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Open AccessJournal ArticleDOI

Liver Injury and the Activation of the Hepatic Myofibroblasts

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TLDR
This review focuses on the pathomechanism of stellate cell activation following chronic liver injury with the aim of identifying possible treatment targets for antifibrogenic agents.
Abstract
Liver fibrosis is a wound healing process, the end result of chronic liver injury elicited by different noxious stimuli. Activated hepatic stellate cells or myofibroblasts and portal myofibroblasts are considered the main producers of the extracellular matrix in the liver. On liver injury, the quiescent stellate cells transdifferentiate into myofibroblasts, a process highlighted by the loss of vitamin A stores, upregulation of interstitial type collagens, α-smooth muscle actin, matrix metalloproteinases, and proteoglycans, and the induction of cell survival pathways. Activation of hepatic stellate cells is a result of a complex interplay between the parenchymal cells, immune cells, extracellular matrix mechanics, and the extrahepatic milieu such as the gut microbiome. In this review we focus on the pathomechanism of stellate cell activation following chronic liver injury with the aim of identifying possible treatment targets for antifibrogenic agents.

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Journal ArticleDOI

Endoplasmic Reticulum Stress in Metabolic Liver Diseases and Hepatic Fibrosis.

TL;DR: Insight is provided into the complex signaling and regulation of the UPR, parallels and distinctions between different liver diseases, and how ER stress may be targeted as an antisteatotic or antifibrotic therapy to limit the progression of liver disease.
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Protective Effect of Astaxanthin on Liver Fibrosis through Modulation of TGF-β1 Expression and Autophagy

TL;DR: It was shown that 80 mg/kg astaxanthin had a significant protective effect on liver fibrosis by suppressing multiple profibrogenic factors.
Journal ArticleDOI

Endoplasmic reticulum stress is the crossroads of autophagy, inflammation, and apoptosis signaling pathways and participates in liver fibrosis.

TL;DR: The crossroads of autophagy, inflammation, and apoptosis signaling pathways and their participation in liver fibrosis are examined to examine the functional consequences of these alterations on ER stress and the possible involvement in Liver fibrosis.
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Endoplasmic reticulum stress-induced hepatic stellate cell apoptosis through calcium-mediated JNK/P38 MAPK and Calpain/Caspase-12 pathways

TL;DR: The findings showed that the Calpain/Caspase-12 activation induced by ER stress and the JNK/p38 MAPK phosphorylation induced by the increase of intracellular calcium concentration releasing from ER are the novel signaling pathway underlying the molecular mechanism of fibrosis recovery.
Journal ArticleDOI

NADPH Oxidases in Chronic Liver Diseases.

TL;DR: The current advances in knowledge on the regulatory pathways of NOX activation, their cellular distribution, and their role in the modulation of redox signaling in liver diseases are summarized.
References
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Journal ArticleDOI

Alternative Activation of Macrophages: Mechanism and Functions

TL;DR: In this paper, the authors assess recent research in this field, argue for a restricted definition, and explore pathways by which the T helper 2 (Th2) cell cytokines interleukin-4 (IL-4) and IL-13 mediate their effects on macrophage cell biology, their biosynthesis, and responses to a normal and pathological microenvironment.
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Cellular and molecular mechanisms of fibrosis.

TL;DR: Current understanding of the cellular and molecular mechanisms of fibrogenesis is explored and components of the renin–angiotensin–aldosterone system (ANG II) have been identified as important regulators of fibrosis and are being investigated as potential targets of antifibrotic drugs.
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Natural history and prognostic indicators of survival in cirrhosis: a systematic review of 118 studies.

TL;DR: The natural history of cirrhosis is outlined, the model for end stage liver disease (MELD) has replaced the Child–Pugh score in the United States for prioritizing liver donor allocation and a systematic review of the literature regarding predictors of mortality in cirrhotic patients is reported on.
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Molecular regulation of hepatic fibrosis, an integrated cellular response to tissue injury.

TL;DR: Establishing the importance of the normal ECM in liver has illuminated recent attempts to develop artificial liver support by recognizing that all cellular elements and supporting structures must be reconstituted to preserve differentiated function of liver ex vivo.
Journal ArticleDOI

Inflammasome-mediated dysbiosis regulates progression of NAFLD and obesity

TL;DR: Altered interactions between the gut microbiota and the host, produced by defective NLRP3 and NLRP6 inflammasome sensing, may govern the rate of progression of multiple metabolic syndrome-associated abnormalities, highlighting the central role of the microbiota in the pathogenesis of heretofore seemingly unrelated systemic auto-inflammatory and metabolic disorders.
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