In vitro steroid resistance correlates with outcome in severe alcoholic hepatitis
A.J. di Mambro, R. Parker, A. McCune, F. Gordon, C.M. Dayan, P. Collins – 10 January 2011 – Steroids improve the outcome in alcoholic hepatitis (AH), but up to 40% of patients fail to respond adequately. Interleukin‐2 (IL‐2) exacerbates steroid resistance in vitro. We performed a prospective study to determine if intrinsic steroid sensitivity correlates with response to steroids in individuals with severe AH and if IL‐2 receptor blockade can reverse this. Peripheral blood mononuclear cells (PBMCs) were isolated from 20 patients with AH and a Maddrey's score >32.