先天免疫反应与非酒精性脂肪性肝病
作者: |
1李美华,
1肖新华
1 南华大学附属第一医院内分泌科,湖南 衡阳 421001 |
通讯: |
肖新华
Email: xiaoxinhua139@163.com |
DOI: | 10.3978/j.issn.2095-6959.2016.02.014 |
基金: | 国家自然科学基金, 81270925 |
摘要
非酒精性脂肪性肝病(non-alcoholic fatty liver disease,NAFLD)是世界上最常见的肝脏疾病之一。其特点是脂质异常聚集于肝细胞,即肝脂肪变性,继而发展为有或没有纤维化的非酒精性脂肪性肝炎(nonalcoholic steatohepatitis,NASH)。肝脏可看做一个“免疫器官”,它可调节非淋巴细胞,如巨噬枯氏细胞、星状细胞以及淋巴细胞。这些细胞组成了经典的先天免疫系统,从而使肝脏能够更好地抵抗病原体。尽管肝脏提供了耐受性的环境,但先天免疫信号通路的异常激活可诱发炎症,导致组织损伤、纤维化以及致癌作用。此外,细胞因子能够通过诱发并参与免疫反应,激发肝脏细胞内的信号通路,在肝脏炎症反应中也起着重要作用。本文总结各类先天免疫细胞、以及细胞因子对非酒精性脂肪性肝病的影响。
关键词:
非酒精性脂肪性肝病
先天免疫反应
免疫细胞
细胞因子
炎症反应
Innate immune response and non-alcoholic fatty liver disease
CorrespondingAuthor: XIAO Xinhua Email: xiaoxinhua139@163.com
DOI: 10.3978/j.issn.2095-6959.2016.02.014
Abstract
Non-alcoholic fatty liver disease (NAFLD) is currently the most common liver disease worldwide. It is characterized by aberrant lipid storage in hepatocytes, named hepatic steatosis. While some of them develop into non-alcoholic steatohepatitis with or without fibrosis. The liver can be considered as an “immune organ” because it adjusts non-lymphoid cells, such as macrophage Kupffer cells, stellate and dendritic cells, and lymphoid cells. Many of these cells are components of the classic innate immune system, enabling the liver to play a major role in response to pathogens. Although the liver provides a “tolerogenic” environment, aberrant activation of innate immune signaling may trigger harmful inflammation that contributes to tissue injury, fibrosis, and carcinogenesis. A pivotal role in liver inflammation is also played by cytokines, which can initiate or have a part in immune response, triggering hepatic intracellular signaling pathways. In this review, we discuss the relevant role of innate immune cell and cytokines in relation to NAFLD.