α1-antitrypsin deficiency
- DOI:
- 10.1093/med/9780198569862.003.0049
Clinical features 354
Management 355
Liver disease in other forms of α1-AT deficiency 355
α1-Antitrypsin (α1-AT) is a 55 kD glycoprotein produced predominantly by hepatocytes, alveolar macrophages and intestinal endothelial cells. It acts as a protease inhibitor during an acute-phase response. It can be electrophoretically differentiated into four main variants: PiM (normal), PiZ, PiS, and Pi Null (abnormal). There are >80 other rare, clinically irrelevant, variants. ...