肝损伤和肝纤维化中的巨噬细胞异质性。

Macrophage heterogeneity in liver injury and fibrosis.

机构信息

University Hospital Aachen, Department of Medicine III, Pauwelsstrasse 30, 52074 Aachen, Germany.

University Hospital Aachen, Department of Medicine III, Pauwelsstrasse 30, 52074 Aachen, Germany.

出版信息

J Hepatol. 2014 May;60(5):1090-6. doi: 10.1016/j.jhep.2013.12.025. Epub 2014 Jan 8.

Abstract

Hepatic macrophages are central in the pathogenesis of chronic liver injury and have been proposed as potential targets in combatting fibrosis. Recent experimental studies in animal models revealed that hepatic macrophages are a remarkably heterogeneous population of immune cells that fulfill diverse functions in homeostasis, disease progression, and regression from injury. These range from clearance of pathogens or cellular debris and maintenance of immunological tolerance in steady state conditions; central roles in initiating and perpetuating inflammation in response to injury; promoting liver fibrosis via activating hepatic stellate cells in chronic liver damage; and, finally, resolution of inflammation and fibrosis by degradation of extracellular matrix and release of anti-inflammatory cytokines. Cellular heterogeneity in the liver is partly explained by the origin of macrophages. Hepatic macrophages can either arise from circulating monocytes, which are recruited to the injured liver via chemokine signals, or from self-renewing embryo-derived local macrophages, termed Kupffer cells. Kupffer cells appear essential for sensing tissue injury and initiating inflammatory responses, while infiltrating Ly-6C(+) monocyte-derived macrophages are linked to chronic inflammation and fibrogenesis. In addition, proliferation of local or recruited macrophages may possibly further contribute to their accumulation in injured liver. During fibrosis regression, monocyte-derived cells differentiate into Ly-6C (Ly6C, Gr1) low expressing 'restorative' macrophages and promote resolution from injury. Understanding the mechanisms that regulate hepatic macrophage heterogeneity, either by monocyte subset recruitment, by promoting restorative macrophage polarization or by impacting distinctive macrophage effector functions, may help to develop novel macrophage subset-targeted therapies for liver injury and fibrosis.

摘要

肝巨噬细胞在慢性肝损伤的发病机制中起核心作用,并被认为是对抗纤维化的潜在靶点。最近在动物模型中的实验研究表明,肝巨噬细胞是一种具有显著异质性的免疫细胞群体,在稳态、疾病进展和损伤恢复中发挥着多样化的功能。这些功能包括清除病原体或细胞碎片,维持免疫耐受;在损伤时,通过激活肝星状细胞,在炎症的起始和持续中发挥核心作用;在慢性肝损伤中,通过激活肝星状细胞促进肝纤维化;最后,通过降解细胞外基质和释放抗炎细胞因子来解决炎症和纤维化。肝内细胞异质性部分解释了巨噬细胞的起源。肝巨噬细胞可以来源于循环单核细胞,后者通过趋化因子信号被招募到受损的肝脏,也可以来源于自我更新的胚胎来源的局部巨噬细胞,称为库普弗细胞。库普弗细胞似乎对感知组织损伤和启动炎症反应至关重要,而浸润的 Ly-6C(+)单核细胞衍生的巨噬细胞与慢性炎症和纤维化有关。此外,局部或募集的巨噬细胞的增殖可能进一步有助于它们在受损肝脏中的积累。在纤维化消退过程中,单核细胞衍生的细胞分化为 Ly-6C(Ly6C,Gr1)低表达的“修复”巨噬细胞,并促进损伤的恢复。了解调节肝巨噬细胞异质性的机制,无论是通过单核细胞亚群的募集、促进修复性巨噬细胞极化,还是通过影响独特的巨噬细胞效应功能,都可能有助于开发针对肝损伤和纤维化的新型巨噬细胞亚群靶向治疗方法。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索