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2016 ; 34
(5
): 589-96
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New Developments on the Treatment of Liver Fibrosis
#MMPMID27332862
Koyama Y
; Xu J
; Liu X
; Brenner DA
Dig Dis
2016[]; 34
(5
): 589-96
PMID27332862
show ga
Liver fibrosis results from many chronic injuries and often progresses to
cirrhosis, liver failure, portal hypertension, and hepatocellular carcinoma.
Liver transplantation is the only treatment available for patients with advanced
stages of liver fibrosis. Therefore, new strategies for anti-fibrotic therapy are
required. Various kinds of hepatocyte damage result in inflammation, which leads
to the activation of hepatic stellate cells (HSCs), which are the major source of
myofibroblasts in the liver. Myofibroblasts proliferate in response to various
kinds of cytokines, chemokines, and growth factors and produce extracellular
matrix proteins, which forms the fibrous scar. Myofibroblasts undergo apoptosis
and inactivation when the underlying causative etiologies are cleared. Here we
describe our current knowledge of targeting the steps in HSC activation as
therapeutic target for liver fibrosis.