Active role of the immune system in metabolic dysfunction-associated steatotic liver disease

被引:5
作者
Mori, Taizo [1 ]
Yoshio, Sachiyo [1 ]
Kakazu, Eiji [1 ]
Kanto, Tatsuya [1 ]
机构
[1] Natl Ctr Global Hlth & Med, Res Ctr Hepatitis & Immunol, Dept Liver Dis, Chiba, Japan
关键词
MASLD; MASH; innate immunity; liver fibrosis; inflammatory cytokine; KILLER T-CELLS; NEUTROPHIL EXTRACELLULAR TRAPS; NONALCOHOLIC STEATOHEPATITIS; DENDRITIC CELLS; NK CELLS; TRANSCRIPTIONAL REGULATION; HEPATIC STEATOSIS; OBETICHOLIC ACID; CONTROLLED-TRIAL; INFLAMMATION;
D O I
10.1093/gastro/goae089
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Non-alcoholic fatty liver disease, recently renamed metabolic dysfunction-associated steatotic liver disease (MASLD), is a complex multifactorial disease that progresses from steatohepatitis (MASH) to liver cirrhosis and liver cancer. Recent research has revealed that crosstalk between innate immune cells and hepatic parenchymal and non-parenchymal cells is involved in the pathogenesis of liver disease in MASLD/MASH. Of particular importance, novel inflammatory mechanisms, including macrophage diversity, neutrophil NETosis, B-cell biology, auto-reactive T cells, unconventional T cells, and dendritic cell-T cell interactions, are considered key drivers for disease progression. These mechanisms and factors are potential targets for the therapeutic intervention of MASLD/MASH. In this review, we focus on recent discoveries related to liver inflammation and discuss the role of innate immune cell subsets in MASLD/MASH.
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页数:11
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