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In their review, Durazzo et al. (2025) discuss the current treatment landscape for chronic hepatobiliary diseases, including autoimmune hepatitis. They note that while treatments for some liver diseases, such as hepatitis B and C, have become more etiology-specific and are in clinical use, therapies for autoimmune hepatitis are still under development. The review emphasizes the importance of understanding the molecular pathways involved in liver fibrosis, which is a common consequence of chronic hepatobiliary diseases, to develop effective treatments.

The authors also highlight ongoing research into novel therapies that target specific molecular changes in autoimmune hepatitis. These include drugs that modulate inflammation, hepatic stellate cell activity, and extracellular matrix production. Although clinical development is still required, Durazzo et al. suggest that the array of potential new treatment strategies offers hope for reversing the current trend of increasing morbidity and mortality associated with chronic hepatobiliary diseases.

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