Indomethacin increases liver damage in a murine model of liver injury from alpha‐1‐antitrypsin deficiency
David A. Rudnick, Olga Shikapwashya, Keith Blomenkamp, Jeffrey H. Teckman – 27 September 2006 – Homozygous (PIZZ) alpha‐1‐antitrypsin (α1‐AT) deficiency is associated with the development of liver damage in children as well as chronic liver injury and hepatocellular carcinoma in adults. The α1‐AT mutant Z gene encodes a mutant protein that accumulates in the endoplasmic reticulum of hepatocytes rather than being secreted appropriately into serum. Liver injury is caused by the accumulation of α1‐AT mutant Z protein in hepatocytes, which triggers downstream intracellular injury pathways.