title: Autoantibodies to hepatic microsomal carboxylesterase in halothane hepatitis.
abstract: Halothane hepatitis can be life-threatening, and this severe adverse reaction may arise via an immune process. We have detected autoantibodies to purified human liver microsomal carboxylesterase in sera of 17 out of 20 patients with halothane hepatitis (85%) but not in 9 halothane-exposed controls and in only 2 (at low levels) of 33 patients with liver disease due to other causes. Immunohistochemical studies localised the carboxylesterase predominantly to the centrilobular region of liver sections, which is consistent with the area affected by halothane hepatitis. Human hepatic microsomal carboxylesterase is a target antigen in halothane hepatitis, and an immune response to this protein may be involved in the liver damage observed.
authors.affiliation: Imperial Cancer Research Fund, Ninewells Hospital and Medical School, Dundee, UK.
authors.forename: G C
authors.initials: GC
authors.lastname: Smith
authors.forename: J G
authors.initials: JG
authors.lastname: Kenna
authors.forename: D J
authors.initials: DJ
authors.lastname: Harrison
authors.forename: D
authors.initials: D
authors.lastname: Tew
authors.forename: C R
authors.initials: CR
authors.lastname: Wolf
mesh_terms: D000328:Adult; D001323:Autoantibodies / Q000276:immunology*; D002265:Carboxylic Ester Hydrolases / Q000276:immunology; D056486:Chemical and Drug Induced Liver Injury / Q000201:enzymology* / Q000276:immunology; D004797:Enzyme-Linked Immunosorbent Assay; D005260:Female; D006221:Halothane / Q000009:adverse effects* / Q000378:metabolism; D006801:Humans; D008297:Male; D008862:Microsomes, Liver / Q000201:enzymology* / Q000276:immunology / Q000473:pathology; D008875:Middle Aged
chemical_list: D001323:Autoantibodies; D002265:Carboxylic Ester Hydrolases; D006221:Halothane