Department of Experimental Medicine, TOR, University of Rome Tor Vergata, 00133, Rome, Italy.
Institute of Biotechnology, Academy of Military Medical Science; Research Unit of Cell Death Mechanism, 2021RU008, Chinese Academy of Medical Science, 100071, Beijing, China.
Cell Death Dis. 2023 Aug 29;14(8):574. doi: 10.1038/s41419-023-06066-7.
Liver regeneration is a dynamic and regulated process that involves inflammation, granulation, and tissue remodeling. Hepatic macrophages, abundantly distributed in the liver, are essential components that actively participate in each step to orchestrate liver regeneration. In the homeostatic liver, resident macrophages (Kupffer cells) acquire a tolerogenic phenotype and contribute to immunological tolerance. Following toxicity-induced damage or physical resection, Kupffer cells as well as monocyte-derived macrophages can be activated and promote an inflammatory process that supports the survival and activation of hepatic myofibroblasts and thus promotes scar tissue formation. Subsequently, these macrophages, in turn, exhibit the anti-inflammatory effects critical to extracellular matrix remodeling during the resolution stage. However, continuous damage-induced chronic inflammation generally leads to hepatic macrophage dysfunction, which exacerbates hepatocellular injury and triggers further liver fibrosis and even cirrhosis. Emerging macrophage-targeting strategies have shown efficacy in both preclinical and clinical studies. Increasing evidence indicates that metabolic rewiring provides substrates for epigenetic modification, which endows monocytes/macrophages with prolonged "innate immune memory". Therefore, it is reasonable to conceive novel therapeutic strategies for metabolically reprogramming macrophages and thus mediate a homeostatic or reparative process for hepatic inflammation management and liver regeneration.
肝脏再生是一个动态且受调控的过程,涉及炎症、肉芽组织形成和组织重塑。大量分布于肝脏中的肝巨噬细胞是积极参与每个步骤以协调肝脏再生的必需组成部分。在稳态肝脏中,驻留巨噬细胞(库普弗细胞)获得耐受表型,并有助于免疫耐受。在毒性诱导的损伤或物理切除后,库普弗细胞以及单核细胞衍生的巨噬细胞可以被激活,并促进炎症过程,支持肝肌成纤维细胞的存活和激活,从而促进瘢痕组织形成。随后,这些巨噬细胞反过来在解决阶段表现出对细胞外基质重塑至关重要的抗炎作用。然而,持续的损伤诱导的慢性炎症通常导致肝巨噬细胞功能障碍,从而加重肝细胞损伤,并引发进一步的肝纤维化甚至肝硬化。新兴的巨噬细胞靶向策略在临床前和临床研究中均显示出疗效。越来越多的证据表明,代谢重编程为表观遗传修饰提供了底物,赋予单核细胞/巨噬细胞持久的“固有免疫记忆”。因此,构想用于代谢重编程巨噬细胞的新型治疗策略,从而介导肝脏炎症管理和肝脏再生的稳态或修复过程是合理的。
Cell Death Dis. 2023-8-29
J Hepatol. 2017-3-4
J Hepatol. 2014-1-8
Front Immunol. 2019-12-3
Adv Anat Embryol Cell Biol. 2001
World J Gastroenterol. 2020-4-28
Front Immunol. 2022
Int Rev Cell Mol Biol. 2022
MedComm (2020). 2025-6-16
Avicenna J Med Biotechnol. 2025
MedComm (2020). 2024-8-1
Cell Death Differ. 2023-5
Biol Direct. 2022-12-2
Biol Direct. 2022-10-1
Immunity. 2022-9-13
Cell Death Differ. 2022-6
Cell Death Differ. 2022-10
Cell Death Differ. 2022-9