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损伤肝脏中的转化生长因子-β/信号转导和转录激活因子信号通路

TGF-beta/Smad signaling in the injured liver.

作者信息

Breitkopf K, Godoy P, Ciuclan L, Singer M V, Dooley S

机构信息

Department of Medicine II, Division of Molecular Alcohol Research in Gastroenterology, University Hospital of Heidelberg at Mannheim.

出版信息

Z Gastroenterol. 2006 Jan;44(1):57-66. doi: 10.1055/s-2005-858989.

Abstract

TGF-beta, acting both directly and indirectly, represents a central mediator of fibrogenic remodeling processes in the liver. Besides hepatic stellate cells (HSCs), which are induced by TGF-beta to transdifferentiate to myofibroblasts and to produce extracellular matrix, hepatocytes are also strongly responsive for this cytokine, which induces apoptosis during fibrogenesis and provides growth control in regeneration processes. Based on this, TGF-beta-mediated hepatic responses to injury are the result of a complex interplay between the different liver cell types. In this review we summarize the knowledge about TGF-beta signal transduction in HSCs with special impact on Smad pathways. We further describe a molecular cross-talk between profibrogenic TGF-beta and antifibrogenic IFN-gamma signaling in liver cells. Finally, we introduce hepatocyte plasticity and epithelial-to-mesenchymal transition in the liver, which is well established in tumorigenesis, as a potential feature of fibrogenesis and highlight possible action points of TGF-beta in these contexts.

摘要

转化生长因子-β(TGF-β)通过直接和间接作用,成为肝脏纤维化重塑过程的核心介质。除了肝星状细胞(HSC),TGF-β可诱导其转分化为肌成纤维细胞并产生细胞外基质外,肝细胞对这种细胞因子也有强烈反应,它在纤维化过程中诱导细胞凋亡,并在再生过程中提供生长控制。基于此,TGF-β介导的肝脏对损伤的反应是不同肝细胞类型之间复杂相互作用的结果。在本综述中,我们总结了有关肝星状细胞中TGF-β信号转导的知识,特别关注Smad信号通路。我们进一步描述了促纤维化的TGF-β与肝细胞中抗纤维化的IFN-γ信号之间的分子相互作用。最后,我们介绍了肝细胞可塑性以及肝脏中上皮-间质转化(这在肿瘤发生中已得到充分证实),将其作为纤维化形成的一个潜在特征,并强调了TGF-β在这些情况下可能的作用点。

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