中文English
ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R

留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

外泌体在肝衰竭中的调控机制及其在临床诊疗中的应用价值

童话 罗越 王亚东

引用本文:
Citation:

外泌体在肝衰竭中的调控机制及其在临床诊疗中的应用价值

DOI: 10.12449/JCH240928
基金项目: 

河北省自然科学基金 (H2023206042);

河北省政府资助临床医学优秀人才项目 (ZF2023082)

利益冲突声明:本文不存在任何利益冲突。
作者贡献声明:童话、罗越负责查阅文献,撰写文章;王亚东负责指导立题,文章修改与审校。
详细信息
    通信作者:

    王亚东, wangyadong@hebmu.edu.cn (ORCID: 0000-0003-0140-0674)

Regulatory mechanism of exosomes in liver failure and the application value in diagnosis and treatment

Research funding: 

Natural Science Foundation of Hebei Province (H2023206042);

Government Funding for Excellent Clinical Medicine Talent Program (ZF2023082)

More Information
  • 摘要: 外泌体是介导细胞间物质与信息传递的重要媒介,源自肝细胞、肝干细胞或肝外间充质干细胞等的外泌体通过抑制免疫炎症反应、拮抗氧化应激与凋亡、诱导自噬等多种方式促进损伤肝细胞的修复与再生,发挥对肝衰竭的保护作用。本文综述外泌体在肝衰竭发病中的分子调控机制及其对肝衰竭发生发展与预后转归的影响,旨在评价其作为肝衰竭诊断标志物与治疗靶点的潜在价值。

     

  • 图  1  外泌体的来源及其用于肝衰竭诊断与治疗的潜在价值

    Figure  1.  Origin of exosomes and the potential value to diagnosis and treatment of liver failure

  • [1] SHEN MY, SHEN Y, FAN XL, et al. Roles of macrophages and exosomes in liver diseases[J]. Front Med(Lausanne), 2020, 7: 583691. DOI: 10.3389/fmed.2020.583691.
    [2] LIU B, WANG JC, WANG GC, et al. Hepatocyte-derived exosomes deliver H2AFJ to hepatic stellate cells and promote liver fibrosis via the MAPK/STMN1 axis activation[J]. Int Immunopharmacol, 2023, 115: 109605. DOI: 10.1016/j.intimp.2022.109605.
    [3] DASGUPTA D, NAKAO Y, MAUER AS, et al. IRE1A stimulates hepatocyte-derived extracellular vesicles that promote inflammation in mice with steatohepatitis[J]. Gastroenterology, 2020, 159( 4): 1487- 1503. e 17. DOI: 10.1053/j.gastro.2020.06.031.
    [4] SHABANGU CS, HUANG JF, HSIAO HH, et al. Liquid biopsy for the diagnosis of viral hepatitis, fatty liver steatosis, and alcoholic liver diseases[J]. Int J Mol Sci, 2020, 21( 10): 3732. DOI: 10.3390/ijms21103732.
    [5] LIU XL, PAN Q, CAO HX, et al. Lipotoxic hepatocyte-derived exosomal microRNA 192-5p activates macrophages through rictor/akt/forkhead box transcription factor O1 signaling in nonalcoholic fatty liver disease[J]. Hepatology, 2020, 72( 2): 454- 469. DOI: 10.1002/hep.31050.
    [6] PAN Y, TAN WF, YANG MQ, et al. The therapeutic potential of exosomes derived from different cell sources in liver diseases[J]. Am J Physiol Gastrointest Liver Physiol, 2022, 322( 4): G397- G404. DOI: 10.1152/ajpgi.00054.2021.
    [7] JIAO Y, LU W, XU P, et al. Hepatocyte-derived exosome may be as a biomarker of liver regeneration and prognostic valuation in patients with acute-on-chronic liver failure[J]. Hepatol Int, 2021, 15( 4): 957- 969. DOI: 10.1007/s12072-021-10217-3.
    [8] MASTORIDIS S, PATEL V, CHRISTAKOUDI S, et al. Impact of liver failure on the circulating extracellular vesicle miRNA repertoire[J]. Hepatol Res, 2023, 53( 8): 771- 785. DOI: 10.1111/hepr.13909.
    [9] DING Y, LUO QL, QUE HY, et al. Mesenchymal stem cell-derived exosomes: A promising therapeutic agent for the treatment of liver diseases[J]. Int J Mol Sci, 2022, 23( 18): 10972. DOI: 10.3390/ijms231810972.
    [10] LU XF, GUO HJ, WEI XY, et al. Current status and prospect of delivery vehicle based on mesenchymal stem cell-derived exosomes in liver diseases[J]. Int J Nanomedicine, 2023, 18: 2873- 2890. DOI: 10.2147/IJN.S404925.
    [11] ELSHARKASY OM, NORDIN JZ, HAGEY DW, et al. Extracellular vesicles as drug delivery systems: Why and how?[J]. Adv Drug Deliv Rev, 2020, 159: 332- 343. DOI: 10.1016/j.addr.2020.04.004.
    [12] ZHANG SQ, HOU Y, YANG J, et al. Application of mesenchymal stem cell exosomes and their drug-loading systems in acute liver failure[J]. J Cell Mol Med, 2020, 24( 13): 7082- 7093. DOI: 10.1111/jcmm.15290.
    [13] ZHANG SQ, JIANG LR, HU HZ, et al. Pretreatment of exosomes derived from hUCMSCs with TNF-α ameliorates acute liver failure by inhibiting the activation of NLRP3 in macrophage[J]. Life Sci, 2020, 246: 117401. DOI: 10.1016/j.lfs.2020.117401.
    [14] DENG CQ, HU J, HE L, et al. Daucosterol combined with umbilical cord mesenchymal stem cell-derived exosomes can alleviate liver damage in liver failure mice by regulating the IL-6/STAT3 signaling pathway[J]. Cancer Biol Ther, 2023, 24( 1): 2184150. DOI: 10.1080/15384047.2023.2184150.
    [15] LIU YN, LOU GH, LI AC, et al. AMSC-derived exosomes alleviate lipopolysaccharide/d-galactosamine-induced acute liver failure by miR-17-mediated reduction of TXNIP/NLRP3 inflammasome activation in macrophages[J]. EBioMedicine, 2018, 36: 140- 150. DOI: 10.1016/j.ebiom.2018.08.054.
    [16] CHEN L, CHEN RJ, KEMPER S, et al. Therapeutic effects of serum extracellular vesicles in liver fibrosis[J]. J Extracell Vesicles, 2018, 7( 1): 1461505. DOI: 10.1080/20013078.2018.1461505.
    [17] WU HY, ZHANG XC, JIA BB, et al. Exosomes derived from human umbilical cord mesenchymal stem cells alleviate acetaminophen-induced acute liver failure through activating ERK and IGF-1R/PI3K/AKT signaling pathway[J]. J Pharmacol Sci, 2021, 147( 1): 143- 155. DOI: 10.1016/j.jphs.2021.06.008.
    [18] YAN YM, JIANG WQ, TAN YW, et al. hucMSC exosome-derived GPX1 is required for the recovery of hepatic oxidant injury[J]. Mol Ther, 2017, 25( 2): 465- 479. DOI: 10.1016/j.ymthe.2016.11.019.
    [19] ZHAO SX, LIU Y, PU ZH. Bone marrow mesenchymal stem cell-derived exosomes attenuate D-GaIN/LPS-induced hepatocyte apoptosis by activating autophagy in vitro[J]. Drug Des Devel Ther, 2019, 13: 2887- 2897. DOI: 10.2147/DDDT.S220190.
    [20] LIN DN, CHEN H, XIONG J, et al. Mesenchymal stem cells exosomal let-7a-5p improve autophagic flux and alleviate liver injury in acute-on-chronic liver failure by promoting nuclear expression of TFEB[J]. Cell Death Dis, 2022, 13( 10): 865. DOI: 10.1038/s41419-022-05303-9.
    [21] YANG B, DUAN W, WEI L, et al. Bone marrow mesenchymal stem cell-derived hepatocyte-like cell exosomes reduce hepatic ischemia/reperfusion injury by enhancing autophagy[J]. Stem Cells Dev, 2020, 29( 6): 372- 379. DOI: 10.1089/scd.2019.0194.
    [22] ZHANG L, SONG YL, CHEN L, et al. MiR-20a-containing exosomes from umbilical cord mesenchymal stem cells alleviates liver ischemia/reperfusion injury[J]. J Cell Physiol, 2020, 235( 4): 3698- 3710. DOI: 10.1002/jcp.29264.
    [23] XUE TM, YAM JWP. Role of small extracellular vesicles in liver diseases: Pathogenesis, diagnosis, and treatment[J]. J Clin Transl Hepatol, 2022, 10( 6): 1176- 1185. DOI: 10.14218/JCTH.2022.00008.
    [24] BALA S, TILAHU Y, TAHAA O, et al. Increased microRNA-155 expression in the serum and peripheral monocytes in chronic HCV infection[J]. Transl Med, 2012, 10: 151. DOI: 10.1186/1479-5876-10-151.
    [25] XU WL, YU MX, WU YK, et al. Plasma-derived exosomal SncRNA as a promising diagnostic biomarker for early detection of HBV-related acute-on-chronic liver failure[J]. Front Cell Infect Microbiol, 2022, 12: 923300. DOI: 10.3389/fcimb.2022.923300.
    [26] CHEN JJ, XU QS, ZHANG Y, et al. RNA profiling analysis of the serum exosomes derived from patients with chronic hepatitis and acute-on-chronic liver failure caused by HBV[J]. Sci Rep, 2020, 10( 1): 1528. DOI: 10.1038/s41598-020-58233-x.
    [27] GAO S, FAN YC, HAN LY, et al. Serum exosomal long noncoding RNA nuclear-enriched abundant transcript 1 predicts 90-day mortality in acute-on-chronic hepatitis B liver failure[J]. Expert Rev Clin Immunol, 2021, 17( 7): 789- 797. DOI: 10.1080/1744666X.2021.1933442.
    [28] SUN CX, HAN LY, WANG K, et al. Serum exosomal long noncoding RNA growth arrest-specific 5 predicts 3-month mortality in acute-on-chronic hepatitis B liver failure[J]. J Inflamm Res, 2023, 16: 4603- 4616. DOI: 10.2147/JIR.S423321.
    [29] XIANG Z, JIANG B, LI W, et al. The diagnostic and prognostic value of serum exosome-derived carbamoyl phosphate synthase 1 in HEV-related acute liver failure patients[J]. J Med Virol, 2022, 94( 10): 5015- 5025. DOI: 10.1002/jmv.27961.
    [30] HARRELL CR, PAVLOVIC D, DJONOV V, et al. Therapeutic potential of mesenchymal stem cells in the treatment of acute liver failure[J]. World J Gastroenterol, 2022, 28( 28): 3627- 3636. DOI: 10.3748/wjg.v28.i28.3627.
    [31] SHOKRAVI S, BORISOV V, ZAMAN BA, et al. Mesenchymal stromal cells(MSCs) and their exosome in acute liver failure(ALF): A comprehensive review[J]. Stem Cell Res Ther, 2022, 13( 1): 192. DOI: 10.1186/s13287-022-02825-z.
    [32] SHAO MY, XU Q, WU ZR, et al. Exosomes derived from human umbilical cord mesenchymal stem cells ameliorate IL-6-induced acute liver injury through miR-455-3p[J]. Stem Cell Res Ther, 2020, 11( 1): 37. DOI: 10.1186/s13287-020-1550-0.
    [33] CHEN L, XIANG BY, WANG XJ, et al. Exosomes derived from human menstrual blood-derived stem cells alleviate fulminant hepatic failure[J]. Stem Cell Res Ther, 2017, 8( 1): 9. DOI: 10.1186/s13287-016-0453-6.
    [34] ZHANG J, GAO J, LIN DN, et al. Potential networks regulated by MSCs in acute-on-chronic liver failure: Exosomal miRNAs and intracellular target genes[J]. Front Genet, 2021, 12: 650536. DOI: 10.3389/fgene.2021.650536.
    [35] ZHENG L, LI Z, LING W, et al. Exosomes derived from dendritic cells attenuate liver injury by modulating the balance of Treg and Th17 cells after ischemia reperfusion[J]. Cell Physiol Biochem, 2018, 46( 2): 740- 756. DOI: 10.1159/000488733.
    [36] CALLERI A, ROGGIO D, NAVARRO-TABLEROS V, et al. Protective effects of human liver stem cell-derived extracellular vesicles in a mouse model of hepatic ischemia-reperfusion injury[J]. Stem Cell Rev Rep, 2021, 17( 2): 459- 470. DOI: 10.1007/s12015-020-10078-7.
    [37] NOJIMA H, FREEMAN CM, SCHUSTER RM, et al. Hepatocyte exosomes mediate liver repair and regeneration via sphingosine-1-phosphate[J]. J Hepatol, 2016, 64( 1): 60- 68. DOI: 10.1016/j.jhep.2015.07.030.
    [38] LU W, TANG HX, LI SS, et al. Extracellular vesicles as potential biomarkers and treatment options for liver failure: A systematic review up to March 2022[J]. Front Immunol, 2023, 14: 1116518. DOI: 10.3389/fimmu.2023.1116518.
    [39] CHEN Q, JIN MX, WANG SM, et al. Establishing an hTERT-driven immortalized umbilical cord-derived mesenchymal stem cell line and its therapeutic application in mice with liver failure[J]. J Tissue Eng, 2023, 14: 20417314231200328. DOI: 10.1177/20417314231200328.
  • 加载中
图(1)
计量
  • 文章访问数:  137
  • HTML全文浏览量:  71
  • PDF下载量:  21
  • 被引次数: 0
出版历程
  • 收稿日期:  2023-12-28
  • 录用日期:  2024-02-08
  • 出版日期:  2024-09-25
  • 分享
  • 用微信扫码二维码

    分享至好友和朋友圈

目录

    /

    返回文章
    返回