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肝脏再生的多种途径。

Diverse routes to liver regeneration.

作者信息

Alison Malcolm R, Lin Wey-Ran

机构信息

Centre for Tumour Biology, Barts and the London School of Medicine and Dentistry, London, UK.

Department of Gastroenterology and Hepatology, Linkou Chang Gung Memorial Hospital, Department of Medicine, Chang Gung University, Taoyuan, Taiwan.

出版信息

J Pathol. 2016 Feb;238(3):371-4. doi: 10.1002/path.4667. Epub 2015 Nov 28.

Abstract

The liver's ability to regenerate is indisputable; for example, after a two-thirds partial hepatectomy in rats all residual hepatocytes can divide, questioning the need for a specific stem cell population. On the other hand, there is a potential stem cell compartment in the canals of Hering, giving rise to ductular reactions composed of hepatic progenitor cells (HPCs) when the liver's ability to regenerate is hindered by replicative senescence, but the functional relevance of this response has been questioned. Several papers have now clarified regenerative mechanisms operative in the mouse liver, suggesting that the liver is possibly unrivalled in its versatility to replace lost tissue. Under homeostatic conditions a perivenous population of clonogenic hepatocytes operates, whereas during chronic damage a minor population of periportal clonogenic hepatocytes come to the fore, while the ability of HPCs to completely replace the liver parenchyma has now been shown.

摘要

肝脏的再生能力是无可争议的;例如,在大鼠进行三分之二部分肝切除术后,所有残留的肝细胞都能分裂,这让人质疑是否需要特定的干细胞群体。另一方面,赫林管存在潜在的干细胞区室,当肝脏的再生能力因复制性衰老而受阻时,会产生由肝祖细胞(HPCs)组成的小胆管反应,但这种反应的功能相关性一直受到质疑。现在有几篇论文阐明了小鼠肝脏中的再生机制,表明肝脏在替代丢失组织的多功能性方面可能是无与伦比的。在稳态条件下,一群位于中央静脉周围的克隆性肝细胞发挥作用,而在慢性损伤期间,一小群位于门静脉周围的克隆性肝细胞则凸显出来,同时现在已经证明HPCs有能力完全替代肝实质。

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