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肝硬化免疫微环境的改变:间充质基质细胞的新作用。

Immune microenvironment changes of liver cirrhosis: emerging role of mesenchymal stromal cells.

机构信息

National Center for Liver Cancer, Third Affiliated Hospital of Naval Medical University, Shanghai, China.

International Cooperation Laboratory on Signal Transduction, Third Affiliated Hospital of Naval Medical University (Second Military Medical University), Shanghai, China.

出版信息

Front Immunol. 2023 Jul 19;14:1204524. doi: 10.3389/fimmu.2023.1204524. eCollection 2023.

DOI:10.3389/fimmu.2023.1204524
PMID:37539053
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10395751/
Abstract

Cirrhosis is a progressive and diffuse liver disease characterized by liver tissue fibrosis and impaired liver function. This condition is brought about by several factors, including chronic hepatitis, hepatic steatosis, alcohol abuse, and other immunological injuries. The pathogenesis of liver cirrhosis is a complex process that involves the interaction of various immune cells and cytokines, which work together to create the hepatic homeostasis imbalance in the liver. Some studies have indicated that alterations in the immune microenvironment of liver cirrhosis are closely linked to the development and prognosis of the disease. The noteworthy function of mesenchymal stem cells and their paracrine secretion lies in their ability to promote the production of cytokines, which in turn enhance the self-repairing capabilities of tissues. The objective of this review is to provide a summary of the alterations in liver homeostasis and to discuss intercellular communication within the organ. Recent research on MSCs is yielding a blueprint for cell typing and biomarker immunoregulation. Hopefully, as MSCs researches continue to progress, novel therapeutic approaches will emerge to address cirrhosis.

摘要

肝硬化是一种以肝脏组织纤维化和肝功能受损为特征的进行性弥漫性肝脏疾病。这种情况是由多种因素引起的,包括慢性肝炎、肝脂肪变性、酗酒和其他免疫损伤。肝硬化的发病机制是一个复杂的过程,涉及各种免疫细胞和细胞因子的相互作用,共同导致肝脏中肝内稳态失衡。一些研究表明,肝硬化免疫微环境的改变与疾病的发展和预后密切相关。间充质干细胞及其旁分泌分泌的显著功能在于它们能够促进细胞因子的产生,进而增强组织的自我修复能力。本综述的目的是总结肝内稳态的改变,并讨论器官内细胞间的通讯。最近对间充质干细胞的研究为细胞分型和生物标志物免疫调节提供了蓝图。希望随着间充质干细胞研究的不断进展,新的治疗方法将出现以解决肝硬化。

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本文引用的文献

1
Unlocking the potential of Mesenchymal stem cells in liver Fibrosis: Insights into the impact of autophagy and aging.解锁间充质干细胞在肝纤维化中的潜力:自噬和衰老影响的新见解。
Int Immunopharmacol. 2023 Aug;121:110497. doi: 10.1016/j.intimp.2023.110497. Epub 2023 Jun 15.
2
Human umbilical cord mesenchymal stem cell-derived exosomes ameliorate liver steatosis by promoting fatty acid oxidation and reducing fatty acid synthesis.人脐带间充质干细胞来源的外泌体通过促进脂肪酸氧化和减少脂肪酸合成来改善肝脏脂肪变性。
JHEP Rep. 2023 Mar 28;5(7):100746. doi: 10.1016/j.jhepr.2023.100746. eCollection 2023 Jul.
3
Fibrinogen-like protein 2 promotes proinflammatory macrophage polarization and mitochondrial dysfunction in liver fibrosis.
纤维蛋白原样蛋白 2 促进肝纤维化中促炎型巨噬细胞极化和线粒体功能障碍。
Int Immunopharmacol. 2023 Apr;117:109631. doi: 10.1016/j.intimp.2022.109631. Epub 2023 Mar 4.
4
MSC-derived extracellular vesicles as nanotherapeutics for promoting aged liver regeneration.间充质干细胞衍生的细胞外囊泡作为促进老年肝脏再生的纳米疗法。
J Control Release. 2023 Apr;356:402-415. doi: 10.1016/j.jconrel.2023.02.032. Epub 2023 Mar 11.
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Mesenchymal stromal cells in hepatic fibrosis/cirrhosis: from pathogenesis to treatment.肝纤维化/肝硬化中的间充质基质细胞:从发病机制到治疗。
Cell Mol Immunol. 2023 Jun;20(6):583-599. doi: 10.1038/s41423-023-00983-5. Epub 2023 Feb 24.
6
Tropifexor for nonalcoholic steatohepatitis: an adaptive, randomized, placebo-controlled phase 2a/b trial.特利福昔布治疗非酒精性脂肪性肝炎:一项适应性、随机、安慰剂对照的 2a/2b 期试验。
Nat Med. 2023 Feb;29(2):392-400. doi: 10.1038/s41591-022-02200-8. Epub 2023 Feb 16.
7
Hepatitis B.乙型肝炎
Lancet. 2023 Mar 25;401(10381):1039-1052. doi: 10.1016/S0140-6736(22)01468-4. Epub 2023 Feb 9.
8
Therapeutic interventions of acute and chronic liver disorders: A comprehensive review.急性和慢性肝脏疾病的治疗干预:全面综述
World J Hepatol. 2023 Jan 27;15(1):19-40. doi: 10.4254/wjh.v15.i1.19.
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Hepatocytes: A key role in liver inflammation.肝细胞:肝脏炎症中的关键角色。
Front Immunol. 2023 Jan 18;13:1083780. doi: 10.3389/fimmu.2022.1083780. eCollection 2022.
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Human Umbilical Cord Blood-Derived Mesenchymal Stem Cell Transplantation for Patients with Decompensated Liver Cirrhosis.人脐带血源间充质干细胞移植治疗失代偿期肝硬化患者。
J Gastrointest Surg. 2023 May;27(5):926-931. doi: 10.1007/s11605-022-05528-1. Epub 2023 Jan 26.