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引用次数: 0
摘要
要了解人类疾病复杂的病理生物学,动物模型是必不可少的。乔治-博克斯(George Box)根据统计学提出的箴言 "所有模型都是错误的,但有些模型是有用的 "无疑适用于疾病动物模型。在本次会议上,我们首先探讨了适用于人类肝病的各种动物模型的转化相关性,从美国国家癌症研究所(National Cancer Institute)的早期工作、美国国家毒理学计划(National Toxicology Program)的改进以及当代确定潜在机制及其与人类癌症风险相关性的努力开始,对啮齿类动物癌症生物测定进行了历史性的概述,重点是肝癌的发生。随后,讨论了最近对肝脏病理生理学和肝癌的分子驱动因素和信号机制的理解,包括与肝脏再生、肝细胞代谢分区相关的因素,以及巨噬细胞的作用及其与星状细胞之间的相互作用在理解人类肝脏疾病方面的作用。接下来,讨论了我们对核受体在肝脏稳态和药物反应中作用的当代理解,强调了核受体激活和串扰在调节与肝损伤和肿瘤反应相关的生物反应中的作用。最后,总结了不同药物诱导肝损伤(DILI)啮齿动物模型系统的概述和转化相关性,重点关注病理学和机制,并对当前相关的食品药品管理局(FDA)观点进行了评论。
Translational Relevance of Rodent Models to Predict Human Liver Disease.
Animals models are essential to understand the complex pathobiology of human diseases. George Box's aphorism based on statistics "All models are wrong, but some are useful" certainly applies to animal models of disease. In this session, the translational relevance of various animal models applicable to human liver disease was explored starting with a historic overview of the rodent cancer bioassay with emphasis on hepatocarcinogenesis from early work at the National Cancer Institute, refinement by the National Toxicology Program and contemporary efforts to identify potential mechanisms and their relevance to human cancer risk. Subsequently, recently elucidated understanding of the molecular drivers and signaling mechanisms of liver pathophysiology and liver cancer, including factors associated with liver regeneration, metabolic hepatocellular zonation, and the role of macrophages and their crosstalk with stellate cells in understanding human liver disease was discussed. Next, our contemporary understanding of the role of nuclear receptors in hepatic homeostasis and drug response highlighting nuclear receptor activation and crosstalk in modulating biological responses associated with liver damage and neoplastic response were discussed. Finally, an overview and translational relevance of different drug-induced liver injury (DILI) rodent model systems focused on pathology and mechanisms with commentary on current relevant Food and Drug Administration (FDA) perspective were summarized with closing remarks.
期刊介绍:
Toxicologic Pathology is dedicated to the promotion of human, animal, and environmental health through the dissemination of knowledge, techniques, and guidelines to enhance the understanding and practice of toxicologic pathology. Toxicologic Pathology, the official journal of the Society of Toxicologic Pathology, will publish Original Research Articles, Symposium Articles, Review Articles, Meeting Reports, New Techniques, and Position Papers that are relevant to toxicologic pathology.