Effect of Hepatic Macrophage Polarization and Apoptosis on Liver Ischemia and Reperfusion Injury During Liver Transplantation

Ischemia-reperfusion (I/R) injury is injury caused by a limited blood supply and subsequent blood supply recovery during liver transplantation. Serious ischemia-reperfusion injury is the main cause of transplant failure. Hepatic I/R is characterized by tissue hypoxia due to a limited blood supply an...

Full description

Bibliographic Details
Main Authors: Liping Ye, Saiqin He, Xinli Mao, Yu Zhang, Yue Cai, Shaowei Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-06-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fimmu.2020.01193/full
_version_ 1818999636803715072
author Liping Ye
Saiqin He
Saiqin He
Xinli Mao
Yu Zhang
Yue Cai
Shaowei Li
author_facet Liping Ye
Saiqin He
Saiqin He
Xinli Mao
Yu Zhang
Yue Cai
Shaowei Li
author_sort Liping Ye
collection DOAJ
description Ischemia-reperfusion (I/R) injury is injury caused by a limited blood supply and subsequent blood supply recovery during liver transplantation. Serious ischemia-reperfusion injury is the main cause of transplant failure. Hepatic I/R is characterized by tissue hypoxia due to a limited blood supply and reperfusion inducing oxidative stress and an immune response. Studies have confirmed that Kupffer cells (KCs), resident macrophages in the liver, play a key role in aseptic inflammation induced by I/R. In liver macrophage polarization, M1 macrophages activated by interferon-γ (IFN-γ) and lipopolysaccharide (LPS) exert a pro-inflammatory effect and release a variety of inflammatory cytokines. M2 macrophages activated by IL-4 have an anti-inflammatory response. M1-type KCs are the dominant players in I/R as they secrete various pro-inflammatory cytokines that exacerbate the injury and recruit other types of immune cells via the circulation. In contrast, M2-type KCs can ameliorate I/R through unregulated anti-inflammatory factors. A new notion has been proposed that KC apoptosis may influence I/R in yet another manner as well. Management of KCs is expected to help improve I/R. This review summarizes the effects of hepatic macrophage polarization and apoptosis on liver I/R.
first_indexed 2024-12-20T22:20:35Z
format Article
id doaj.art-9dedc38cc20f4b2f9bf75eb78602c153
institution Directory Open Access Journal
issn 1664-3224
language English
last_indexed 2024-12-20T22:20:35Z
publishDate 2020-06-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Immunology
spelling doaj.art-9dedc38cc20f4b2f9bf75eb78602c1532022-12-21T19:24:57ZengFrontiers Media S.A.Frontiers in Immunology1664-32242020-06-011110.3389/fimmu.2020.01193537344Effect of Hepatic Macrophage Polarization and Apoptosis on Liver Ischemia and Reperfusion Injury During Liver TransplantationLiping Ye0Saiqin He1Saiqin He2Xinli Mao3Yu Zhang4Yue Cai5Shaowei Li6Department of Gastroenterology, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, ChinaDepartment of Gastroenterology, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, ChinaEndoscopy Center, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, ChinaDepartment of Gastroenterology, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, ChinaDepartment of Gastroenterology, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, ChinaDepartment of Gastroenterology, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, ChinaDepartment of Gastroenterology, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, ChinaIschemia-reperfusion (I/R) injury is injury caused by a limited blood supply and subsequent blood supply recovery during liver transplantation. Serious ischemia-reperfusion injury is the main cause of transplant failure. Hepatic I/R is characterized by tissue hypoxia due to a limited blood supply and reperfusion inducing oxidative stress and an immune response. Studies have confirmed that Kupffer cells (KCs), resident macrophages in the liver, play a key role in aseptic inflammation induced by I/R. In liver macrophage polarization, M1 macrophages activated by interferon-γ (IFN-γ) and lipopolysaccharide (LPS) exert a pro-inflammatory effect and release a variety of inflammatory cytokines. M2 macrophages activated by IL-4 have an anti-inflammatory response. M1-type KCs are the dominant players in I/R as they secrete various pro-inflammatory cytokines that exacerbate the injury and recruit other types of immune cells via the circulation. In contrast, M2-type KCs can ameliorate I/R through unregulated anti-inflammatory factors. A new notion has been proposed that KC apoptosis may influence I/R in yet another manner as well. Management of KCs is expected to help improve I/R. This review summarizes the effects of hepatic macrophage polarization and apoptosis on liver I/R.https://www.frontiersin.org/article/10.3389/fimmu.2020.01193/fullliver transplantationkupffer cellsischemia reperfusionapoptosispolarization
spellingShingle Liping Ye
Saiqin He
Saiqin He
Xinli Mao
Yu Zhang
Yue Cai
Shaowei Li
Effect of Hepatic Macrophage Polarization and Apoptosis on Liver Ischemia and Reperfusion Injury During Liver Transplantation
Frontiers in Immunology
liver transplantation
kupffer cells
ischemia reperfusion
apoptosis
polarization
title Effect of Hepatic Macrophage Polarization and Apoptosis on Liver Ischemia and Reperfusion Injury During Liver Transplantation
title_full Effect of Hepatic Macrophage Polarization and Apoptosis on Liver Ischemia and Reperfusion Injury During Liver Transplantation
title_fullStr Effect of Hepatic Macrophage Polarization and Apoptosis on Liver Ischemia and Reperfusion Injury During Liver Transplantation
title_full_unstemmed Effect of Hepatic Macrophage Polarization and Apoptosis on Liver Ischemia and Reperfusion Injury During Liver Transplantation
title_short Effect of Hepatic Macrophage Polarization and Apoptosis on Liver Ischemia and Reperfusion Injury During Liver Transplantation
title_sort effect of hepatic macrophage polarization and apoptosis on liver ischemia and reperfusion injury during liver transplantation
topic liver transplantation
kupffer cells
ischemia reperfusion
apoptosis
polarization
url https://www.frontiersin.org/article/10.3389/fimmu.2020.01193/full
work_keys_str_mv AT lipingye effectofhepaticmacrophagepolarizationandapoptosisonliverischemiaandreperfusioninjuryduringlivertransplantation
AT saiqinhe effectofhepaticmacrophagepolarizationandapoptosisonliverischemiaandreperfusioninjuryduringlivertransplantation
AT saiqinhe effectofhepaticmacrophagepolarizationandapoptosisonliverischemiaandreperfusioninjuryduringlivertransplantation
AT xinlimao effectofhepaticmacrophagepolarizationandapoptosisonliverischemiaandreperfusioninjuryduringlivertransplantation
AT yuzhang effectofhepaticmacrophagepolarizationandapoptosisonliverischemiaandreperfusioninjuryduringlivertransplantation
AT yuecai effectofhepaticmacrophagepolarizationandapoptosisonliverischemiaandreperfusioninjuryduringlivertransplantation
AT shaoweili effectofhepaticmacrophagepolarizationandapoptosisonliverischemiaandreperfusioninjuryduringlivertransplantation