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自然杀伤细胞和 1 型先天淋巴细胞是非酒精性脂肪性肝病的新角色。

Natural Killer Cells and Type 1 Innate Lymphoid Cells Are New Actors in Non-alcoholic Fatty Liver Disease.

机构信息

Université Côte d'Azur, INSERM, Centre Méditerranéen de Médecine Moléculaire, Nice, France.

Unité Lymphopoïèse, Institut Pasteur, INSERM U1223, Université Paris Diderot, Paris, France.

出版信息

Front Immunol. 2019 May 28;10:1192. doi: 10.3389/fimmu.2019.01192. eCollection 2019.

Abstract

Obesity and associated liver diseases (Non Alcoholic Fatty Liver Disease, NAFLD) are a major public health problem with increasing incidence in Western countries (25% of the affected population). These complications develop from a fatty liver (steatosis) to an inflammatory state (steatohepatitis) evolving toward fibrosis and hepatocellular carcinoma. Lipid accumulation in the liver contributes to hepatocyte cell death and promotes liver injury. Local immune cells are activated either by Danger Associated Molecular Patterns (DAMPS) released by dead hepatocytes or by bacterial products (PAMPS) reaching the liver due to increased intestinal permeability. The resulting low-grade inflammatory state promotes the progression of liver complications toward more severe grades. Innate lymphoid cells (ILC) are an heterogeneous family of five subsets including circulating Natural Killer (NK) cells, ILC1, ILC2, ILC3, and lymphocytes tissue-inducer cells (LTi). NK cells and tissue-resident ILCs, mainly located at epithelial surfaces, are prompt to rapidly react to environmental changes to mount appropriate immune responses. Recent works have demonstrated the interplay between ILCs subsets and the environment within metabolic active organs such as liver, adipose tissue and gut during diet-induced obesity leading or not to hepatic abnormalities. Here, we provide an overview of the newly roles of NK cells and ILC1 in metabolism focusing on their contribution to the development of NAFLD. We also discuss recent studies that demonstrate the ability of these two subsets to influence tissue-specific metabolism and how their function and homeostasis are affected during metabolic disorders.

摘要

肥胖症和相关的肝脏疾病(非酒精性脂肪性肝病,NAFLD)是一个主要的公共卫生问题,在西方国家的发病率不断上升(受影响人群的 25%)。这些并发症从脂肪肝(脂肪变性)发展为炎症状态(脂肪性肝炎),进而发展为纤维化和肝细胞癌。肝脏中的脂质积累导致肝细胞死亡,并促进肝损伤。局部免疫细胞被死亡的肝细胞释放的危险相关分子模式(DAMPS)或由于肠道通透性增加而到达肝脏的细菌产物(PAMPS)激活。由此产生的低度炎症状态促进了肝并发症向更严重程度的进展。先天淋巴细胞(ILC)是一个异质性的家族,包括循环自然杀伤(NK)细胞、ILC1、ILC2、ILC3 和淋巴细胞组织诱导细胞(LTi)。NK 细胞和组织驻留的 ILC 主要位于上皮表面,能够迅速对环境变化做出反应,从而产生适当的免疫反应。最近的研究工作表明,在饮食诱导的肥胖导致或不导致肝异常的情况下,ILC 亚群与代谢活跃器官(如肝脏、脂肪组织和肠道)内的环境之间存在相互作用。在这里,我们综述了 NK 细胞和 ILC1 在代谢中的新作用,重点介绍了它们在非酒精性脂肪性肝病发展中的贡献。我们还讨论了最近的研究,这些研究表明这两个亚群能够影响组织特异性代谢,以及它们的功能和体内平衡在代谢紊乱期间是如何受到影响的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc65/6546848/9fb976068788/fimmu-10-01192-g0001.jpg

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