchorbanov
    International Journal of Molecular Sciences.2022; 23(23): 15083.     CrossRef
Case report
A Case of Type III Autoimmune Polyglandular Syndrome
Sangeon Gwoo, Young Sik Choi, Bu Kyung Kim, Yo Han Park, Keun Tae Kim, Jun Seop Lee
Kosin Med J. 2013;28(2):167-170.   Published online January 19, 2013
DOI: https://doi.org/10.7180/kmj.2013.28.2.167
  • 3,352 View
  • 31 Download
Abstract PDFPubReader   ePub   

The autoimmune polyglandular syndromes (APS) are groups of syndromes comprising a combination of endocrine and nonendocrine autoimmune diseases. Among of those four types of APS, the main characteristics of the 3 APS are autoimmune thyroid diseases associated to other autoimmune diseases, excluding Addison’s disease. Type 3 APS are also subdivided into 3A, 3B, 3C, and 3D. Recently, we experience a case of APS manifesting 3A, 3C, and 3D subtype. A 28-year-old woman developed type I diabetes. According to her medical history, she had Graves’ disease, vitiligo, auimmune hemolytic anemia and systemic lupus erythematosus (SLE). The antoantibodies associated with Graves’ disease, SLE, and type I diabetes showed positive findings. We report this case with literatures review.


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