Innate Immune Regulations and Liver Ischemia-Reperfusion Injury

Transplantation. 2016 Dec;100(12):2601-2610. doi: 10.1097/TP.0000000000001411.

Abstract

Liver ischemia reperfusion activates innate immune system to drive the full development of inflammatory hepatocellular injury. Damage-associated molecular patterns (DAMPs) stimulate myeloid and dendritic cells via pattern recognition receptors (PRRs) to initiate the immune response. Complex intracellular signaling network transduces inflammatory signaling to regulate both innate immune cell activation and parenchymal cell death. Recent studies have revealed that DAMPs may trigger not only proinflammatory but also immune regulatory responses by activating different PRRs or distinctive intracellular signaling pathways or in special cell populations. Additionally, tissue injury milieu activates PRR-independent receptors which also regulate inflammatory disease processes. Thus, the innate immune mechanism of liver ischemia-reperfusion injury involves diverse molecular and cellular interactions, subjected to both endogenous and exogenous regulation in different cells. A better understanding of these complicated regulatory pathways/network is imperative for us in designing safe and effective therapeutic strategy to ameliorate liver ischemia-reperfusion injury in patients.

Publication types

  • Review

MeSH terms

  • Animals
  • Dendritic Cells / cytology
  • HMGB1 Protein / metabolism
  • Humans
  • Immunity, Innate*
  • Immunologic Factors / immunology*
  • Inflammation
  • Interferons / metabolism
  • Ischemia
  • Liver / pathology*
  • Mice
  • Myeloid Cells / cytology
  • Receptors, Pattern Recognition / immunology*
  • Reperfusion Injury / immunology*
  • Signal Transduction
  • Toll-Like Receptor 4 / metabolism
  • Tumor Necrosis Factor-alpha / metabolism

Substances

  • HMGB1 Protein
  • HMGB1 protein, human
  • Immunologic Factors
  • Receptors, Pattern Recognition
  • TLR4 protein, human
  • Toll-Like Receptor 4
  • Tumor Necrosis Factor-alpha
  • Interferons