کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
3282451 | 1209147 | 2013 | 13 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Translating an Understanding of the Pathogenesis of Hepatic Fibrosis to Novel Therapies
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کلمات کلیدی
MMPTNFCTGFPPARTGFPDGFnonalcoholic steatohepatitis - استاتو هپاتیت غیر الکلیWound Healing - التیام زخمTissue - بافتtransforming growth factor - تبدیل فاکتور رشدSCAR - جای زخمCirrhosis - سیروزInjury - صدمهConnective tissue growth factor - فاکتور رشد بافت همبندplatelet-derived growth factor - فاکتور رشد حاصل از پلاکتtumor necrosis factor - فاکتور نکروز تومورFibrogenesis - فیبروژنزMetalloproteinase - متالوپروتئیناز Nash - نوشHepatitis C virus - هپاتیت سیHCV - هپاتیت سی
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
بیماریهای گوارشی
پیش نمایش صفحه اول مقاله
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چکیده انگلیسی
The response to injury is one of wound healing and fibrogenesis, which ultimately leads to fibrosis. The fibrogenic response to injury is a generalized one across virtually all organ systems. In the liver, the injury response, typically occurring over a prolonged period of time, leads to cirrhosis (although it should be pointed out that not all patients with liver injury develop cirrhosis). The fact that many different diseases result in cirrhosis suggests a common pathogenesis. The study of hepatic fibrogenesis over the past 2 decades has been remarkably active, leading to a considerable understanding of this process. It clearly has been shown that the hepatic stellate cell is a central component in the fibrogenic process. It also has been recognized that other effector cells are important in the fibrogenic process, including resident fibroblasts, bone marrow-derived cells, fibrocytes, and even perhaps cells derived from epithelial cells (ie, through epithelial to mesenchymal transition). A key aspect of the biology of fibrogenesis is that the fibrogenic process is dynamic; thus, even advanced fibrosis (or cirrhosis) is reversible. Together, an understanding of the cellular basis for liver fibrogenesis, along with multiple aspects of the basic pathogenesis of fibrosis, have highlighted many exciting potential therapeutic opportunities. Thus, although the most effective antifibrotic therapy is simply treatment of the underlying disease, in situations in which this is not possible, specific antifibrotic therapy is likely not only to become feasible, but will soon become a reality. This review highlights the mechanisms underlying fibrogenesis that may be translated into future antifibrotic therapies and to review the current state of clinical development.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Clinical Gastroenterology and Hepatology - Volume 11, Issue 3, March 2013, Pages 224-231.e5
Journal: Clinical Gastroenterology and Hepatology - Volume 11, Issue 3, March 2013, Pages 224-231.e5
نویسندگان
Don C. Rockey,