吴循循, 张才臻, 王馨, 刁勇. 以血管生成与重构为靶点的肝纤维化治疗研究J. 药学学报, 2015,50(5): 535-540.
引用本文: 吴循循, 张才臻, 王馨, 刁勇. 以血管生成与重构为靶点的肝纤维化治疗研究J. 药学学报, 2015,50(5): 535-540.
WU Xun-xun, ZHANG Cai-zhen, WANG Xin, DIAO Yong. Targeting angiogenesis and vascular remodeling as a novel therapeutic approach to liver fibrosisJ. Acta Pharmaceutica Sinica, 2015,50(5): 535-540.
Citation: WU Xun-xun, ZHANG Cai-zhen, WANG Xin, DIAO Yong. Targeting angiogenesis and vascular remodeling as a novel therapeutic approach to liver fibrosisJ. Acta Pharmaceutica Sinica, 2015,50(5): 535-540.

以血管生成与重构为靶点的肝纤维化治疗研究

Targeting angiogenesis and vascular remodeling as a novel therapeutic approach to liver fibrosis

  • 摘要: 肝纤维化的发生、发展与异常血管生成和重构密切相关。最新的基础研究强调了新生血管及重构在肝纤维化过程中的重要性, 同时作用于血管形成、炎症和纤维化等多个分子靶点, 可能可以有效治疗肝纤维化或肝硬化。然而, 也有一些证据表明, 抑制血管生成反而会加重纤维化。本文总结了参与肝内血管生成和重构的最新细胞和分子机制研究进展, 提出今后应重点研究参与该过程的关键因素, 如肝窦内皮细胞的窗孔化、可调节单核细胞肝内浸润和分化的趋化因子通路的干预等, 以便为肝纤维化治疗提供新思路。

     

    Abstract: Development of liver fibrosis is closely associated with angiogenesis and abnormal vascular remodeling. Recent studies have highlighted the importance of angiogenesis and vascular remodeling in fibrogenesis, the results that inhibition of angiogenesis is effective in suppression of liver fibrosis demonstrate that therapies with several molecular targets against angiogenesis, inflammation and fibrosis might be beneficial for the treatment of cirrhosis. However, there is some evidence that inhibition of angiogenesis can even worsen fibrosis. This article outlines recent advances regarding the interplay between inflammation, angiogenesis and fibrogenesis in terms of cellular and molecular mechanisms, and suggests a requirement of greater understanding to intervene in these key processes, such as liver sinusoidal endothelial cell fenestration and impact distinct chemokine actions driving monocyte migration and differentiation, for therapeutic benefit in the future.

     

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