Frontiers in Pharmacology,
Journal Year:
2024,
Volume and Issue:
15
Published: May 17, 2024
Effective
therapy
for
liver
fibrosis
is
lacking.
Here,
we
examined
whether
LP340,
the
lead
candidate
of
a
new-generation
hydrazide-based
HDAC1,2,3
inhibitors
(HDACi),
decreases
fibrosis.
Liver
was
induced
by
CCl
4
treatment
and
bile
duct
ligation
(BDL)
in
mice.
At
6
weeks
after
,
serum
alanine
aminotransferase
increased,
necrotic
cell
death
leukocyte
infiltration
occurred
liver.
Tumor
necrosis
factor-α
myeloperoxidase
markedly
indicating
inflammation.
After
weeks,
α-smooth
muscle
actin
(αSMA)
collagen-1
expression
increased
80%
575%,
respectively,
hepatic
stellate
(HSC)
activation
fibrogenesis.
Fibrosis
detected
trichrome
Sirius-red
staining
primarily
pericentral
regions
with
some
bridging
sections.
4-Hydroxynonenal
adducts
(indicator
oxidative
stress),
profibrotic
cytokine
transforming
growth
factor-β
(TGFβ),
TGFβ
downstream
signaling
molecules
phospho-Smad2/3
also
increased.
LP340
attenuated
indices
injury,
inflammation,
markedly.
Moreover,
Ski-related
novel
protein-N
(SnoN),
an
endogenous
inhibitor
signaling,
decreased,
whereas
SnoN
suppressor
microRNA-23a
(miR23a)
(0.05
mg/kg,
ig.,
daily
during
last
2
treatment)
decreased
4-hydroxynonenal
miR23a
production,
blunted
decreases,
inhibited
TGFβ/Smad
signaling.
By
contrast,
had
no
effect
on
matrix
metalloproteinase-9
expression.
histone-3
acetylation
but
not
tubulin
acetylation,
that
Class-I
Class-II
HDAC
vivo
.
BDL,
focal
necrosis,
ductular
reactions,
portal
at
αSMA
256%
560%,
respectively.
prevented
BDL.
In
vitro
immortal
human
cells
(hTERT-HSC)
culture
(αSMA
expression)
as
well
demonstrating
its
direct
inhibitory
effects
HSC.
conclusions,
promising
both
fibrosis,
it
works
inhibiting
stress
decreasing
miR23a.
The Egyptian Journal of Internal Medicine,
Journal Year:
2024,
Volume and Issue:
36(1)
Published: Feb. 12, 2024
Abstract
Background
Liver
fibrosis
results
from
chronic
liver
injury
and
is
characterized
by
excessive
deposition
of
extracellular
matrix
proteins
including
collagen.
It
can
progress
to
cirrhosis
failure.
Main
body
the
abstract
Multiple
cellular
signaling
pathways
drive
hepatic
stellate
cell
activation
fibrogenesis.
Advances
in
biomarkers,
imaging
modalities,
omics
platforms
enable
noninvasive
diagnosis
staging
fibrosis.
Emerging
antifibrotic
approaches
include
medications
like
pirfenidone,
obeticholic
acid,
monoclonal
antibodies
targeting
pro-fibrotic
mediators.
Cell
therapies
using
mesenchymal
stem
cells
demonstrate
potential
through
paracrine
immunosuppression.
Tissue-engineered
grafts
biomaterial
carriers
for
localized
drug
delivery
are
promising
technologies.
Microfluidic
liver-on-a-chip
with
patient-derived
provide
unprecedented
models
study
human
test
candidates.
Short
conclusion
Significant
has
elucidated
mechanisms
underlying
fibrogenesis
uncovered
novel
therapeutic
targets.
Ongoing
challenges
translating
preclinical
findings,
improving
efficacy,
enabling
personalized
precision
medicine
approaches.
Further
research
into
combinatorial
therapies,
tissue
engineering
technologies
will
advance
treatment
all
causes.
Life,
Journal Year:
2024,
Volume and Issue:
14(2), P. 272 - 272
Published: Feb. 18, 2024
The
bidirectional
relationship
between
type
2
diabetes
and
(non-alcoholic
fatty
liver
disease)
NAFLD
is
indicated
by
the
higher
prevalence
worse
disease
course
of
one
condition
in
presence
other,
but
also
apparent
beneficial
effects
observed
one,
when
other
improved.
This
partly
explained
their
belonging
to
a
multisystemic
that
includes
components
metabolic
syndrome
shared
pathogenetic
mechanisms.
Throughout
progression
more
advanced
stages,
complex
systemic
local
derangements
are
involved.
During
fibrogenesis,
significant
reprogramming
occurs
hepatic
stellate
cells,
hepatocytes,
immune
engaging
carbohydrate
lipid
pathways
support
high-energy-requiring
processes.
natural
history
evolves
variable
dynamic
manner,
probably
due
interaction
number
modifiable
(diet,
physical
exercise,
microbiota
composition,
etc.)
non-modifiable
(genetics,
age,
ethnicity,
risk
factors
may
intervene
concomitantly,
or
subsequently/intermittently
time.
influence
(and
rate)
fibrosis
progression/regression.
recognition
control
determine
rapid
(or
its
regression)
critical,
as
stages
associated
with
liver-related
all-cause
mortality.
Stem Cell Research & Therapy,
Journal Year:
2025,
Volume and Issue:
16(1)
Published: Jan. 26, 2025
The
lack
of
in
vivo
accurate
human
liver
models
hinders
the
investigation
liver-related
diseases,
injuries,
and
drug-related
toxicity,
posing
challenges
for
both
basic
research
clinical
applications.
Traditional
cellular
animal
models,
while
widely
used,
have
significant
limitations
replicating
liver's
complex
responses
to
various
stressors.
Liver
organoids
derived
from
pluripotent
stem
cells,
adult
cells
primary
or
tissues
can
mimic
diverse
cell
types,
major
physiological
functions,
architectural
features.
Recent
advancements
field
shown
that
some
sufficient
accuracy
replicate
specific
aspects
complexity.
This
review
highlights
recent
progress
organoid
research,
with
a
particular
emphasis
on
their
potential
toxicity
assessment
disease
modeling.
intrinsic
advantages
include
higher
sensitivity
suitability
long-term
studies,
which
enhance
predictive
value
drug
nanomaterial
testing.
integration
microfluidic
devices
enables
simulation
microenvironment
facilitates
high-throughput
screening.
also
serve
as
ideal
platforms
studying
diseases
such
hepatitis,
fibrosis,
viral
monogenic
diseases.
Additionally,
this
discusses
along
avenues
future
research.
Archives of Gastroenterology Research,
Journal Year:
2023,
Volume and Issue:
4(1), P. 14 - 23
Published: Nov. 14, 2023
Liver
fibrosis
resulting
from
chronic
liver
injury
can
progress
to
cirrhosis
and
failure.
Current
treatments
are
limited,
creating
an
urgent
need
for
novel
antifibrotic
therapies.
Multiple
emerging
approaches
have
shown
preclinical
promise
in
inhibiting
fibrogenesis
or
stimulating
regeneration,
including
artificial
support,
stem
cell
therapy,
cell/gene
nanomedicines,
immunotherapy,
herbal
medicines.
Artificial
support
provides
detoxification
but
has
inconsistent
transplant
bridging
benefits.
Stem
transplantation
demonstrates
paracrine
effects
differentiation
potential.
Cell
therapy
with
hepatocytes
modulatory
immune
cells,
as
well
genetic
engineering
approaches,
aims
replace
damaged
cells
suppress
inflammation.
Nanoparticles
enable
targeted
delivery
of
drugs
genes.
Immunotherapy
using
checkpoint
inhibitors,
vaccines,
engineered
attenuate
fibrogenesis-related
Some
traditional
Chinese
formulas
compounds
exhibit
antifibrotic,
anti-inflammatory,
regenerative
mechanisms.
Despite
encouraging
data,
most
therapies
yet
achieve
clinical
translation,
limited
by
challenges
safety,
delivery,
efficacy.
Combination
treatment
regimens
may
provide
maximal
therapeutic
impact.
Ongoing
optimization
rigorous
evaluation
needed
develop
effective
new
patients
disease.
World Journal of Hepatology,
Journal Year:
2024,
Volume and Issue:
16(2), P. 140 - 145
Published: Feb. 27, 2024
Cytokines
play
pleiotropic
roles
in
human
health
and
disease
by
regulating
both
innate
adaptive
immune
responses.
Interleukins
(ILs),
a
large
group
of
cytokines,
can
be
divided
into
seven
families,
including
IL-1,
IL-2,
IL-6,
IL-8,
IL-10,
IL-12,
IL-17
families.
Here,
we
review
the
functions
ILs
pathogenesis
resolution
liver
diseases,
such
as
inflammation
(e.g.
,
IL-35),
alcohol-related
IL-11),
non-alcoholic
steatohepatitis
IL-22),
fibrosis
Il-17a),
cancer
IL-8).
Overall,
IL-1
family
members
are
implicated
induced
different
etiologies,
alcohol
consumption,
high-fat
diet,
hepatitis
viruses.
IL-2
mainly
regulate
T
lymphocyte
NK
cell
proliferation
activation,
differentiation
cells.
IL-6
cytokines
important
acute
phase
response
infection,
regeneration,
metabolic
regulation,
well
activation.
also
known
CXCL8,
is
activated
chronic
which
associated
with
accumulation
neutrophils
macrophages.
IL-10
contribute
key
to
tolerance
immunosuppression
disease.
IL-12
influence
T-cell
an
essential
role
autoimmune
subfamilies
infection
defense,
inflammation,
Th17
differentiation.
interact
type
I
II
cytokine
receptors
intracellular
signaling
pathways
that
mediate
their
functions.
However,
most
clinical
studies
only
performed
evaluate
IL-mediated
therapies
on
virus
infection-induced
hepatitis.
More
pre-clinical
required
monotherapy
synergistic
therapies.
International Journal of Molecular Sciences,
Journal Year:
2024,
Volume and Issue:
25(10), P. 5238 - 5238
Published: May 11, 2024
Currently,
metabolic
dysfunction-associated
steatotic
liver
disease
(MASLD)
and
steatohepatitis
(MASH)
are
considered
to
be
the
main
causes
of
fibrosis.
In
turn,
fibrosis
may
lead
development
hepatocellular
carcinoma
or
advanced
cirrhosis,
i.e.,
potentially
life-threatening
conditions.
It
is
likely
that
therapy
aimed
at
reducing
risk
developing
hepatic
steatosis
inflammation
could
helpful
in
minimizing
threat/probability
organ
recent
years,
increasing
attention
has
been
paid
influence
nutraceuticals
prevention
treatment
diseases.
Therefore,
aim
this
review
was
describe
precise
role
selected
ingredients
such
as
vitamin
C,
beta-carotene,
omega-3
fatty
acids,
curcumin.
use
these
patients
with
MASLD/MASH,
along
behavioral
pharmacological
therapy,
have
a
beneficial
effect
on
combating
inflammation,
oxidative
stress,
thereby
preventing
damage.
Hepatology,
Journal Year:
2023,
Volume and Issue:
unknown
Published: Dec. 18, 2023
Immune-oncology–based
regimens
have
shown
efficacy
in
advanced
HCC
and
been
implemented
as
standard
of
care
first-line
therapy.
Their
efficacy,
including
high
response
rates,
safety
justify
their
evaluation
earlier
disease
stages.
Following
negative
results
for
adjuvant
sorafenib
the
global
STORM
trial
2015,
4
phase
3
trials,
featuring
different
immune
checkpoint
inhibitor
combinations,
entered
parallel
race
setting.
The
IMbrave050
trial,
comparing
atezolizumab
combination
with
bevacizumab
to
active
surveillance
following
curative-intent
resection
or
ablation,
was
first
report,
fast-tracking
interim
analysis
demonstrating
an
improvement
recurrence-free
survival.
has
provoked
a
discussion
on
horizon
expectations
from
treatment
clinical
relevance
endpoints.
Moreover,
major
pathological
responses
reported
early
2
data
neoadjuvant
setting
provide
strong
rationale
these
concepts
trials.
In
this
review,
we
summarize
current
evidence
outline
future
directions
systemic
therapies
early-stage
HCC.
Biomolecules,
Journal Year:
2024,
Volume and Issue:
14(7), P. 800 - 800
Published: July 5, 2024
Liver
fibrosis,
a
consequence
of
chronic
liver
damage
or
inflammation,
is
characterized
by
the
excessive
buildup
extracellular
matrix
components.
This
progressive
condition
significantly
raises
risk
severe
diseases
like
cirrhosis
and
hepatocellular
carcinoma.
The
lack
approved
therapeutics
underscores
urgent
need
for
novel
anti-fibrotic
drugs.
Hepatic
stellate
cells
(HSCs),
key
players
in
fibrogenesis,
are
promising
targets
drug
discovery.
study
investigated
potential
Citrus
hystrix
DC.
(KL)
its
bioactive
compound,
β-citronellol
(β-CIT),
human
HSC
cell
line
(LX-2).
Cells
exposed
to
TGF-β1
induce
fibrogenesis
were
co-treated
with
crude
KL
extract
β-CIT.
Gene
expression
was
analyzed
real-time
qRT-PCR
assess
fibrosis-associated
genes
(ACTA2,
COL1A1,
TIMP1,
SMAD2).
release
metalloproteinase
9
(MMP-9)
measured
ELISA.
Proteomic
analysis
molecular
docking
identified
signaling
proteins
modeled
protein–ligand
interactions.
results
showed
that
both
β-CIT
suppressed
activation
MMP-9
levels.
MAPK
pathway
emerged
as
target
demonstrates
ability
inhibit
during
TGF-β1-induced
suggesting
role
anti-hepatic
fibrosis
therapies.