探讨细胞衰老在慢性肝病中的双刃剑作用,寻求新的治疗途径

IF 5.2 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL
Yiwen Yang , Qun Cai , Mingyan Zhu , Jianning Rong , Xudong Feng , Ke Wang
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引用次数: 0

摘要

细胞衰老是一种基本而复杂的防御机制,它限制过度增殖,在各种应激条件下(如致癌激活和炎症)维持细胞稳态,并作为一种动态应激反应程序,涉及发育、衰老和免疫。它的可逆性取决于基本的维护部件。细胞衰老是一把“双刃剑”:一方面,它限制了受损细胞的恶性增殖,从而阻止肿瘤的发展。然而,通过保留分泌功能,衰老细胞也可以诱导微环境的持续变化并破坏体内平衡,导致组织炎症、纤维化和癌变。衰老在各种慢性肝脏疾病的发病机制中起着关键作用,包括慢性病毒性肝炎、肝纤维化和肝细胞癌。在慢性病毒性肝炎中促进免疫逃避和炎症,在纤维化过程中调节肝星状细胞活性,重塑肿瘤微环境加速肝癌发生,具有双重作用。本文综述了细胞衰老的特点及其在这些慢性肝病发病机制中的作用,并探讨了潜在的治疗和预防策略。目的是为今后慢性肝病的临床和研究提供全面的参考。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Exploring the double-edged role of cellular senescence in chronic liver disease for new treatment approaches

Exploring the double-edged role of cellular senescence in chronic liver disease for new treatment approaches
Cellular senescence is a fundamental yet complex defense mechanism that restricts excessive proliferation, maintains cellular homeostasis under various stress conditions—such as oncogenic activation and inflammation—and serves as a dynamic stress response program involved in development, aging, and immunity. Its reversibility depends on essential maintenance components. Cellular senescence is a “double-edged sword”: on one hand, it limits the malignant proliferation of damaged cells, thereby preventing tumor development. However, by retaining secretory functions, senescent cells can also induce persistent changes in the microenvironment and disrupt homeostasis, leading to tissue inflammation, fibrosis, and carcinogenesis. Senescence plays a critical role in the pathogenesis of various chronic liver diseases, including chronic viral hepatitis, liver fibrosis, and hepatocellular carcinoma. It exerts a dual influence by facilitating immune evasion and inflammation in chronic viral hepatitis, modulating hepatic stellate cell activity in fibrosis, and reshaping the tumor microenvironment to accelerate hepatocarcinogenesis. This article reviews the characteristics of cellular senescence and its role in the pathogenesis of these chronic liver diseases while exploring potential treatment and prevention strategies. The aim is to provide a comprehensive reference for future clinical and research investigations into chronic liver disease.
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来源期刊
Life sciences
Life sciences 医学-药学
CiteScore
12.20
自引率
1.60%
发文量
841
审稿时长
6 months
期刊介绍: Life Sciences is an international journal publishing articles that emphasize the molecular, cellular, and functional basis of therapy. The journal emphasizes the understanding of mechanism that is relevant to all aspects of human disease and translation to patients. All articles are rigorously reviewed. The Journal favors publication of full-length papers where modern scientific technologies are used to explain molecular, cellular and physiological mechanisms. Articles that merely report observations are rarely accepted. Recommendations from the Declaration of Helsinki or NIH guidelines for care and use of laboratory animals must be adhered to. Articles should be written at a level accessible to readers who are non-specialists in the topic of the article themselves, but who are interested in the research. The Journal welcomes reviews on topics of wide interest to investigators in the life sciences. We particularly encourage submission of brief, focused reviews containing high-quality artwork and require the use of mechanistic summary diagrams.
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