Leukocyte transmigration across endothelial and extracellular matrix protein barriers in liver ischemia/reperfusion injury.

Leukocyte transmigration across endothelial and extracellular matrix protein barriers in liver ischemia/reperfusion injury.
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DOI:
10.1097/mot.0b013e328342542e
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发表时间:
2011-02
影响因子:
2.2
通讯作者:
Coito AJ
Coito AJ
中科院分区:
医学4区
文献类型:
--
作者:
Coito AJ

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Hepatic ischemia reperfusion injury (IRI) linked to leukocyte recruitment and subsequent release of cytokines and free radicals remains a significant complication in organ transplantation. The aim of this review is to bring attention to advances made in our understanding of the mechanisms of leukocyte recruitment to sites of inflammatory stimulation in liver IRI. Leukocyte transmigration across endothelial and extracellular matrix (ECM) barriers is dependent on adhesive events, as well as on focal matrix degradation mechanisms. While adhesion molecules are critical for the successful promotion of leukocyte transmigration by providing leukocyte attachment to the vascular endothelium, matrix metalloproteinases (MMPs) are important for facilitating leukocyte movement across vascular barriers. Among different MMPs, MMP-9, an inducible gelatinase expressed by leukocytes during hepatic IRI, is emerging as an important mediator of leukocyte traffic to inflamed liver. It is generally accepted that the understanding of the molecular mechanisms involved in leukocyte recruitment will lead to the development of novel targeted therapeutic approaches for hepatic IRI and liver transplantation. Here, we review mechanisms of leukocyte traffic in liver IRI and the role of some of the proteins that are thought to be important for this process.