Progressive familial intrahepatic cholestasis: literature review and clinical case

Cover Page

Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription Access

Abstract

Progressive familial intrahepatic cholestasis (PFICH) is a group of autosomal recessive disorders manifesting primarily in childhood, less commonly in adulthood, and leading to liver cirrhosis development. Current article presents a narrative review discussing the genetic prerequisites, pathogenesis, diagnostic peculiarities, and current approaches to the treatment of PFICH, as well as a clinical observation of a patient with type 1 PFICH.

About the authors

Igor G. Bakulin

I.I. Mechnikov North-Western State Medical University of the Ministry of Healthcare of Russia

Email: meunbersh@gmail.com
ORCID iD: 0000-0002-6151-2021
Scopus Author ID: 6603812937

MD, Dr. Sci. (Medicine), professor of the Department of propaedeutics of internal medicine, gastroenterology and dietetics named after S.M. Ryss

Russian Federation, Saint Petersburg

Maria M. Bereznitskaya

I.I. Mechnikov North-Western State Medical University of the Ministry of Healthcare of Russia

Author for correspondence.
Email: meunbersh@gmail.com
ORCID iD: 0009-0007-1407-1378

MD, first-year postgraduate student in epidemiology and internal medicine

Russian Federation, Saint Petersburg

Elena B. Avalueva

I.I. Mechnikov North-Western State Medical University of the Ministry of Healthcare of Russia

Email: meunbersh@gmail.com
ORCID iD: 0000-0001-6011-0998
Scopus Author ID: 8902888000

MD, Dr. Sci. (Medicine), professor, professor of the Department of propaedeutics of internal medicine, gastroenterology and dietetics named after S.M. Ryss

Russian Federation, Saint Petersburg

References

  1. Bull LN, Thompson RJ. Progressive familial intrahepatic cholestasis. Clin Liver Dis. 2018;22(4):657–69. PMID: 30266155. https://doi.org/10.1016/j.cld.2018.06.003
  2. Srivastava A. Progressive familial intrahepatic cholestasis. J Clin Exp Hepatol. 2014;4(1):25–36. PMID: 25755532. PMCID: PMC4017198. https://doi.org/10.1016/j.jceh.2013.10.005
  3. Jones-Hughes T, Campbell J, Crathorne L. Epidemiology and burden of progressive familial intrahepatic cholestasis: A systematic review. Orphanet J Rare Dis. 2021;16(1):255. PMID: 34082807. PMCID: PMC8173883. https://doi.org/10.1186/s13023-021-01884-4
  4. Davit-Spraul A, Gonzales E, Baussan C, Jacquemin E. Progressive familial intrahepatic cholestasis. Orphanet J Rare Dis. 2009;4:1. PMID: 19133130. PMCID: PMC2647530. https://doi.org/10.1186/1750-1172-4-1
  5. Naveh Y, Bassan L, Rosenthal E, Berkowitz D, Jaffe M, Mandel H, Berant M. Progressive familial intrahepatic cholestasis among the Arab population in Israel. J Pediatr Gastroenterol Nutr. 1997;24(5):548–54. PMID: 9161950. https://doi.org/10.1097/00005176-199705000-00011
  6. Alsohaibani FI, Peedikayil MC, Alfadley AF, Aboueissa MK, Abaalkhail FA, Alqahtani SA. Progressive familial intrahepatic cholestasis: A descriptive study in a tertiary care center. Int J Hepatol. 2023;2023:1960152. PMID: 37520499. PMCID: PMC10374379. https://doi.org/10.1155/2023/1960152
  7. Borhany M, Pahore Z, Ul Qadr Z, Rehan M, Naz A, Khan A et al. Bleeding disorders in the tribe: result of consanguineous in breeding. Orphanet J Rare Dis. 2010;5:23. PMID: 20822539. PMCID: PMC2940786. https://doi.org/10.1186/1750-1172-5-23
  8. A Siddiqi I, Tadi P. Progressive Familial Intrahepatic Cholestasis. 2023 Jul 3. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan–. PMID: 32644743.
  9. Nicastro E, D’Antiga L. Genetic cholestatic disorders. In: D’Antiga, L. (eds) Pediatric hepatology and liver transplantation. New York: Springer, Cham. 2019; 227–45 pp. https://doi.org/10.1007/978-3-319-96400-3_13
  10. Cheng MT, Chen Y, Chen ZP, Liu X, Zhang Z, Chen Y et al. Structural insights into the activation of autoinhibited human lipid flippase ATP8B1 upon substrate binding. Proc Natl Acad Sci U S A. 2022;119(14):e2118656119. PMID: 35349344. PMCID: PMC9168909. https://doi.org/10.1073/pnas.2118656119
  11. Sebastian TT, Baldridge RD, Xu P, Graham TR. Phospholipid flippases: Building asymmetric membranes and transport vesicles. Biochim Biophys Acta. 2012;1821(8):1068–77. PMID: 22234261. PMCID: PMC3368091. https://doi.org/10.1016/j.bbalip.2011.12.007
  12. Alam S, Lal BB. Recent updates on progressive familial intrahepatic cholestasis types 1, 2 and 3: Outcome and therapeutic strategies. World J Hepatol. 2022;14(1):98–118. PMID: 35126842. PMCID: PMC8790387. https://doi.org/10.4254/wjh.v14.i1.98
  13. Bell EL, Truong JK, Jo Y, Kolpak A, Chunn L, Syverud N et al. An ABCB11 variant registry and novel knockin mouse model of PFIC2 based on the clinically relevant ABCB11 E297G variant. J Lipid Res. 2025;66(7):100840. PMID: 40513781. PMCID: PMC12273561. https://doi.org/10.1016/j.jlr.2025.100840
  14. Evason K, Bove KE, Finegold MJ, Knisely AS, Rhee S, Rosenthal P et al. Morphologic findings in progressive familial intrahepatic cholestasis 2 (PFIC2): Correlation with genetic and immunohistochemical studies. Am J Surg Pathol. 2011;35(5):687–96. PMID: 21490445. PMCID: PMC3416050. https://doi.org/10.1097/PAS.0b013e318212ec87
  15. Gumbiner B, Lowenkopf T, Apatira D. Identification of a 160-kDa polypeptide that binds to the tight junction protein ZO-1. Proc Natl Acad Sci U S A. 1991;88(8):3460–64. PMID: 2014265. PMCID: PMC51467. https://doi.org/10.1073/pnas.88.8.3460
  16. Abokandil MA, Waheeb S, Zaghloul W, Abdelgawad M, Abdelhady M, Mansy M, Kotb M. Progressive familial intrahepatic cholestasis type 4: A case report. J Med Case Rep. 2024;18(1):434. PMID: 39243110. PMCID: PMC11380191. https://doi.org/10.1186/s13256-024-04662-5
  17. Gomez-Ospina N, Potter CJ, Xiao R, Manickam K, Kim MS, Kim KH et al. Mutations in the nuclear bile acid receptor FXR cause progressive familial intrahepatic cholestasis. Nat Commun. 2016;7:10713. PMID: 26888176. PMCID: PMC4759630. https://doi.org/10.1038/ncomms10713
  18. Xie S, Wei S, Ma X, Wang R, He T, Zhang Z et al. Genetic alterations and molecular mechanisms underlying hereditary intrahepatic cholestasis. Front Pharmacol. 2023;14:1173542. PMID: 37324459. PMCID: PMC10264785. https://doi.org/10.3389/fphar.2023.1173542
  19. Sharma A, Poddar U, Agnihotry S, Phadke SR, Yachha SK, Aggarwal R. Spectrum of genomic variations in Indian patients with progressive familial intrahepatic cholestasis. BMC Gastroenterol. 2018;18(1):107. PMID: 29973134. PMCID: PMC6032793. https://doi.org/10.1186/s12876-018-0835-6
  20. Sambrotta M, Thompson RJ. Mutations in TJP2, encoding zona occludens 2, and liver disease. Tissue Barriers. 2015;3(3):e1026537. PMID: 26451340. PMCID: PMC4574888. https://doi.org/10.1080/21688370.2015.1026537
  21. Vinayagamoorthy V, Srivastava A, Sarma MS. Newer variants of progressive familial intrahepatic cholestasis. World J Hepatol. 2021;13(12):2024–38. PMID: 35070006. PMCID: PMC8727216. https://doi.org/10.4254/wjh.v13.i12.2024
  22. Wei CS, Becher N, Friis JB, Ott P, Vogel I, Gronbaek H. New tight junction protein 2 variant causing progressive familial intrahepatic cholestasis type 4 in adults: A case report. World J Gastroenterol. 2020;26(5):550–61. PMID: 32089630. PMCID: PMC7015721. https://doi.org/10.3748/wjg.v26.i5.550
  23. Vitale G, Sciveres M, Mandato C, d’Adamo AP, Di Giorgio A. Genotypes and different clinical variants between children and adults in progressive familial intrahepatic cholestasis: A state-of-the-art review. Orphanet J Rare Dis. 2025;20(1):80. PMID: 39984942. PMCID: PMC11846186. https://doi.org/10.1186/s13023-025-03599-2
  24. Sharabati I, Qafesha RM, Mustafa MMM, Hindawi MD, Rasras H, Bannoura S et al. Novel ABCB4 mutation in a female patient with progressive familial intrahepatic cholestasis type 3: A case report and literature review. Ann Med Surg (Lond). 2024;87(2):953–63. PMID: 40110281. PMCID: PMC11918558. https://doi.org/10.1097/MS9.0000000000002813
  25. Chen HL, Wu SH, Hsu SH, Liou BY, Chen HL, Chang MH. Jaundice revisited: Recent advances in the diagnosis and treatment of inherited cholestatic liver diseases. J Biomed Sci. 2018;25(1):75. PMID: 30367658. PMCID: PMC6203212. https://doi.org/10.1186/s12929-018-0475-8
  26. Bedoyan SM, Lovell OT, Horslen SP, Squires JE. Odevixibat: A promising new treatment for progressive familial intrahepatic cholestasis. Expert Opin Pharmacother. 2022;23(16):1771–79. PMID: 36278881. PMCID: PMC10074157. https://doi.org/10.1080/14656566.2022.2140040
  27. Miethke AG, Moukarzel A, Porta G, Covarrubias Esquer J, Czubkowski P, Ordonez F et al. Maralixibat in progressive familial intrahepatic cholestasis (MARCH-PFIC): A multicentre, randomised, double-blind, placebo-controlled, phase 3 trial. Lancet Gastroenterol Hepatol. 2024;9(7):620–31. PMID: 38723644. https://doi.org/10.1016/S2468-1253(24)00080-3. Erratum in: Lancet Gastroenterol Hepatol. 2024;9(7):e10. https://doi.org/10.1016/S2468-1253(24)00169-9
  28. Государственный реестр лекарственных средств Минздрава России. Доступ: https://grls.rosminzdrav.ru (дата обращения – 28.11.2025). [State Register of Medicines of the Ministry of Healthcare of Russia. URL: https://grls.rosminzdrav.ru (date of access – 28.11.2025) (In Russ.)].
  29. van Wessel DBE, Gonzales E, Hansen BE, Verkade HJ. Defining the natural history of rare genetic liver diseases: Lessons learned from the NAPPED initiative. Eur J Med Genet. 2021;64(7):104245. PMID: 33991701. https://doi.org/10.1016/j.ejmg.2021.104245
  30. Hang C, Jin Y, Luo Y, Feng M, Zhou T, Zhu J et al. Long-term results of pediatric liver transplantation for progressive familial intrahepatic cholestasis. J Clin Med. 2022;11(16):4684. PMID: 36012923. PMCID: PMC9410346. https://doi.org/10.3390/jcm11164684
  31. Ruiz-Casas L, O’Hara S, Mighiu C, Finnegan A, Taylor A, Ventura E et al. Burden of illness of progressive familial intrahepatic cholestasis in the US, UK, France, and Germany: Study rationale and protocol of the PICTURE study. Expert Rev Pharmacoecon Outcomes Res. 2021;21(2):247–53. PMID: 33406947. https://doi.org/10.1080/14737167.2021.1859371
  32. Полунина Т.Е. Терапевтические подходы к лечению холестатических заболеваний печени. Терапия. 2019;5(3):99–108. [Polunina TE. Therapeutic approaches to the treatment of cholestatic liver diseases. Terapiya = Therapy. 2019;5(3):99–108 (In Russ.)]. EDN: YHDOCA. https://doi.org/10.18565/therapy.2019.3.99-108
  33. Волынец Г.В., Никитин А. В. Холестатические болезни у детей. Монография. М.: ООО «Оппонент». 2020; 240 с. [Volynets GV, Nikitin AV. Cholestatic diseases in children. Monograph. Moscow: Opponent LLC. 2020; 240 pp. (In Russ.)]. EDN: CFWTRR. ISBN: 978-5-6043659-0-8.

Supplementary files

Supplementary Files
Action
1. JATS XML

Согласие на обработку персональных данных

 

Используя сайт https://journals.rcsi.science, я (далее – «Пользователь» или «Субъект персональных данных») даю согласие на обработку персональных данных на этом сайте (текст Согласия) и на обработку персональных данных с помощью сервиса «Яндекс.Метрика» (текст Согласия).