血管生成——在器官纤维化中的新作用。

Angiogenesis-An Emerging Role in Organ Fibrosis.

作者信息

Wang Dan, Zhao Ying, Zhou Yanni, Yang Shaojie, Xiao Xiong, Feng Li

机构信息

Division of Liver Surgery, Department of General Surgery and Regeneration Medicine Research Center, West China Hospital, Sichuan University, Chengdu 610041, China.

出版信息

Int J Mol Sci. 2023 Sep 15;24(18):14123. doi: 10.3390/ijms241814123.

Abstract

In recent years, the study of lymphangiogenesis and fibrotic diseases has made considerable achievements, and accumulating evidence indicates that lymphangiogenesis plays a key role in the process of fibrosis in various organs. Although the effects of lymphangiogenesis on fibrosis disease have not been conclusively determined due to different disease models and pathological stages of organ fibrosis, its importance in the development of fibrosis is unquestionable. Therefore, we expounded on the characteristics of lymphangiogenesis in fibrotic diseases from the effects of lymphangiogenesis on fibrosis, the source of lymphatic endothelial cells (LECs), the mechanism of fibrosis-related lymphangiogenesis, and the therapeutic effect of intervening lymphangiogenesis on fibrosis. We found that expansion of LECs or lymphatic networks occurs through original endothelial cell budding or macrophage differentiation into LECs, and the vascular endothelial growth factor C (VEGFC)/vascular endothelial growth factor receptor (VEGFR3) pathway is central in fibrosis-related lymphangiogenesis. Lymphatic vessel endothelial hyaluronan receptor 1 (LYVE1), as a receptor of LECs, is also involved in the regulation of lymphangiogenesis. Intervention with lymphangiogenesis improves fibrosis to some extent. In the complex organ fibrosis microenvironment, a variety of functional cells, inflammatory factors and chemokines synergistically or antagonistically form the complex network involved in fibrosis-related lymphangiogenesis and regulate the progression of fibrosis disease. Further clarifying the formation of a new fibrosis-related lymphangiogenesis network may potentially provide new strategies for the treatment of fibrosis disease.

摘要

近年来,淋巴管生成与纤维化疾病的研究取得了显著成果,越来越多的证据表明,淋巴管生成在各器官纤维化过程中起关键作用。尽管由于器官纤维化的疾病模型和病理阶段不同,淋巴管生成对纤维化疾病的影响尚未最终确定,但其在纤维化发展中的重要性是毋庸置疑的。因此,我们从淋巴管生成对纤维化的影响、淋巴管内皮细胞(LECs)的来源、纤维化相关淋巴管生成的机制以及干预淋巴管生成对纤维化的治疗作用等方面阐述了纤维化疾病中淋巴管生成的特点。我们发现,LECs或淋巴管网的扩张通过原始内皮细胞出芽或巨噬细胞分化为LECs发生,血管内皮生长因子C(VEGFC)/血管内皮生长因子受体(VEGFR3)通路在纤维化相关淋巴管生成中起核心作用。淋巴管内皮透明质酸受体1(LYVE1)作为LECs的一种受体,也参与淋巴管生成的调节。干预淋巴管生成在一定程度上可改善纤维化。在复杂的器官纤维化微环境中,多种功能细胞、炎症因子和趋化因子协同或拮抗形成参与纤维化相关淋巴管生成的复杂网络,并调节纤维化疾病的进展。进一步阐明新的纤维化相关淋巴管生成网络的形成可能为纤维化疾病的治疗提供新策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9248/10532049/8862ce12eea7/ijms-24-14123-g001.jpg

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