4.3 Review

Macrophages Serve as Bidirectional Regulators and Potential Therapeutic Targets for Liver Fibrosis

Journal

CELL BIOCHEMISTRY AND BIOPHYSICS
Volume 81, Issue 4, Pages 659-671

Publisher

HUMANA PRESS INC
DOI: 10.1007/s12013-023-01173-w

Keywords

Macrophage; Hepatic stellate cell; Liver fibrosis; Cell phenotype; Cell polarization

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Liver fibrosis is a pathological process caused by inflammatory reactions and liver injury. Recent studies have shown that macrophages play a crucial role in liver fibrosis and directly affect its development and recovery. This review provides insights into the molecular mechanisms of liver fibrosis regulated by macrophages and suggests new strategies for its treatment.
Liver fibrosis is a dynamic pathological process in which the structure and function of the liver abnormally change due to long-term complex inflammatory reactions and chronic liver injury caused by multiple internal and external factors. Previous studies believed that the activation of hepatic stellate cells is a critical part of the occurrence and development of liver fibrosis. However, an increasing number of studies have indicated that the macrophage plays an important role as a central regulator in liver fibrosis, and it directly affects the development and recovery of liver fibrosis. Studies of macrophages and liver fibrosis in the recent 10 years will be reviewed in this paper. This review will not only clarify the molecular mechanism of liver fibrosis regulated by macrophages but also provide new strategies and methods for ameliorating and treating liver fibrosis.

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