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肝星状细胞的激活与凋亡相关信号通路研究进展(3)
http://www.100md.com 2011年6月5日 《中外医学研究》 201116
     综上所述,HSCs发生激活和凋亡的机制非常复杂,涉及的信号途径很多,目前单一的信号通路已经很难解释清楚HSCs激活与凋亡的机制,为此以后研究HSCs激活与凋亡的信号通路之间的相互作用已成为热点。另外还有Fas/FasL途径,神经生长因子途径,粘附分子途径,线粒体途径和活性氧途径等参与了HSCs的激活与凋亡。如研究发现在HSCs活化过程中CD95(Fas)及其配体CD95L(FasL)表达显著增加,CD95拮抗抗体能完全阻断正常和已进入凋亡周期HSCs的凋亡[42]。总之,从以上论述可以看出,C/EBPs通路和PPAR通路为核内基因表达变化进而对HSC产生影响,而TGF-β/Smad通路、NF-κB通路、JAK/STAT通路、PI3K通路和MAPK通路等均需通过细胞膜受体与配体结合,影响胞质区分子结构和功能,然后转入核内调控基因表达。面对如此多相关的机制,仍然需要不断的深入研究HSCs发生激活和凋亡的信号通路机制及多种信号通路之间相互调节的机制,从而寻找到合适的HSCs分子靶点,为靶向HSCs而防治肝纤维化的治疗提供坚实的理论基础。
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