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[Targeting angiogenesis and vascular remodeling as a novel therapeutic approach to liver fibrosis]
Abstract:
Development of liver fibrosis is closely associated with angiogenesis and abnormal vascular remodeling. Recent studies have highlighted the importance of angiogenesis and vascular remodeling in fibrogenesis, the results that inhibition of angiogenesis is effective in suppression of liver fibrosis demonstrate that therapies with several molecular targets against angiogenesis, inflammation and fibrosis might be beneficial for the treatment of cirrhosis. However, there is some evidence that inhibition of angiogenesis can even worsen fibrosis. This article outlines recent advances regarding the interplay between inflammation, angiogenesis and fibrogenesis in terms of cellular and molecular mechanisms, and suggests a requirement of greater understanding to intervene in these key processes, such as liver sinusoidal endothelial cell fenestration and impact distinct chemokine actions driving monocyte migration and differentiation, for therapeutic benefit in the future.
Insights
Liver fibrosis development involves angiogenesis and vascular remodeling. Targeting these processes, alongside inflammation, may treat cirrhosis, but further understanding is needed to avoid worsening fibrosis.
Area of Science:
- Hepatology
- Vascular Biology
- Immunology
Background:
- Liver fibrosis development is linked to angiogenesis and abnormal vascular remodeling.
- Angiogenesis and vascular remodeling play crucial roles in fibrogenesis.
- Therapies targeting angiogenesis, inflammation, and fibrosis show potential for cirrhosis treatment.
Purpose of the Study:
- To outline recent advances in understanding the interplay between inflammation, angiogenesis, and fibrogenesis.
- To highlight cellular and molecular mechanisms involved in these processes.
- To suggest areas requiring further research for therapeutic benefit.
Main Methods:
- Review of recent scientific literature on liver fibrosis, angiogenesis, and inflammation.
- Analysis of cellular and molecular mechanisms.
- Identification of key processes for therapeutic intervention.
Main Results:
- Inhibition of angiogenesis can suppress liver fibrosis, suggesting therapeutic potential.
- Evidence suggests that inhibiting angiogenesis may sometimes exacerbate fibrosis.
- Understanding the interplay between inflammation, angiogenesis, and fibrogenesis is critical.
Conclusions:
- Targeting angiogenesis, inflammation, and fibrosis offers potential therapeutic benefits for cirrhosis.
- Further research is needed to fully understand liver sinusoidal endothelial cell fenestration and chemokine actions.
- A deeper understanding is required to develop effective therapeutic strategies for liver fibrosis.
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