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白细胞介素在肝病治疗中的应用

Interleukins in liver disease treatment.

作者信息

Yang Ming, Zhang Chun-Ye

机构信息

Department of Surgery, University of Missouri, Columbia, MO 65212, United States.

Bond Life Sciences Center, University of Missouri, Columbia, MO 65212, United States.

出版信息

World J Hepatol. 2024 Feb 27;16(2):140-145. doi: 10.4254/wjh.v16.i2.140.

Abstract

Cytokines play pleiotropic roles in human health and disease by regulating both innate and adaptive immune responses. Interleukins (ILs), a large group of cytokines, can be divided into seven families, including IL-1, IL-2, IL-6, IL-8, IL-10, IL-12, and IL-17 families. Here, we review the functions of ILs in the pathogenesis and resolution of liver diseases, such as liver inflammation (, IL-35), alcohol-related liver disease (, IL-11), non-alcoholic steatohepatitis (, IL-22), liver fibrosis (, Il-17a), and liver cancer (, IL-8). Overall, IL-1 family members are implicated in liver inflammation induced by different etiologies, such as alcohol consumption, high-fat diet, and hepatitis viruses. IL-2 family members mainly regulate T lymphocyte and NK cell proliferation and activation, and the differentiation of T cells. IL-6 family cytokines play important roles in acute phase response in liver infection, liver regeneration, and metabolic regulation, as well as lymphocyte activation. IL-8, also known as CXCL8, is activated in chronic liver diseases, which is associated with the accumulation of neutrophils and macrophages. IL-10 family members contribute key roles to liver immune tolerance and immunosuppression in liver disease. IL-12 family cytokines influence T-cell differentiation and play an essential role in autoimmune liver disease. IL-17 subfamilies contribute to infection defense, liver inflammation, and Th17 cell differentiation. ILs interact with different type I and type II cytokine receptors to regulate intracellular signaling pathways that mediate their functions. However, most clinical studies are only performed to evaluate IL-mediated therapies on alcohol and hepatitis virus infection-induced hepatitis. More pre-clinical and clinical studies are required to evaluate IL-mediated monotherapy and synergistic therapies.

摘要

细胞因子通过调节先天性和适应性免疫反应在人类健康和疾病中发挥多效性作用。白细胞介素(ILs)是一大类细胞因子,可分为七个家族,包括IL-1、IL-2、IL-6、IL-8、IL-10、IL-12和IL-17家族。在此,我们综述白细胞介素在肝脏疾病(如肝脏炎症(,IL-35)、酒精性肝病(,IL-11)、非酒精性脂肪性肝炎(,IL-22)、肝纤维化(,Il-17a)和肝癌(,IL-8))的发病机制和转归中的作用。总体而言,IL-1家族成员与不同病因(如饮酒、高脂饮食和肝炎病毒)诱导的肝脏炎症有关。IL-2家族成员主要调节T淋巴细胞和NK细胞的增殖与活化以及T细胞的分化。IL-6家族细胞因子在肝脏感染的急性期反应、肝脏再生、代谢调节以及淋巴细胞活化中发挥重要作用。IL-8,也称为CXCL8,在慢性肝病中被激活,这与中性粒细胞和巨噬细胞的积聚有关。IL-10家族成员在肝脏疾病的肝脏免疫耐受和免疫抑制中起关键作用。IL-12家族细胞因子影响T细胞分化,并在自身免疫性肝病中起重要作用。IL-17亚家族有助于抗感染、肝脏炎症和Th17细胞分化。白细胞介素与不同的I型和II型细胞因子受体相互作用,以调节介导其功能的细胞内信号通路。然而,大多数临床研究仅用于评估IL介导的疗法对酒精和肝炎病毒感染诱导的肝炎的疗效。需要更多的临床前和临床研究来评估IL介导的单一疗法和联合疗法。

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