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肠道纤维化与肝纤维化:慢性炎症的后果还是独立的病理生理学过程?

Intestinal Fibrosis and Liver Fibrosis: Consequences of Chronic Inflammation or Independent Pathophysiology?

作者信息

Rieder Florian, Bettenworth Dominik, Imai Jin, Inagaki Yutaka

机构信息

Department of Gastroenterology and Hepatology, Digestive Disease Institute, Cleveland, Ohio, USA.

Department of Pathobiology, Lerner Research Institute, Cleveland Clinic Foundation, Cleveland, Ohio, USA.

出版信息

Inflamm Intest Dis. 2016 Apr;1(1):41-49. doi: 10.1159/000445135. Epub 2016 Mar 19.

Abstract

BACKGROUND

Intestinal fibrosis and liver fibrosis represent a significant burden for our patients and health-care systems. Despite the severe clinical problem and the observation that fibrosis is reversible, no specific antifibrotic therapies exist.

SUMMARY

In this review, using an 'East-West' scientific collaboration, we summarize the current knowledge on principal mechanisms shared by intestinal fibrosis and liver fibrosis. We furthermore discuss inflammation as the cause of fibrogenesis in both entities, depict unique features of intestinal and hepatic fibrosis, and provide a future outlook on the development of antifibrotic therapies.

KEY MESSAGES

A collaborative effort in the field of fibrosis, covering multiple organ systems, will have the highest chance of leading to the development of a successful antifibrotic intervention.

摘要

背景

肠道纤维化和肝纤维化给患者及医疗系统带来了沉重负担。尽管纤维化是一个严重的临床问题,且有研究表明其具有可逆性,但目前尚无特异性抗纤维化疗法。

总结

在本综述中,我们通过“东西方”科学合作,总结了目前关于肠道纤维化和肝纤维化共同主要机制的知识。我们还讨论了炎症作为这两种疾病纤维化形成原因的相关内容,描述了肠道和肝纤维化的独特特征,并对抗纤维化疗法的未来发展前景进行了展望。

关键信息

纤维化领域跨多个器官系统的合作努力,最有可能促成成功的抗纤维化干预措施的研发。

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