Dynamic plasticity of macrophage functions in diseased liver
Thomas Ritz1, Oliver Krenkel2, Frank Tacke2
1Department of Medicine III, University Hospital Aachen, Aachen, Germany; Institute of Pathology, University Hospital Aachen, Aachen, Germany.
Abstract:
Liver macrophages attract increasing interest due to their crucial roles in homeostasis and hepatic diseases. Recent findings in mice and man suggest a remarkable phenotypic and functional diversity of liver macrophages. Kupffer cells, the subset of tissue resident macrophages with sentinel functions in liver, mainly arise from embryogenic precursors, whereas in injury, liver tissue is engrafted by monocyte-derived macrophages. Both principal macrophage populations respond to local or systemic signals and have substantial effects on reduction as well as aggravation of hepatic diseases. Despite contrasting functions of heterogeneous macrophage subsets in disease progression and regression, they may provide promising targets for novel therapeutic interventions in hepatology. Areas of intense research include their multifaceted roles in metabolic diseases (non-alcoholic steatohepatitis, NASH), fibrosis or liver cancer (hepatocellular or cholangiocellular carcinoma, HCC or CCA). We discuss recent findings on the origin, diversity and functional plasticity of liver macrophages in homeostasis and hepatic disease conditions.
Insights
Liver macrophages, including Kupffer cells and monocyte-derived cells, exhibit diverse roles in liver health and disease. Understanding their origin and function offers therapeutic potential for liver conditions like NASH and cancer.
Area of Science:
- Immunology
- Hepatology
- Cell Biology
Background:
- Liver macrophages, particularly Kupffer cells and monocyte-derived macrophages, are critical for liver homeostasis and disease.
- Recent research highlights significant phenotypic and functional diversity within these macrophage populations.
- These cells play dual roles, potentially mitigating or exacerbating liver diseases.
Purpose of the Study:
- To review recent findings on the origin, diversity, and functional plasticity of liver macrophages.
- To explore the multifaceted roles of liver macrophages in various hepatic conditions.
- To discuss the therapeutic potential of targeting liver macrophages in hepatology.
Main Methods:
- Literature review of recent studies on liver macrophage biology.
- Analysis of findings from mouse and human studies.
- Synthesis of information on macrophage origin, phenotype, and function in disease.
Main Results:
- Liver macrophages display remarkable heterogeneity, with distinct origins (embryogenic vs. monocyte-derived).
- Both macrophage types are influenced by local and systemic signals, impacting disease outcomes.
- Diverse macrophage subsets have contrasting effects on liver disease progression and regression.
Conclusions:
- Liver macrophages are key players in maintaining liver health and driving hepatic diseases.
- Their functional plasticity and diverse roles present promising therapeutic targets for liver diseases.
- Further research into liver macrophage biology is crucial for developing novel hepatology interventions.
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