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Controlled study of autoimmunization against liver in inbred rat strains 1

By prolonged immunization of an inbred rat strain with isologous liver homogenate in Freund's complete adjuvant a low grade autoimmune `cholangitis' with periductular fibrosis has been demonstrated. The lesion could be transferred to isogeneic animals by serial spleen cell injections and was associated with mild but variable delayed skin sensitivity to a supernatant fraction of the liver homogenate. It is thought to be due to a combined cellular and antibody-mediated immune response, directed against bile duct constituents. Pulmonary (peribronchial) lesions have also been described in the same animals and are considered to be of similar origin and to represent a cross reaction with tissue of similar embryological (entodermal) origin. This appears to be the first description of periductular hepatic fibrosis clearly resulting from an autoimmune reaction and may provide a model for further study of rather similar histological reactions known to occur in man.