Kukla Michał
Department of Physiology in Zabrze, Medical University of Silesia in Katowice, Ul. Jordana 19, 41-800, Zabrze, Poland.
Hepatol Int. 2013 Mar;7(1):4-12. doi: 10.1007/s12072-012-9391-2. Epub 2012 Jul 26.
It has become increasingly clear that angiogenesis occurring during chronic wound healing and fibrogenesis provides a key contribution to disease progression and complications. The association of fibrogenesis and angiogenesis should be regarded as crucial in the modern evaluation of liver disease progression and in the search for therapeutic targets. Physiological hepatic angiogenesis occurs during liver regeneration, contributing to the formation of new functional sinusoids. Pathological angiogenesis in liver is characterized by intrahepatic vascular remodeling with capillarization of the sinusoids and development of intrahepatic shunts, which lead to increased hepatic resistance and decreased effective hepatocyte perfusion. The problem of angiogenesis in chronic hepatitis C and nonalcoholic fatty liver disease has not been fully resolved. This manuscript briefly describes pathogenesis of new blood vessel formation in chronic hepatitis and potential role of angiogenesis in disease progression.
越来越明显的是,慢性伤口愈合和纤维化过程中发生的血管生成对疾病进展和并发症起着关键作用。在现代评估肝脏疾病进展和寻找治疗靶点时,纤维化与血管生成之间的关联应被视为至关重要。生理性肝脏血管生成发生在肝脏再生过程中,有助于形成新的功能性肝血窦。肝脏中的病理性血管生成的特征是肝内血管重塑,伴有肝血窦的毛细血管化和肝内分流的形成,这会导致肝阻力增加和有效肝细胞灌注减少。丙型肝炎和非酒精性脂肪性肝病中的血管生成问题尚未得到充分解决。本文简要描述了慢性肝炎中新生血管形成的发病机制以及血管生成在疾病进展中的潜在作用。