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血小板激活淋巴管生成作为肝硬化和门静脉高压症的新型治疗方法。

Activation of lymphangiogenesis by platelet as novel therapeutic approaches for liver cirrhosis and portal hypertension.

作者信息

Li Jian-Fu, Wang Qing-Bo, Li Yu-Kai, Liang Yu-Bo, Chen Xing-Ming, Lu Qi-Yu, Ke Yang

机构信息

Department of General Surgery, The First People's Hospital of Dali City, Dali 671000, Yunnan Province, China.

Department of Hepatobiliary Surgery, The Second Affiliated Hospital of Kunming Medical University, Kunming 650101, Yunnan Province, China.

出版信息

World J Gastroenterol. 2025 Jun 21;31(23):107554. doi: 10.3748/wjg.v31.i23.107554.

DOI:10.3748/wjg.v31.i23.107554
PMID:40575337
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12188924/
Abstract

This letter comments on the recently published article in the , in which the authors demonstrated a strong link between lymphangiogenesis and the process of platelet adherence, aggregation, and activation by employing a rat model of liver cirrhosis caused by bile duct ligation (BDL). The authors applied both gain and loss of function approach by using platelet-rich plasma and vascular endothelial growth factor 3 receptor inhibitor MAZ-51 to activate and inhibit angiogenetic signaling in BDL rat model, respectively, to verify the crucial function of lymphangiogenesis in the development of liver cirrhosis and portal hypertension (PHT). In clinical practice, platelet transfusion has been applied to improve liver function in patients suffering from chronic liver disease and cirrhosis. Therefore, this study provides support for the application of platelet transfusion or pharmacological intervention of lymphangiogenesis as novel therapeutic approaches for liver cirrhosis and PHT.

摘要

这封信是对最近发表在《 》上的文章的评论,作者在该文章中通过胆管结扎(BDL)诱导的大鼠肝硬化模型,证明了淋巴管生成与血小板黏附、聚集和激活过程之间存在紧密联系。作者分别采用富含血小板血浆和血管内皮生长因子3受体抑制剂MAZ-51,通过功能获得和功能丧失方法,在BDL大鼠模型中激活和抑制血管生成信号,以验证淋巴管生成在肝硬化和门静脉高压(PHT)发展中的关键作用。在临床实践中,血小板输注已被用于改善慢性肝病和肝硬化患者的肝功能。因此,本研究为血小板输注或淋巴管生成的药物干预作为肝硬化和PHT的新型治疗方法提供了支持。

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本文引用的文献

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Platelet activation relieves liver portal hypertension the lymphatic system though the classical vascular endothelial growth factor receptor 3 signaling pathway.血小板活化通过经典的血管内皮生长因子受体3信号通路经淋巴系统缓解肝门静脉高压。
World J Gastroenterol. 2025 Mar 14;31(10):100194. doi: 10.3748/wjg.v31.i10.100194.
2
Neutrophils in tumor- and inflammation-induced lymphangiogenesis.肿瘤和炎症诱导的淋巴管生成中的中性粒细胞。
Int J Biol Sci. 2025 Feb 26;21(5):2223-2234. doi: 10.7150/ijbs.103458. eCollection 2025.
3
Tumor-associated lymphatic vessel density is a postoperative prognostic biomarker of hepatobiliary cancers: a systematic review and meta-analysis.肿瘤相关淋巴管密度是肝胆癌术后的预后生物标志物:一项系统评价和荟萃分析。
Front Immunol. 2025 Jan 7;15:1519999. doi: 10.3389/fimmu.2024.1519999. eCollection 2024.
4
Platelet-rich plasma-derived extracellular vesicles improve liver cirrhosis in mice.富含血小板血浆衍生的细胞外囊泡可改善小鼠肝硬化。
Regen Ther. 2024 Nov 6;26:1048-1057. doi: 10.1016/j.reth.2024.10.010. eCollection 2024 Jun.
5
Linking fatty liver diseases to hepatocellular carcinoma by hepatic stellate cells.肝星状细胞将脂肪性肝病与肝细胞癌联系起来。
J Natl Cancer Cent. 2024 Jan 18;4(1):25-35. doi: 10.1016/j.jncc.2024.01.002. eCollection 2024 Mar.
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Benefits and harms of screening for hepatocellular carcinoma in high-risk populations: systematic review and meta-analysis.高危人群肝细胞癌筛查的利弊:系统评价与荟萃分析
J Natl Cancer Cent. 2023 Feb 24;3(3):175-185. doi: 10.1016/j.jncc.2023.02.001. eCollection 2023 Sep.
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Portal Venous and Hepatic Arterial Coefficients Predict Post-Hepatectomy Overall and Recurrence-Free Survival in Patients with Hepatocellular Carcinoma: A Retrospective Study.门静脉和肝动脉系数预测肝细胞癌患者肝切除术后的总生存率和无复发生存率:一项回顾性研究
J Hepatocell Carcinoma. 2024 Jul 9;11:1389-1402. doi: 10.2147/JHC.S462168. eCollection 2024.
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