CD4(+) T cell activation and inflammation in NASH-related fibrosis.

CD4(+) T cell activation and inflammation in NASH-related fibrosis.
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DOI:
10.3389/fimmu.2022.967410
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发表时间:
2022
影响因子:
7.3
通讯作者:
Zheng, Feng
Zheng, Feng
中科院分区:
医学2区
文献类型:
--
作者:
Zhou, Yunfeng;Zhang, Haibo;Yao, Yao;Zhang, Xiaoyan;Guan, Youfei;Zheng, Feng

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肝纤维化是终末期肝衰竭的常见病理特征,终末期肝衰竭是一种严重危及生命的疾病。非酒精性脂肪性肝病(NAFLD),特别是其更严重的形式与脂肪性肝炎(NASH),由肥胖,2型糖尿病和代谢综合征引起,并成为肝纤维化的主要原因。遗传因素、脂质过负荷/毒性、氧化应激和炎症都与NASH的发生和进展有关。先天性免疫应答和适应性免疫都有助于NASH相关炎症。先天性免疫可通过炎症相关分子模式引起炎症和随后的纤维化。越来越多的证据表明,T细胞介导的适应性免疫也通过细胞毒性、细胞因子和其他促炎和促纤维化介质引起NASH中的炎症和纤维化。最近,单细胞转录组分析已经揭示,CD 4 + T细胞、CD 8 + T细胞、γδ T细胞和TEM的群体在患有NASH的肝脏中扩增。T细胞的活化需要来自专职抗原呈递细胞(APC)的抗原呈递,包括巨噬细胞、树突状细胞和B细胞。然而,由于肝细胞表达MHCII分子和共刺激因子,它们也可以作为非典型APC来促进T细胞活化。此外,NASH中肝细胞向促炎细胞的表型转换有助于炎症的发展。在这篇综述中,我们重点关注T细胞,特别是CD 4 + T细胞,并讨论了不同的CD 4 + T细胞亚群,包括Th 1,Th 2,Th 17,Th 22和Treg在NASH相关的肝脏炎症和纤维化中的作用。
Liver fibrosis is a common pathological feature of end stage liver failure, a severe life-threatening disease worldwide. Nonalcoholic fatty liver disease (NAFLD), especially its more severe form with steatohepatitis (NASH), results from obesity, type 2 diabetes and metabolic syndrome and becomes a leading cause of liver fibrosis. Genetic factor, lipid overload/toxicity, oxidative stress and inflammation have all been implicated in the development and progression of NASH. Both innate immune response and adaptive immunity contribute to NASH-associated inflammation. Innate immunity may cause inflammation and subsequently fibrosis via danger-associated molecular patterns. Increasing evidence indicates that T cell-mediated adaptive immunity also provokes inflammation and fibrosis in NASH via cytotoxicity, cytokines and other proinflammatory and profibrotic mediators. Recently, the single-cell transcriptome profiling has revealed that the populations of CD4+ T cells, CD8+ T cells, γδ T cells, and TEMs are expanded in the liver with NASH. The activation of T cells requires antigen presentation from professional antigen-presenting cells (APCs), including macrophages, dendritic cells, and B-cells. However, since hepatocytes express MHCII molecules and costimulators, they may also act as an atypical APC to promote T cell activation. Additionally, the phenotypic switch of hepatocytes to proinflammatory cells in NASH contributes to the development of inflammation. In this review, we focus on T cells and in particular CD4+ T cells and discuss the role of different subsets of CD4+ T cells including Th1, Th2, Th17, Th22, and Treg in NASH-related liver inflammation and fibrosis.
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影响因子: --
作者:
Cariou B;Byrne CD;Loomba R;Sanyal AJ
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DOI: 10.3978/j.issn.2304-3881.2014.12.04
发表时间: 2014-12-01
影响因子: 8
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