Medical College, China Three Gorges University, Yichang, Hubei 443002, P.R. China.
The Yiling Hospital of Yichang, Yichang, Hubei 443100, P.R. China.
Mol Med Rep. 2021 May;23(5). doi: 10.3892/mmr.2021.12003. Epub 2021 Mar 24.
Hepatic fibrosis (HF) is the process of fibrous scar formation caused by chronic liver injury of different etiologies. Previous studies have hypothesized that the activation of hepatic stellate cells (HSCs) is the central process in HF. The interaction between HSCs and surrounding cells is also crucial. Additionally, hepatic sinusoids capillarization, inflammation, angiogenesis and fibrosis develop during HF. The process involves multiple cell types that are highly connected and work in unison to maintain the homeostasis of the hepatic microenvironment, which serves a key role in the initiation and progression of HF. The current review provides novel insight into the intercellular interaction among liver sinusoidal endothelial cells, HSCs and Kupffer cells, as well as the hepatic microenvironment in the development of HF.
肝纤维化(HF)是由不同病因引起的慢性肝损伤导致的纤维瘢痕形成过程。既往研究假设肝星状细胞(HSCs)的激活是 HF 的核心过程。HSCs 与周围细胞的相互作用也至关重要。此外,HF 期间还会发生肝窦毛细血管化、炎症、血管生成和纤维化。该过程涉及多种细胞类型,它们高度连接并协同工作,以维持肝微环境的稳态,这在 HF 的发生和进展中起着关键作用。本综述提供了关于肝窦内皮细胞、HSCs 和枯否细胞之间的细胞间相互作用以及肝微环境在 HF 发展中的新见解。
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