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修复肝脏的多种方法:批判性评价。

The many ways to mend your liver: A critical appraisal.

机构信息

Centre for Tumour Biology, Barts Cancer Institute, Barts and The London School of Medicine and Dentistry, London, UK.

出版信息

Int J Exp Pathol. 2018 Jun;99(3):106-112. doi: 10.1111/iep.12272. Epub 2018 Jun 7.

Abstract

In the latter half of the 20th century, our understanding of mammalian liver regeneration was shaped by the manner of compensatory hyperplasia occurring after a partial rat liver resection. This response involves almost all hepatocytes and thus is unlikely to be the outcome of the multiple cycling of a small stem cell population. It was most intense in the outer third of lobule, the location closest to the afferent arterial blood supply. With the advent of heritable genetic labelling techniques, usually applied to mice, hitherto unrecognized hepatocytes with clonogenic potential have been discovered, contributing to homoeostatic renewal and/or regenerative responses after tissue loss. This review combines observations from cell lineage tracing studies with other data to summarize the Four proposed anatomical locations for hepatocyte stem cells: the periportal zone, the pericentral zone, a randomized distribution and finally within the intrahepatic biliary tree. As in other endodermal-derived tissues, it appears that there are both homoeostatic stem cells and regenerative stem cells, while some normally homoeostatic stem cells can become more active to boost regeneration.

摘要

在 20 世纪后半叶,我们对哺乳动物肝脏再生的理解受到了大鼠肝部分切除后发生代偿性增生方式的影响。这种反应几乎涉及所有的肝细胞,因此不太可能是一小部分干细胞多次循环的结果。它在小叶的外三分之一最为强烈,这是最接近输入动脉血液供应的位置。随着可遗传遗传标记技术的出现,通常应用于小鼠,以前未被识别的具有克隆形成潜力的肝细胞已经被发现,有助于组织损失后的同源更新和/或再生反应。这篇综述结合了细胞谱系追踪研究的观察结果和其他数据,总结了四种提出的肝细胞干细胞的解剖学位置:门脉周围区、中央区周围区、随机分布区,最后是肝内胆管树内。与其他内胚层来源的组织一样,似乎既有同源性干细胞,也有再生性干细胞,而一些正常的同源性干细胞可以变得更加活跃,以促进再生。

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