白细胞介素-10家族抗肝纤维化的作用机制及临床应用价值
DOI: 10.12449/JCH250422
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作者贡献声明:付蕾、张荣负责设计研究思路;罗琪、曾碧雨负责查阅相关文献,资料归纳、分析,撰写论文;黄良江负责修改论文;姚春负责指导、审阅论文及最后定稿。
The mechanism and clinical application value of interleukin-10 family in anti-hepatic fibrosis
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摘要: 白细胞介素-10(IL-10)家族在多种细胞中表达,具有广泛的生物学功能,在肝纤维化的发生发展中发挥重要作用。肝纤维化是一种慢性肝病,其特征是肝组织损伤后的异常修复、肝星状细胞活化及细胞外基质过度积累。IL-10家族成员包括IL-10、IL-19、IL-20、IL-22、IL-24、IL-26、IL-28、IL-29、IL-35等,在结构和功能上具有相似性,其表达水平的变化与肝纤维化的发展密切相关。适度上调IL-10家族成员表达可维持肝星状细胞静止状态,促进巨噬细胞向抗炎表型转化,调节自然杀伤细胞活性,进而抑制炎症反应,调控细胞凋亡和自噬,最终逆转肝纤维化进程。本文总结探讨了IL-10家族在抗肝纤维化中的作用机制及其在相关中西医治疗中的应用价值,为肝纤维化治疗提供新的思考。Abstract: The interleukin-10 (IL-10) family is expressed in various types of cells and has a wide range of biological functions, and it plays an important role in the development and progression of hepatic fibrosis. Hepatic fibrosis is a chronic liver disease characterized by abnormal repair of hepatic tissues after injury, activation of hepatic stellate cells, and excessive accumulation of extracellular matrix. The IL-10 family members include IL-10, IL-19, IL-20, IL-22, IL-24, IL-26, IL-28, IL-29, and IL-35, with similarities in structure and function, and changes in their expression levels are closely associated with the progression of hepatic fibrosis. Moderate upregulation of the expression of IL-10 family members can help maintain the quiescent state of hepatic stellate cells, promote the transformation of macrophages to anti-inflammatory phenotype, and regulate the activity of natural killer cells, thereby inhibiting inflammatory response, regulating cell apoptosis and autophagy, and finally reversing the progression of hepatic fibrosis. This article discusses the mechanism of action of IL-10 family members and their application in traditional Chinese medicine and Western medicine therapies, in order to provide new thoughts for the treatment of hepatic fibrosis.
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