Primary biliary cholangitis (PBC)

May 06, 2026

Research

Mayo Clinic has been conducting research on primary biliary cholangitis for more than 40 years, and many treatments for the disease have been studied at Mayo Clinic. Mayo Clinic was one of the first centers to study ursodeoxycholic acid (UDCA) as a treatment option. Researchers are currently studying new medications — including applying a combination of therapies — for people with only a partial response to UDCA.

The Mayo Clinic research team has made many contributions to understanding the genetics of primary biliary cholangitis. They've helped find several gene variations that seem to make people more likely to develop the disease. Their discoveries are the first step toward developing targeted treatments and potentially curing the disease.

Also, researchers at Mayo Clinic have found that first-degree relatives — parents, siblings or children — of people with primary biliary cholangitis are more likely to have a protein in their blood that indicates the presence of the disease. Doctors call this a biomarker. The finding suggests that a simple blood test could help doctors detect the disease early in first-degree relatives so that treatment can begin before it causes irreversible liver damage.

Basic research related to primary biliary cholangitis and other liver diseases is conducted in the following Mayo Clinic laboratories:

Publications

See a list of publications about primary biliary cholangitis by Mayo Clinic doctors on PubMed, a service of the National Library of Medicine.

  1. Tanaka A, et al. Primary biliary cholangitis. The Lancet. 2024; doi:10.1016/S0140-6736(24)01303-5.
  2. Burt AD, et al., eds. Bile duct diseases. In: MacSween's Pathology of the Liver. 8th ed. Elsevier; 2024. https://www.clinicalkey.com. Accessed April 29, 2025.
  3. Ferri FF. Primary billiary cholangitis. In: Ferri's Clinical Advisor 2025. Elsevier; 2025. https://www.clinicalkey.com. Accessed April 29, 2025.
  4. Poupon R. Clinical manifestations, diagnosis, and prognosis of primary biliary cholangitis. https://www.uptodate.com/contents/search. Accessed April 29, 2025.
  5. Primary biliary cholangitis. American College of Gastroenterology. https://gi.org/topics/primary-biliary-cirrhosis-pbc/. Accessed April 29, 2025.
  6. Bhushan S, et al. Primary biliary cholangitis and primary sclerosing cholangitis therapy landscape. American Journal of Gastroenterology. 2025; doi:10.14309/ajg.0000000000003174.
  7. Poupon R. Overview of the management of primary biliary cholangitis. https://www.uptodate.com/contents/search. Accessed April 29, 2025.
  8. Poupon R. Pruritus associated with cholestasis. https://www.uptodate.com/contents/search. Accessed May 6, 2025.
  9. Baer AN. Treatment of dry mouth and other non-ocular sicca symptoms in Sjögren's disease. https://www.uptodate.com/contents/search. Accessed May 14, 2025.
  10. Goldberg E, et al. Cirrhosis in adults: Overview of complications, general management, and prognosis. https://www.uptodate.com/contents/search. Accessed May 16, 2025.
  11. Primary biliary cholangitis (primary billiary cirrhosis). National Institute of Diabetes and Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/liver-disease/primary-biliary-cholangitis. Accessed May 14, 2025.
  12. Nimmagadda R. Allscripts EPSi. Mayo Clinic. Dec. 3, 2024.