Novel treatment of acute and acute-on-chronic liver failure: Interleukin-22

被引:11
作者
Hwang, Seonghwan [1 ,2 ]
Hicks, Amy [3 ]
Hoo, Chai Zhen [3 ]
Kwon, Yong Seong [1 ,2 ]
Cho, Ye Eun [1 ,2 ]
Moore, Joanna [3 ]
Gao, Bin [4 ]
机构
[1] Pusan Natl Univ, Res Inst Drug Dev, Coll Pharm, Busan 46241, South Korea
[2] Pusan Natl Univ, Res Inst Drug Dev, 63-2 Busandaehak Ro, Busan 46241, South Korea
[3] St James Univ Hosp, Leeds Liver Unit, Leeds, England
[4] NIAAA, Lab Liver Dis, NIH, Bethesda, MD USA
基金
新加坡国家研究基金会;
关键词
acute liver failure; acute-on-chronic liver failure; interleukin-22; EARLY-STAGE; HEPATITIS; IL-22; ACETAMINOPHEN; DISEASE; INJURY; INFLAMMATION; CONCANAVALIN; CELLS; MICE;
D O I
10.1111/liv.15619
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Acute liver failure (ALF) is a life-threatening medical condition, characterized by rapidly progressive hepatic dysfunction, coagulopathy and hepatic encephalopathy in patients without chronic liver disease, while acute-on-chronic liver failure (ACLF) occurs in patients with existing chronic liver disease. ALF and ACLF are often associated with multiple organ failure and a high short-term mortality. In this review, we briefly discuss the causes and pathogenesis of ALF and ACLF, the current options available for the treatment of both deadly maladies and interleukin-22 (IL-22), a novel promising drug that may have great therapeutic potential for ALF and ACLF treatment. IL-22 is a cytokine produced by immune cells but mainly targets epithelial cells including hepatocytes. IL-22 has been shown to protect against organ damage and reduce bacterial infection in many preclinical models and several clinical trials including alcohol-associated hepatitis. The potential application of IL-22 for the treatment of ALF and ACLF is also elaborated.
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页数:9
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